Overcoming Suicidal Thoughts: A Guide for Teens Facing Emotional Turmoil

Q: Overcoming Suicidal Thoughts: A Guide for Teens Facing Emotional Turmoil

Hello： It seems that these negative emotions have been troubling you for a long time, and I’m glad you reached out for help. <br>It appears that these issues are related to your emotional regulation in the face of stress (Emotional Quotient, EQ). <br>I suggest you gather some edu

Depressive ruminations

Hello doctor, I am 17 years old.
When I was very young, whenever I had thoughts of wanting to die or faced disapproval from my parents, I would repeatedly hit my head against the wall until I bruised myself to stop the behavior.
In middle school, due to some relationship issues, my emotions became increasingly unstable, and I often had thoughts of wanting to die.
I once stood on the rooftop wanting to jump, but it was my sister who stopped me from doing so.
After entering high school, there was a period when things were better, but when the pressure came, my mood started to fluctuate again, and I had thoughts of wanting to die.
Every day, I feel like I won't make it to tomorrow, and I often break down in tears and have chaotic thoughts in the middle of the night.
I have also attempted self-harm by cutting my wrists.
I often tell others to be brave and live well no matter what happens, but no matter how much I advise others, I still repeatedly think about giving up on myself.
Doctor, what should I do to improve these behaviors?

Xiao Bai, 10~19 year old female. Ask Date: 2016/07/14

Dr. Qiu Junda reply Psychiatry

Hello: It seems that these negative emotions have been troubling you for a long time, and I’m glad you reached out for help.
It appears that these issues are related to your emotional regulation in the face of stress (Emotional Quotient, EQ).
I suggest you gather some educational resources on stress management and EQ.
I hope this will be helpful to you.
Additionally, you may seek assistance from a local counselor, such as Teacher Chang, who can provide consultation, counseling, and referral services to help you improve these negative behaviors.
Thank you.

Reply Date: 2016/07/14

More Info

I'm truly sorry to hear about the struggles you've been facing. It’s commendable that you are reaching out for help and expressing your feelings. The experiences you’ve described—feeling overwhelmed by emotions, having thoughts of self-harm, and struggling with suicidal thoughts—are serious and deserve attention and care.

First and foremost, it’s essential to understand that you are not alone in this. Many teens experience similar feelings, and it’s important to know that there is help available. The feelings you’re experiencing can be overwhelming, but they can also be addressed with the right support and resources.

Understanding Your Feelings
The thoughts of self-harm and suicide often stem from feelings of hopelessness, despair, and emotional pain. These feelings can be exacerbated by external pressures, such as family expectations, academic stress, or relationship issues. It’s crucial to recognize that these thoughts are not a reflection of your worth or your future; they are symptoms of the emotional turmoil you are experiencing.

Seeking Professional Help
One of the most effective steps you can take is to seek professional help. This can include talking to a therapist, counselor, or psychiatrist who specializes in adolescent mental health. They can provide you with a safe space to express your feelings and help you develop coping strategies. Therapy can also help you understand the root causes of your emotions and thoughts, allowing you to work through them in a constructive way.

Building a Support System
In addition to professional help, building a support system is vital. This can include friends, family members, teachers, or mentors who you trust and feel comfortable talking to. Sharing your feelings with someone who listens and understands can be incredibly therapeutic. It’s important to surround yourself with people who uplift you and encourage you to seek help when needed.

Developing Coping Strategies
There are several coping strategies that can help you manage your emotions and reduce the urge to self-harm:
1. Journaling: Writing down your thoughts and feelings can help you process your emotions. It can also serve as a release for pent-up feelings.

2. Mindfulness and Meditation: Practicing mindfulness can help you stay grounded and present, reducing feelings of anxiety and distress. Techniques such as deep breathing, meditation, or yoga can be beneficial.

3. Physical Activity: Engaging in physical activity can help release endorphins, which are natural mood lifters. Whether it’s going for a walk, dancing, or playing a sport, find an activity that you enjoy.

4. Creative Outlets: Expressing yourself through art, music, or writing can provide an emotional release and help you communicate your feelings in a different way.

5. Establishing a Routine: Creating a daily routine can provide structure and a sense of normalcy, which can be comforting during turbulent times.

Crisis Resources
If you ever feel that you are in immediate danger or have thoughts of harming yourself, it’s crucial to seek help right away. Contact a trusted adult, call a crisis hotline, or go to the nearest emergency room. In the U.S., the National Suicide Prevention Lifeline (1-800-273-TALK) is available 24/7 to provide support and assistance.

Conclusion
Remember, it’s okay to ask for help, and taking that step is a sign of strength. You deserve to feel better and to live a life free from the pain you’re experiencing. Healing takes time, but with the right support and strategies, it is possible to overcome these feelings and find joy in life again. Please take care of yourself and reach out for the help you need.

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