Feeling Suicidal – What To Do
If you’re thinking about suicide, your pain may seem overwhelming and permanent. But there are ways to cope with suicidal thoughts and feelings and overcome the pain.
Suicide warning signs or suicidal thoughts include:
Talking about suicide — for example, making statements such as "I'm going to kill myself," "I wish I were dead" or "I wish I hadn't been born"
Getting the means to take your own life, such as buying a weapon or stockpiling pills
Withdrawing from social contact and wanting to be left alone
Having mood swings, such as being emotionally high one day and deeply discouraged the next
Being preoccupied with death, dying or violence
Feeling trapped or hopeless about a situation
Increasing use of alcohol or drugs
Changing normal routine, including eating or sleeping patterns
Doing risky or self-destructive things, such as using drugs or driving recklessly
Giving away belongings or getting affairs in order when there's no other logical explanation for doing this
Saying goodbye to people as if they won't be seen again
Developing personality changes or being severely anxious or agitated, particularly when experiencing some of the warning signs listed above.
Warning signs aren't always obvious, and they may vary from person to person. Some people make their intentions clear, while others keep suicidal thoughts and feelings secret.
Suicidal thoughts have many causes. Most often, suicidal thoughts are the result of feeling like you can't cope when you're faced with what seems to be an overwhelming life situation. If you don't have hope for the future, you may mistakenly think suicide is a solution. You may experience a sort of tunnel vision, where in the middle of a crisis you believe suicide is the only way out.
There also may be a genetic link to suicide. People who complete suicide or who have suicidal thoughts or behaviour are more likely to have a family history of suicide.
Although attempted suicide is more frequent for women, men are more likely than women to complete suicide because they typically use more-lethal methods.
You may be at risk of suicide if you:
Attempted suicide before
Feel hopeless, worthless, agitated, socially isolated or lonely
Experience a stressful life event, such as the loss of a loved one, military service, a breakup, or financial or legal problems
Have a substance abuse problem — alcohol and drug abuse can worsen thoughts of suicide and make you feel reckless or impulsive enough to act on your thoughts
Have suicidal thoughts and have access to weapons in your home
Have an underlying psychiatric disorder, such as major depression, post-traumatic stress disorder or bipolar disorder
Have a family history of mental disorders, substance abuse, suicide, or violence, including physical or sexual abuse
Have a medical condition that can be linked to depression and suicidal thinking, such as chronic disease, chronic pain or terminal illness
Are lesbian, gay, bisexual or transgender with an unsupportive family or in a hostile environment.
Children and teenagers
Suicide in children and teenagers can follow stressful life events. What a young person sees as serious and insurmountable may seem minor to an adult — such as problems in school or the loss of a friendship. In some cases, a child or teen may feel suicidal due to certain life circumstances that he or she may not want to talk about, such as:
Having a psychiatric disorder, including depression
Loss or conflict with close friends or family members
History of physical or sexual abuse
Problems with alcohol or drugs
Physical or medical issues, for example, becoming pregnant or having a sexually transmitted infection
Being the victim of bullying
Being uncertain of sexual orientation
Reading or hearing an account of suicide or knowing a peer who died by suicide.
If you have concerns about a friend or family member, asking about suicidal thoughts and intentions is the best way to identify risk.
If you’re having suicidal thoughts
No matter how much pain you’re experiencing right now, you’re not alone. Many of us have had suicidal thoughts at some point in our lives. Feeling suicidal is not a character defect, and it doesn’t mean that you are crazy, or weak, or flawed. It only means that you have more pain than you can cope with right now. But with time and support, you can overcome your problems and the pain and suicidal feelings will pass.
Some of the finest, most admired, needed, and talented people have been where you are now. Many of us have thought about taking our own lives when we’ve felt overwhelmed by depression and devoid of all hope. But the pain of depression can be treated, and hope can be renewed.
No matter what your situation, there are people who need you, places where you can make a difference, and experiences that can remind you that life is worth living. It takes real courage to face death and step back from the brink. You can use that courage to face life, to learn coping skills for overcoming depression, and for finding the strength to keep going.
Your emotions are not fixed — they are constantly changing. How you feel today may not be the same as how you felt yesterday or how you’ll feel tomorrow or next week.
Your absence would create grief and anguish in the lives of friends and loved ones.
There are many things you can still accomplish in your life.
There are sights, sounds, and experiences in life that have the ability to delight and lift you and that you would miss.
Your ability to experience pleasurable emotions is equal to your ability to experience distressing emotions.
Why do people feel suicidal?
Many kinds of emotional pain can lead to thoughts of suicide. The reasons for this pain are unique to each one of us, and the ability to cope with the pain differs from person to person. We are all different. There are, however, some common causes that may lead us to experience suicidal thoughts and feelings.
Why suicide can seem like the only option
If you are unable to think of solutions other than suicide, it is not that other solutions don’t exist, but rather that you are currently unable to see them. The intense emotional pain that you’re experiencing right now can distort your thinking so it becomes harder to see possible solutions to problems — or to connect with those who can offer support.
Therapists, counsellors, friends, or loved ones can help you to see solutions that otherwise may not be apparent to you. Please give them a chance to help.
A suicidal crisis is almost always temporary
Although it might seem as if your pain and unhappiness will never end, it is important to realise that crises are usually temporary. Solutions are often found, feelings change, unexpected positive events occur. Remember: suicide is a permanent solution to a temporary problem. Give yourself the time necessary for things to change and the pain to subside.
Even problems that seem hopeless have solutions
Mental health conditions such as depression, schizophrenia, and bipolar disorder are all treatable with changes in lifestyle, therapy, and medication. Most people who seek help can improve their situation and recover.
Even if you have received treatment for a disorder before, or if you’ve already made attempts to solve your problems, know that it’s often necessary to try different approaches before finding the right solution or combination of solutions. When medication is prescribed, for example, finding the right dosage often requires an ongoing process of adjustment. Don’t give up before you’ve found the solution that works for you. Virtually all problems can be treated or resolved.
Take these immediate actions
If you’re feeling suicidal at this moment, please follow these five steps:
Step 1: Promise not to do anything right now
Even though you’re in a lot of pain right now, give yourself some distance between thoughts and action. Make a promise to yourself: “I will wait 24 hours and won’t do anything drastic during that time.” Or wait a week.
Thoughts and actions are two different things, and your suicidal thoughts do not have to become a reality. There is no deadline, no one’s pushing you to act on these thoughts immediately. Wait. Wait and put some distance between your suicidal thoughts and suicidal action.
Step 2: Avoid drugs and alcohol
Suicidal thoughts can become even stronger if you have taken drugs or alcohol. It is important to avoid non-prescription drugs or alcohol when you feel hopeless or are thinking about suicide.
Step 3: Make your home safe
Remove things you could use to hurt yourself, such as pills, knives or razors. If you are unable to do so, go to a place where you can feel safe. If you are thinking of taking an overdose, give your medicines to someone who can return them to you one day at a time as you need them.
Step 4: Don’t keep these suicidal feelings to yourself
Many of us have found that the first step to coping with suicidal thoughts and feelings is to share them with someone we trust. It may be a family member, friend, therapist, member of the church, teacher, family doctor, coach, or an experienced counsellor at the end of a helpline.
Find someone you trust and let them know how bad things are. Don’t let fear, shame, or embarrassment prevent you from seeking help. And if the first person you reach out to doesn’t seem to understand, try someone else. Just talking about how you got to this point in your life can release a lot of the pressure that’s building up and help you find a way to cope.
Step 5: Take hope – people DO get through this
Even people who feel as badly as you are feeling now manage to survive these feelings. Take hope in this. There is a very good chance that you are going to live through these feelings, no matter how much self-loathing, hopelessness, or isolation you are currently experiencing. Just give yourself the time needed and don’t try to go it alone.
Reaching out for help
Even if it doesn’t feel like it right now, there are many people who want to support you during this difficult time. Reach out to someone. Do it now. If you promised yourself 24 hours or a week in Step 1 above, use that time to tell someone what’s going on with you. Talk to someone who won’t try to argue about how you feel, judge you, or tell you to just “snap out of it.” Find someone who will simply listen and be there for you.
It doesn’t matter who it is, as long as it’s someone you trust and who is likely to listen with compassion and acceptance.
How to talk to someone about your suicidal thoughts
Even when you’ve decided who you can trust to talk to, admitting your suicidal thoughts to another person can be difficult.
Tell the person exactly what you are telling yourself. If you have a suicide plan, explain it to them.
Phrases such as, ‘I can’t take it anymore’ or ‘I’m done’ are vague and do not illustrate how serious things really are. Tell the person you trust that you are thinking about suicide.
If it is too difficult for you to talk about, try writing it down and handing a note to the person you trust. Or send them an email or text and sit with them while they read it.
What if you don’t feel understood?
If the first person you reached out to doesn’t seem to understand, tell someone else or call a suicide crisis helpline. Don’t let a bad experience stop you from finding someone who can help.
If you don’t know who to turn to, call Samaritans UK at 116 123
How to cope with suicidal thoughts
Remember that while it may seem as if these suicidal thoughts and feelings will never end, this is never a permanent condition. You WILL feel better again. In the meantime, there are some ways to help cope with your suicidal thoughts and feelings.
If You Have Suicidal Thoughts and Feelings
Things to do:
Talk with someone every day, preferably face to face. Even though you may feel like withdrawing, ask trusted friends and acquaintances to spend time with you. Or continue to call a crisis helpline and talk about your feelings.
Make a safety plan. Develop a set of steps that you can follow during a suicidal crisis. It should include contact numbers for your doctor or therapist, as well as friends and family members who will help in an emergency.
Make a written schedule for yourself every day and stick to it, no matter what. Keep a regular routine as much as possible, even when your feelings seem out of control.
Get out in the sun or into nature for at least 30 minutes a day.
Exercise as vigorously as is safe for you. To get the most benefit, aim for 30 minutes of exercise per day. But you can start small. Three 10-minute bursts of activity can have a positive effect on mood.
Make time for things that bring you joy. Even if very few things bring you pleasure at the moment, force yourself to do the things you used to enjoy.
Remember your personal goals. You may have always wanted to travel to a particular place, read a specific book, own a pet, move to another place, learn a new hobby, volunteer, go back to school, or start a family. Write your personal goals down.
Things to avoid:
Being alone. Solitude can make suicidal thoughts even worse. Visit a friend, or family member, or pick up the phone and call a crisis helpline.
Alcohol and drugs. Drugs and alcohol can increase depression, hamper your problem-solving ability, and can make you act impulsively.
Doing things that make you feel worse. Listening to sad music, looking at certain photographs, reading old letters, or visiting a loved one’s grave can all increase negative feelings.
Thinking about suicide and other negative thoughts. Try not to become preoccupied with suicidal thoughts as this can make them even stronger. Don’t think and rethink negative thoughts. Find a distraction. Giving yourself a break from suicidal thoughts can help, even if it’s for a short time.
Recovering from suicidal thoughts
Even if your suicidal thoughts and feelings have subsided, get help for yourself. Experiencing that sort of emotional pain is itself a traumatising experience. Finding a support group or therapist can be very helpful in decreasing the chances that you will feel suicidal again in the future.
Identify triggers or situations that lead to feelings of despair or generate suicidal thoughts, such as an anniversary of a loss, alcohol, or stress from relationships. Find ways to avoid these places, people, or situations.
Take care of yourself. Eat right, don’t skip meals, and get plenty of sleep. Exercise is also key: it releases endorphins, relieves stress, and promotes emotional well-being.
Build your support network. Surround yourself with positive influences and people who make you feel good about yourself. The more you’re invested in other people and your community, the more you have to lose — which will help you stay positive and on the recovery track.
Develop new activities and interests. Find new hobbies, volunteer activities, or work that gives you a sense of meaning and purpose. When you’re doing things you find fulfilling, you’ll feel better about yourself, and feelings of despair are less likely to return.
Learn to deal with stress in a healthy way. Find healthy ways to keep your stress levels in check, including exercising, meditating, using sensory strategies to relax, practicing simple breathing exercises, and challenging self-defeating thoughts.
Sally Edwards Counselling
I am a fully qualified counsellor based in Orpington, Kent
I work with clients with problems including: depression, anxiety, panic attacks, stress, low self-esteem, low self-confidence, identity issues, relationship problems, self-destructive behaviours, self-harm, childhood sexual abuse, sexual violence, domestic violence, domestic abuse, trauma, PTSD, eating disorders and body image problems.
I am easily accessible from local areas near me including Orpington, Bromley, Chislehurst, Petts Wood, Sidcup, Beckenham, Sevenoaks, Tonbridge, Knockholt, West Wickham, Chelsfield, Swanley and Bexley
Face-to-face in person or online counselling