Up to half of people with bipolar disorder will attempt suicide—but that moment of crisis is a medical symptom, not a moral failing. Learn why shame doesn’t belong here, how to reclaim hope, and where to find real-time help.
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Are psychiatric meds the death of genius? The Van Gogh myth says yes — but the evidence, my own experience, and the tragic artist suicide roll call say otherwise. Before you ditch your prescription in search of a masterpiece, read this hard-hitting reality check.
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I’ve thought about what makes a person suicidal many times. Mostly, that’s because I’ve been both actively and passively suicidal for prolonged periods of my life. It’s hell, and I hate it. There are both general and specific things that make a person suicidal. Knowledge of these factors, along with ways to protect from suicidality, can help.
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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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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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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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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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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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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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