Category: suicide

Do Antidepressants Increase Suicidality? Does The Black Box Warning Help or Hurt People?

Because of the black box warnings (also known as boxed warnings) on antidepressants, many people think that antidepressants cause suicidal thinking, suicidal behavior, and suicide. The black box warning on antidepressants is, after all, the strongest warning the Food and Drug Administration (FDA) can place on a medication. However, the black box warning on antidepressants was authored almost 20 years ago, and we have learned a lot and have synthesized a lot of data since then. Does this more recent data indicate that antidepressants increase suicidality or cause suicides, and what can we learn from this new information? Should we be scared of the risk of suicidality with antidepressants? (TL;DR here.)

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10 Truths About Suicide and Suicide Attempts

There are many truths about suicide that are important to understand. If you or a loved one have attempted suicide, you are concerned for a loved one about suicide, or have had a loved one die of suicide, there’s a lot to be said, and people are often scared about saying it. This fear leads to silence, and silence on this topic is painful and can be deadly. But suicide is not a dirty word; there is nothing wrong with talking about it. To that end, join me for 10 truths about suicide that we need to talk about.

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What Do You Do When You’re Suicidal?

Spending Time Suicidal

I’ve been unfortunate enough to need to know what to do when I’m suicidal. I know I’m not alone. I know there are many people out there thinking about the same thing. Because, let’s face it, while there’s lots of advice out there on what to do when you’re “down” or anxious or hypo/manic, there’s very little advice on what to do when you’re suicidal. I think this is because people don’t want to think about it. I don’t want to think about it, either. But, unfortunately, life insists that I do. So, here are some thoughts on what to do when you’re feeling suicidal.

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What to Do If You Have a Psychiatric Emergency

It’s important to know what to do in the case of a psychiatric emergency. Sure, you could float along with treatment righting every issue before things get really bad. You could catch everything early. You might have a proactive psychiatrist. Or, then again, this may not be your experience. I would argue that people with serious mental illnesses like bipolar disorder are just crises waiting to happen. That’s not anyone’s fault; it’s just the nature of the disease. Thus, knowing what to do when a psychiatric emergency arises is critical. Here are some psychiatric emergency tips and things to think about.

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Don’t Kill Yourself — My Daily To-Do List

Do the laundry, wash the dishes, and don’t kill yourself — those are on my to-do list. That last one is on my daily to-do list. (Yes, I realize it’s more like a to-don’t item, but allow me some latitude, if you would.) Yes, I have to remind myself every day not to die. I put it on lists. I remind myself of it in blog posts, and I say the words to myself almost as a mantra — “no kill, no die.” Let’s talk about why I need to do that and how I can not kill myself every day in spite of the desire to do so.

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For When I’m Suicidal; For When You’re Suicidal

Dear Suicidal Friend,

This sucks. Okay, it doesn’t just suck. It’s horrendous. It’s horrific. It’s soul-sucking. It’s suicidality at its finest. It’s lonely, and the pain is unbearable. I know what that feels like. I have been there many times before. I know how impossible just one more moment in the muck and mire feels. I have written about suicide over and over and over, and yet it doesn’t stop me from feeling suicidal again. It doesn’t stop me from wanting to kill myself. No amount of knowledge takes away the suffering.

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Thoughts of Suicide Every Day

Some people live with thoughts of suicide every day. I have lived this way. It’s hell. Persistent suicidality can happen in depression, although it’s not talked about very much. There is a notion that people think about suicide, and they either get help, which rids them of the thoughts, or act on the thoughts. And while I have no doubt some people have had that experience, for many, this just isn’t reality. Even the best treatment can’t always rid a person of constant thoughts of suicide.

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How to Help Someone Who Is Suicidal

Helping someone who is suicidal is daunting. In fact, even for me, someone who works in mental health, helping someone who is suicidal can be tough. That doesn’t mean it can’t be done, however. If you’re here and looking for how to help a suicidal person, you’re already doing the right thing. Thank you for caring for another person so much. Read on for tips on how to help someone who is suicidal.

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Why Don’t Doctors Listen to People with Bipolar Disorder?

Doctors often don’t listen to people with bipolar disorder or other mental illnesses. In fact, most people with bipolar disorder know, the instant a doctor sees “bipolar disorder” on your chart, you’re screwed. Now, don’t get me wrong, not every doctor is the same, and I have had some doctors treat me with the same care I suspect they would offer anyone else. That said, on the whole, doctors don’t listen to people with bipolar disorder. Here’s why, and here’s how to fight it.

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I write a three-time Web Health Award winning column for HealthyPlace called Breaking Bipolar.

Also, find my writings on The Huffington Post and my work for BPHope (BP Magazine).

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