Suicidal Thoughts in Schizophrenia: A Patient's Perspective - Psychiatry

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Suicide in Schizophrenia


Doctor, I want to ask about my feelings.
Since the second year of junior high, I have felt that life is boring, without goals or dreams, and I just want to die as soon as possible! In my second and third years of high school, I was diagnosed with schizophrenia.
I am currently undergoing treatment, but I feel like I only lack the urge to commit suicide on that very day.
Even after years of treatment, I still have the feeling of wanting to die soon and not wanting to live too long, which makes me anxious.
The doctor has prescribed medication for depression and anxiety to help manage my emotions, but I don’t feel like I am depressed or suicidal.
I only feel like crying when I am stopped from expressing these feelings, and I am puzzled that no one understands my thoughts.
I truly believe that I have no desire to live, and others should not prevent me from dying.

Yu Yan, 20~29 year old female. Ask Date: 2022/11/07

Dr. Lin Mianzhang reply Psychiatry


Hello Yu Yan: Thank you for your hard work! I believe there are still worthwhile goals to pursue in life; it just depends on whether you have found what suits you.
I wonder if you are undergoing psychological counseling? If not, you can ask a doctor for a referral.
If there is someone to share your thoughts and express your emotions with, I believe you will feel more supported and have greater motivation to continue living! Wishing you peace and health.

Reply Date: 2022/11/07

More Info


It sounds like you are going through an incredibly challenging time, and I want to acknowledge the depth of your feelings and experiences. Your perspective on life, particularly the sense of emptiness and the desire for it to end, is something that many individuals with schizophrenia or other mental health conditions can relate to. It's important to understand that these feelings, while deeply painful, are often a part of the illness and can be addressed through appropriate treatment and support.

Schizophrenia is a complex mental health disorder that can significantly affect how a person thinks, feels, and behaves. One of the common experiences among individuals with schizophrenia is the presence of suicidal thoughts. These thoughts can stem from various factors, including the distress caused by the symptoms of the disorder, feelings of hopelessness, and the impact of social isolation. It's not uncommon for individuals with schizophrenia to feel disconnected from reality or to struggle with understanding their emotions, which can lead to feelings of despair.

Your mention of feeling that life lacks purpose or meaning is a significant aspect of depression, which can often co-occur with schizophrenia. The interplay between these two conditions can complicate treatment and recovery. It's crucial to recognize that while you may not identify with the label of depression, the feelings of hopelessness and the desire to escape from pain are valid and deserve attention.

It's also important to note that the medications prescribed to you for anxiety and depression can help alleviate some of these feelings. However, they may not work immediately or may require adjustments to find the right balance for you. Open communication with your healthcare provider about your feelings, including any suicidal thoughts, is essential. They can help you navigate these feelings and adjust your treatment plan accordingly.

You mentioned feeling that others do not understand your thoughts and feelings. This is a common experience for many individuals with mental health conditions. It can be incredibly isolating when you feel that no one can relate to your experiences. Finding a supportive therapist or counselor who specializes in schizophrenia or mood disorders can provide a safe space for you to express your feelings without judgment. They can help you explore these thoughts and feelings more deeply and work with you to develop coping strategies.

It's also worth considering that suicidal thoughts can sometimes be a way of expressing deep emotional pain rather than a genuine desire to end one's life. Many people who have experienced similar feelings have found that discussing their thoughts openly in a therapeutic setting has helped them find new perspectives and coping mechanisms.

In summary, your feelings are significant and deserve to be addressed with compassion and understanding. It's crucial to continue seeking help and to communicate openly with your healthcare providers about your experiences. Recovery is possible, and with the right support, you can find ways to cope with these feelings and work towards a more hopeful future. Remember, you are not alone in this journey, and there are people who care and want to help you.

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