How to Help a Family Member Struggling with Suicidal Thoughts

Family issues

Hello, doctor.
What should I do if a family member is constantly expressing suicidal thoughts? They believe their symptoms (such as body tingling, fever, and sweating) are hopeless and feel that medication is ineffective (they frequently visit hospitals for medication changes).
They also think that the medications they previously took have caused permanent brain damage and that there is no way to recover.
How can I persuade them? Everyone's attempts to encourage them have been unsuccessful, and they keep saying they want to die to find relief.
What should I do?

SS, 30~39 year old female. Ask Date: 2014/03/08

Dr. Ding Shuyan reply Psychiatry

Hello, the reasons for suicidal thoughts are numerous, and each case is unique, making it impossible to find a one-size-fits-all approach to address every situation.
Generally, individuals who contemplate suicide may exaggerate the severity of their circumstances and overlook other potential solutions.
It is important to continuously provide them with diverse perspectives, emotional support, and companionship.
Encourage individuals to inform someone else about their feelings or engage in different activities during moments of intense suicidal thoughts, as this can sometimes weaken those thoughts and prevent tragic outcomes.
Some individuals may have a strong and unwavering desire to end their lives, often romanticizing suicide and holding views that differ from the norm.
The key issue is that they may not recognize their suicidal thoughts as a sign of illness that requires assistance.
Sometimes, family members and healthcare providers may have already done enough, often caring more about the individual's struggles than the individuals themselves, leading to their own exhaustion and distress.
Preventing all suicides is an unbearable burden and practically impossible.
If an individual has a mental illness and a strong intent to commit suicide, according to mental health laws, it is possible to contact local health authorities and emergency services for assistance in facilitating involuntary hospitalization for treatment.
In suicide prevention, religion can also play a significant role, and this is worth exploring.
Wishing you all the best, Dr.
Ding Shuo-Yan.

Reply Date: 2014/03/08

More Info

Dealing with a family member who is struggling with suicidal thoughts can be an incredibly challenging and distressing situation. It is essential to approach this issue with empathy, understanding, and a sense of urgency. Here are some steps you can take to help your loved one:
1. Open Communication: Encourage open and honest conversations about their feelings. Let them know that it’s okay to talk about their thoughts and emotions without judgment. Listening actively and validating their feelings can help them feel supported.

2. Express Concern: Clearly express your concern for their well-being. Let them know that you care about them and that their life is valuable. Sometimes, individuals in distress may feel isolated or believe that no one cares about them.

3. Encourage Professional Help: It’s crucial to encourage them to seek professional help. You can suggest that they talk to a mental health professional, such as a psychologist or psychiatrist, who can provide appropriate treatment. If they are resistant to this idea, you might frame it as a way to get help for their physical symptoms, which they may be more willing to accept.

4. Educate About Mental Health: Sometimes, individuals may not fully understand their mental health condition. Providing information about depression, anxiety, or other mental health issues can help them recognize that their feelings are valid and that there are effective treatments available.

5. Crisis Intervention: If your family member expresses immediate suicidal thoughts or plans, it is crucial to take this seriously. You may need to contact a mental health crisis line or emergency services for immediate support. In some cases, involuntary hospitalization may be necessary to ensure their safety.

6. Create a Safety Plan: Work with them to develop a safety plan that includes coping strategies, emergency contacts, and steps to take when they feel overwhelmed. This plan can provide them with a sense of control and a roadmap for managing their feelings.

7. Be Patient and Persistent: Recovery from suicidal thoughts and feelings can take time. Be patient with your loved one and continue to offer support, even if they seem resistant. Regular check-ins can help them feel less isolated.

8. Seek Support for Yourself: Supporting someone with suicidal thoughts can be emotionally taxing. Consider seeking support for yourself through counseling or support groups. This can help you manage your feelings and provide better support to your loved one.

9. Encourage Healthy Lifestyle Choices: Encourage your family member to engage in activities that promote mental well-being, such as regular exercise, a balanced diet, and sufficient sleep. These lifestyle changes can have a positive impact on their mood and overall health.

10. Involve Other Family Members: If appropriate, involve other family members in the conversation. A united front can provide additional support and show your loved one that they are not alone in their struggles.

It’s important to remember that while you can provide support, you are not a substitute for professional help. Mental health issues are complex and often require the intervention of trained professionals. Your role is to be a compassionate ally in their journey toward recovery.

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