Understanding Suicide

I gen­er­al­ly don’t talk about sui­cide. I don’t dis­cuss my bat­tle with any­one, aside from close friends, because it makes most peo­ple uneasy. I nev­er used to under­stand that because it did­n’t scare me. Suicide is a choice — a con­scious deci­sion — and a con­scious deci­sion can’t be scary. But more recent­ly, I found myself feel­ing over­whelmed, then afraid I would make a real­ly big mis­take.

That fear has kept me alive. Admittedly, I’m still try­ing to under­stand these thoughts in myself.

There have been a few high pro­file sui­cides in the news late­ly. When mak­ing a state­ment about his son’s death, Walter Koenig said “If you’re one of those peo­ple and you feel you can’t han­dle it any­more, you know, if you can learn any­thing from this, it’s that there’s peo­ple out there who real­ly care.” Then his wife added, “All the peo­ple up here, from the police to his friends, have shown love which he didn’t real­ize was avail­able to him.”

Their words show a very com­mon fun­da­men­tal mis­un­der­stand­ing about the rea­sons some­one has for tak­ing their own life.

You think love can fix us? You think it mat­ters that you care?

The very nature of sui­cide is that a sui­ci­dal per­son does­n’t believe there’s any hope. If we felt like there was some­where to turn, some­one who could help1, that would imply there was hope. And if there was hope, they prob­a­bly would­n’t com­mit sui­cide.

We know you care, and we appre­ci­ate it when you tell us. We know how lucky we are to have the friends we do. But none of that helps. Suicide does­n’t nec­es­sar­i­ly result from a lack of exter­nal love. It can come from a lack of inter­nal love, when we hate our­selves, or because our thoughts or prob­lems seem too dif­fi­cult to bear.

Sometimes I get advice about how to fix the issue, almost always from peo­ple who have nev­er been sui­ci­dal. They think it’s a sim­ple prob­lem, and that we can just stop think­ing about it and it’ll go away. Or we just need to find a hob­by to dis­tract us. Or find a pas­sion to give us a rea­son to live. They don’t under­stand that sui­ci­dal thoughts are like a pho­bia — an irra­tional fear. You can’t eas­i­ly fix irra­tional thoughts. They’re irra­tional because they don’t fol­low log­ic. Otherwise, you’d be able to cure some­one’s arachno­pho­bia sim­ply by explain­ing to them, “Spiders are small and most can’t hurt you”. A per­son with arachno­pho­bia knows that fact, and under­stands it per­fect­ly, but put a spi­der next to them and they’ll be filled with uncon­trol­lable anx­i­ety.

Relate that back to sui­ci­dal thoughts: try­ing to ratio­nal­ize things to a sui­ci­dal per­son by say­ing, “You have so much to live for”, is just as inef­fec­tive. Someone may have a reward­ing career, a won­der­ful fam­i­ly, and good health, but none of that per­me­ates the mind when suf­fer­ing from a men­tal issue. The depres­sion is irra­tional, and sui­cide isn’t the easy way out, it becomes the only way out.

From my own per­son­al expe­ri­ence, the worst things you can do when han­dling a sui­ci­dal per­son are:

  • wor­ry­ing or get­ting uncom­fort­able — it puts pres­sure on us and makes us feel worse
  • get­ting angry — it only makes us with­draw more and com­mu­ni­cate less, and com­mu­ni­ca­tion is one of the few out­lets we have left
  • telling them it would be a self­ish deci­sion — when some­one is ready to kill them­selves, they real­ly don’t care and mak­ing them feel guilty is not the answer

The best things you can do for them are:

  • giv­ing them space — we need to han­dle things on our own terms and at our own pace, not yours, and the last thing we want is to feel like we’re incon­ve­nienc­ing you
  • show­ing that you care, not just telling them — ran­dom flow­ers, text mes­sages, hugs, poems (but back off if you’re told that you’re smoth­er­ing)
  • under­stand­ing that get­ting bet­ter is a long-term process, and not always per­ma­nent — we rely on your patience and under­stand­ing to get through it, and there may be regres­sions
  • nev­er, nev­er, nev­er turn­ing down a chance to talk or hang out if they ask you — noth­ing makes us sink deep­er in our frag­ile states than to feel like we aren’t impor­tant enough (we would­n’t ask if we did­n’t need to)

By no means am I sui­ci­dal right now, but yes­ter­day I con­sid­ered, and came as close to it as I’ve ever been. That was enough to scare me into the real­iza­tion that I need help. Perhaps I’m for­tu­nate enough to say that I under­stand how irra­tional these feel­ings are, and I know that I need to dis­ci­pline, prac­tice, effort, and sys­tem­at­ic obser­va­tion to fix myself.

  1. Which is very dif­fer­ent from some­one who wants to help. []

19 comments

  1. The one thing I get from peo­ple is that they want to force their own real­i­ty upon me with­out under­stand­ing how mine works or even what I want. Too many peo­ple I have lost as friends or even con­fi­dantes because they just refuse to under­stand or accept what I’m going through.

    I wish though that there would be some­one who would just hang out with me because I invit­ed them to. But it’s the sto­ry of my life to always be turned down or ignored. If it was­n’t for work, I would real­ly go over the deep end. Even so, some days I feel that it does­n’t pay to get out of bed.

    • I find los­ing a friend to some­thing like that to be espe­cial­ly dev­as­tat­ing, because that’s when you need them most.

      • But we do, it’s a neg­a­tive feed­back of a spi­ral. The more depressed we get, the less like­ly peo­ple are to be around us (in my expe­ri­ence). And peo­ple won­der why some of us go over the end and give in.

        We can be as strong as we want to in deal­ing with it, but we all have lim­its. We all can break.

        The sad thing is, hav­ing had friends who com­mit­ted sui­cide, its a ques­tion peo­ple keep ask­ing them­selves and always miss­ing the point or the answer.

      • That’s why I try to hide my depres­sion. No one wants to be around some­one like that.

        To be hon­est, I have no idea what my lim­it is. I can’t tell whether I just have a high lim­it and strong depres­sion, or a low lim­it and light depres­sion.

    • Hi Edrei, my friend reached out to me on a Friday, he said he was­n’t hav­ing a good day, was freak­ing out, had bad anx­i­ety, he asked me if we could go for a dri­ve some­where, he said he would like that.…SADLY I turned him down because I was at work, truth is I could and should have left work, I have left work to go sail­ing, because I had a headache, I used to dri­ve cab- I quit after my friend took his life. Sadly after I turned him down I nev­er heard from him again, I did text him lat­er that evening, he would­n’t reply, I texted him the next day Saturday- he would­n’t reply, I found out Monday he died ear­ly Monday morn­ing, it has real­ly messed me up, I feel I am to blame at least in part, I feel I am a link in the chain of events, if he felt that I did­n’t care he could­n’t have been fur­ther from the truth, although “SHOWING” it would have been the act of skip­ping work to go to him when he need­ed me and spend­ing that beau­ti­ful warm and sun­ny Oct day dri­ving around, talk­ing, grab­bing lunch togeth­er- I miss him so much, wish I could turn back time only once to that day and make the right deci­sion. This I will take to my death, the guilt, the sad­ness that he felt no one cared, he did reach out- this was his call for help, to go “for a dri­ve some­where” meant he want­ed to spend time with me, unload his pain, I don’t doubt this would have turned the tide if he knew I was there for him, I don’t doubt that had I been there for him that day- he would be here right now still alive, yes there would be more strug­gles but he would know for sure I would be there and I would have been at his side 100% to get the help he need­ed, I miss him so much.

  2. With all due respect, it trou­bles me to see such a detailed dis­cus­sion of sui­cide which com­plete­ly omits a dis­cus­sion of the real­i­ty that depres­sion is not ‘irra­tional’, it is a men­tal ill­ness, and peo­ple who are men­tal­ly ill can­not “han­dle things on their own terms and at their own pace”, and the idea that it can be over­come through inter­nal­iz­ing “dis­ci­pline, prac­tice, effort, and sys­tem­at­ic obser­va­tion”” is naive and dan­ger­ous.

    You don’t give some­one who’s sui­ci­dal space. You help them get help. I say this from a posi­tion of per­son­al expe­ri­ence, cri­sis train­ing, and hav­ing gone to too many funer­als.

    • I think we may be view­ing this from two dif­fer­ent angles, espe­cial­ly since “men­tal ill­ness” is such a broad rang­ing term, from sleep dis­or­ders to sub­stance abuse to autism.

      Suicide can have many caus­es, and mine are based on mood dis­or­ders. You might be talk­ing of per­son­al­i­ty dis­or­ders or schiz­o­phre­nia. I firm­ly believe I can fix myself (with a lit­tle guid­ance from a ther­a­pist) by doing things like thought records and fol­low­ing well-out­lined and researched guides, because my prob­lems are psy­cho­log­i­cal. And I would def­i­nite­ly feel that these steps would be com­plete­ly inap­pro­pri­ate for some­one with a per­son­al­i­ty dis­or­der or schiz­o­phre­nia, because medical/pathopsychological dis­or­ders gen­er­al­ly have to be cured using dif­fer­ent meth­ods. Hence your advice would be com­plete­ly valid. In terms of depres­sion, it can be caused by post trau­mat­ic stress dis­or­der (psy­cho­log­i­cal) or chem­i­cal imbal­ances (med­ical), so I don’t think we’re dis­agree­ing with each oth­er here.

      I can only speak from my own expe­ri­ence, and my advice was regard­ing peo­ple who suf­fer from psy­cho­log­i­cal dis­or­ders like me. Even then, there are prob­a­bly sub-caus­es and sub-types. Now that I read back on what I wrote, I admit it does sound as if I was speak­ing on behalf of all sui­ci­dal types, which I should­n’t have done. Thanks for point­ing that out.

    • I may be gen­er­al­is­ing here but this is from my own expe­ri­ence as both some­one who has gone through a sui­cide and some­one who has had close peo­ple kill them­selves.

      The thing with all sui­cides is that none of us real­ly wants to die. We want to live, and we want to live free of the bur­dens that weigh upon us. For the most part, espe­cial­ly for those who have gone for ther­a­py or some form of help, we’re aware of our own prob­lems. That aware­ness dri­ves us to do some­thing about it, but not many peo­ple has the strength to see it through, espe­cial­ly when it hits us real­ly hard.

      That’s when we real­ly need some­one, not just some­one who’s will­ing to be there, but some­one who isn’t going to pan­ic and start blow­ing the mat­ter up or forc­ing their opin­ions upon them­selves. That kind of neg­a­tive rein­force­ment push­es peo­ple over the edge.

      I get what Jeff meant by space, but in terms of a men­tal time out rather than a phys­i­cal one. It helps a lot for me in my dark moments to have some­one be in a room, even when we don’t say any­thing and just share a moment togeth­er, rather than them try­ing to “con­sole” me out of my tur­moil.

      • You hit the nail on the head. That’s why I call it a strug­gle. I des­per­ate­ly want to live, and it’s that des­per­a­tion that dri­ves me to fix myself. If I did­n’t under­stand my issues, I’d def­i­nite­ly need more help, but I feel like if I’m strong and smart enough to rec­og­nize my prob­lems, so I’ll be strong and smart enough to over­come them too.

        You under­stand exact­ly what I mean by need­ing space. It’s as if we feel guilty for mak­ing oth­er peo­ple wor­ried or scared or angry with our sui­ci­dal thoughts. It’s a per­fect­ly nat­ur­al reac­tion on their part, so we blame our­selves and feel guilty. Sometimes, we’d just rather not deal with all that.

        We’re both exact­ly the same sui­ci­dal “type” I was writ­ing about in this entry.

  3. jeff im here for you man trust me it wasent too long ago i was on the edge of the same blade so if u want to talk any­thing AND I MEAN ANYTHING OUT you let me know k

  4. Sometimes I think peo­ple are threat­ened by talk of sui­cide for 2 big rea­sons — because every­one’s at or been at that line — and because there’s this con­ven­tion­al think­ing that says there’s a long pat­tern that can be avert­ed with inter­ven­tion and con­se­quent­ly the blame for sui­cide is on the shoul­ders of those around who were not vig­i­lant enough.

    it seems to mean that those who are stuck with brain chem on depressed aren’t the ones to watch. peo­ple can rum­ble along sta­ble like that for decades. the ones who don’t talk and “aren’t expect­ed” are more of a tip­py boat. peo­ple who sus­tain strug­gle are more self-aware and have strate­gies in place so look high­er risk but may be low­er.

    • Very astute obser­va­tions.

      I think you’re dead right about peo­ple being threat­ened by sui­cide. And my self-aware­ness is def­i­nite­ly what’s get­ting me through this, because when I can rec­og­nize a prob­lem, I know there’s a solu­tion too.

  5. I found out today that an ex-cowork­er of my has just been diag­nosed with stage 2 breast can­cer — she is 40 … has a 4 year old daugh­ter and a very car­ing hus­band who unfor­tu­nate­ly has health issues stem­ming from kid­ney fail­ure and for the past few years — trans­plant.

    I live by these thoughts: No mat­ter how many peo­ple love you and care, how nice your per­son­al pos­ses­sions are, how much you love your pets … how much you love your work — it all means noth­ing .. if we do not have our health. Without a healthy body — AND MIND — we can­not appre­ci­ate all of these bless­ings. There are so many peo­ple who tru­ly have noth­ing.

    I too went through a very dif­fi­cult time in my life, where for about a year, I thought the chron­ic and excru­ci­at­ing pain in my back — caused by two slipped disks — would nev­er end. I was hope­less and thought many times about end­ing it — for good.

    I did­n’t. I would be dust right now if I had. Would not have had all the love of the past 5 years …

  6. Well I have a few things to add or bring up. this is by far the best arti­cle i’ve ever read about sui­cide that match­es with some of the things I have.

    I have had a great child hood. Nothing wrong with me. I am phys­i­cal­ly fit. the only med­ical thing I can think of i sthat i wear glass­es but so do a mas­sive per­cent­age of amer­i­cans. I have a decent job for some­one who is still in col­lege. I get good grades. hell i was even pres­i­dent of the frig­ging SGA of my col­lege. In fact it was dur­ing those times that I felt like i would snap at any sec­ond.

    I have the depres­sive dis­or­der sup­p­sosid­ly but my med­ica­tion did­n’t help real­ly. Nothing helped. I had a sev­er case of Apathy. I can’t real­ly under­stand why any­one real­ly just likes life. That claim itself seems to be the irra­tional one. For what rea­son oth­er than our own instinct to exist is there to real­ly like life? Still don’t have an answer. I just fell in love with a girl is the only rea­son i don’t con­sid­er it every day.

    Now back then before her I felt very much like I was just wait­ing. Waiting for the time that some­thing would hap­pen to set me off and bam i would be done. I did­n’t much care that my par­ents or sib­lings would have been sad. I would­n’t be here any­more to care.

    I nev­er todl any­one because when i told my moth­er she turned it around and bitched me out real­ly hard say­ing that it was the most self­ish thing i could do. And how dare i ever even think­ing about doing such a bad thing to HER of all peo­ple. So I kept it to myself. and then things hap­pened with friends and SGA and I felt like not only killing myself but any­one else that was with­in my range of destruc­tive capa­bli­ty.

    They are real­ly lucky that noth­ing tru­ly bad hap­pened. Because thing would have. almost did with the mild prob­lems.

    I suf­fer very much from an apa­thet­ic way of look­ing at life. Still to what extent should we even care about life? real­ly why? just the momen­tary bit before we die. thats all. so why stick out the extra few years? is there some­thing mag­i­cal and awe­some about life? i have yet to see it.

    Again i’m not sui­ci­dal right now because of my gril­friend whom i love. i just konw that when she dies then i’m done. its just the tem­po­rary love and feel­ings i get from her that stops me from end­ing it right now.

  7. Thank you all. I agree with much of this, and have had trou­bling thoughts myself, but no one seems to get it…all they say, is “your life is per­fect”, and as much as I know they care, they some­times get tired of me. Actually, part of it is they are frus­trat­ed that they feel they cant do any­thing. This page is well artic­u­lat­ed and might help me explain stuff to my friend.

  8. I know you post­ed this over 18 months ago but I find myself read­ing it every few months because it is so true. I too was once sui­ci­dal. It was a very bad point in my life. Everything you said here is so true. There is lit­tle that those who are not in that mind­set can under­stand. No amount of quick fix­es work. Rereading this post helps me see that again I am not alone in my thoughts or feel­ings.

    Thankfully I have a sup­port­ive wife and have tak­en the time to see what I real­ly have. Does that mean I nev­er think about sui­cide? Of course not, but I do know there are alter­na­tives.

    You hit it right on the head with com­mu­ni­ca­tion. That is what is most impor­tant, espe­cial­ly when feel­ing low.

    I found your blog through StumbleUpon a few years ago and have to say I was hooked ever since. Your style and open­ness are refresh­ing to read. Keep up the good work.

  9. you are the best guys its like you read­ing my mind

  10. The only thing oth­ers do is have you hos­pi­tal­ized or put on drugs. Sure peo­ple say they care AFTER you’re dead. But where were they before you pulled the trig­ger? Dr. Quinett’s book “Suicide — The Foreve Decision” says peo­ple dis­tance them­selves from sui­ci­dal peo­ple leav­ing the per­son iso­lat­ed and alone. But you thought they cared? Of course they’ll call 911 to show they care and they may vis­it you in the psych ward or say prayers for you, but that’s about it. A per­son that tru­ly cares would let them go. And would want to be there to see them off.

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