Coping with Suicidal Thoughts: A Guide for Those in Distress - Psychiatry

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I suffer from severe depression and have been experiencing suicidal thoughts recently.
My family is very upset and has said they want to restrain me to prevent me from jumping off a building.
They are concerned about me being hospitalized, so they haven't allowed me to go.
When I'm in pain, I feel like I don't care about anything and just want to end it all.
I think I might regret it later.
I just want to ask what I should do when I have these impulses.

Jie, 20~29 year old female. Ask Date: 2017/10/03

Dr. Liang Sunyuan reply Psychiatry


Hello, Jie: During the worsening of depression, feelings of sadness, pessimistic thoughts, and impulsivity can occur.
If suicidal ideation is strong, hospitalization is indeed a safer option.
Additionally, closely collaborating with your outpatient physician to adjust treatment methods can also help improve depression.
When family members express concern, it shows that they love you and do not want anything bad to happen to you.
You should also truly love yourself and get through this temporary low period, not just for yourself but also for your caring family.
When impulsive feelings arise, try washing your face to calm down and redirect your attention to other activities.
If you still find it hard to control, seeking medical assistance is recommended.
Wishing you a speedy recovery.

Reply Date: 2017/10/03

More Info


Coping with suicidal thoughts, especially in the context of severe depression, is a critical issue that requires immediate attention and intervention. It’s commendable that you are reaching out for help, as recognizing the need for support is the first step toward recovery. Here are some strategies and insights that may help you navigate this challenging time.


Understanding Your Feelings
Firstly, it’s essential to acknowledge that experiencing suicidal thoughts can be a symptom of severe depression. This mental health condition can distort your perception of reality, making it seem as though there is no way out of your pain. It’s important to remember that these feelings, while overwhelming, are not permanent. Many individuals who have faced similar struggles have found ways to cope and eventually heal.


Seeking Professional Help
The most effective way to address suicidal thoughts is to seek professional help. A mental health professional, such as a psychiatrist or psychologist, can provide a safe space for you to express your feelings and thoughts. They can also offer a proper diagnosis and treatment plan, which may include therapy and medication. Cognitive Behavioral Therapy (CBT) is particularly effective for depression and can help you reframe negative thoughts and develop healthier coping mechanisms.

If you are in immediate danger of harming yourself, it’s crucial to seek emergency help. This could mean going to the nearest hospital or calling a crisis hotline. In the U.S., the National Suicide Prevention Lifeline (1-800-273-TALK) is available 24/7 to provide support and guidance.


Building a Support System
While professional help is vital, having a support system is equally important. Open up to trusted family members or friends about your feelings. It sounds like your family cares deeply for you, and involving them in your healing process can help them understand what you’re going through. They can provide emotional support and help you stay accountable for your well-being.


Developing Coping Strategies
In addition to professional help and support from loved ones, developing personal coping strategies can be beneficial. Here are some techniques that may help:
1. Mindfulness and Meditation: Practicing mindfulness can help ground you in the present moment and reduce feelings of anxiety and despair. Techniques such as deep breathing, meditation, or yoga can be effective.

2. Journaling: Writing down your thoughts and feelings can provide an outlet for your emotions. It can also help you identify triggers that lead to suicidal thoughts.

3. Physical Activity: Engaging in regular physical activity can significantly improve your mood. Exercise releases endorphins, which are natural mood lifters.

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

5. Limiting Stressors: Identify and minimize sources of stress in your life. This could involve setting boundaries at work or reducing exposure to negative influences.


Crisis Planning
It may also be helpful to create a crisis plan. This plan should include:
- Warning Signs: Identify what triggers your suicidal thoughts.

- Coping Strategies: List the techniques that help you manage your feelings.

- Support Contacts: Have a list of people you can reach out to when you’re feeling overwhelmed.

- Professional Contacts: Include the contact information of your therapist or psychiatrist.


Conclusion
Coping with suicidal thoughts is a complex and often painful journey, but it is one that can lead to healing and recovery. Remember that you are not alone in this struggle, and there are people and resources available to help you. It’s crucial to take your feelings seriously and seek the support you need. With time, patience, and the right interventions, it is possible to find hope and joy in life again. Please prioritize your safety and well-being, and don’t hesitate to reach out for help.

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