Understanding Suicide
For some of us, it is difficult to understand what cause a person to take their own life. When a loved one commits suicide we have difficulty accepting why they thought this final act was necessary. Edwin Shneidman, the father of suicide prevention in America, studied the suicidal mind to uncover some of these reasons. This foremost expert of suicide classified individuals who committed suicide into four categories. These are:
death seeker - a person with a clear intent to die at the time of suicide
death initiator - someone who believes death is coming soon and suicide is way
of hastening the process
death ignorer - someone who does not recognize the finality of death
death darer - someone not sure if they want to die or not.
Dr. Shneidman summarized that the cause of suicide is psychache. Psychache is the internal psychological pain of excessively negative emotions. Suicide occurs when the psychache is deemed by the person to be unbearable. According to Dr. Shneidman, the lack of happiness in the individual who commits suicide is the loss of the inner joy of the child within.
Depression: Understanding Thoughts of Suicide
by Stephen L. Bernhardt
For many years I had
suffered from depression and suicidal urges. I tried to determine why it was
happening to me and what I could do to end my pain. The books I found were
mostly statistical listings of who took their own life, their income brackets,
and vocations. Personal accounts were specific to their situation and recounted
little insight into why this was happening to me, or what I could do to end the
intense pain.
I am, what some would
say, mildly manic depressive and have a family history that would support such
a conclusion. But, this is not my story. This is an attempt to help those who
are depressed with suicidal thoughts, better understand what they are going
through and help them find possible solutions.
Most people who are
suicidal are also depressed. The two prime reasons that a person becomes
depressed, are a loss of control, over their life situation and of their
emotions, and secondly a loss of a positive sense of their future (loss of
hope). Any therapy which is to be effective in reversing our depressed state,
and the resultant suicidal urges, will have to help us regain control, and help
us regain hope.
Being depressed
causes us to narrow our view of the world around us to such an extent that
reality becomes distorted. The negative in our lives is constantly reinforced
and the positive around us is discounted as being irrelevant, or even non
existent. Options to help solve our problems are rejected as having no merit,
until it seems as if there is no possible solution.
An unrelenting and
oppressive sadness comes over us which causes a very real pain, as if the pain of the sudden loss of a
parent stays with us for weeks, months, and even YEARS. It is as if we
are trapped in a dark cave or possibly a tunnel that runs only from our
constant pain to somewhere near hell, with no exit to heaven and no exit to
joy. We begin to think that there is no relief and that this pain will never
end. Tomorrow will be the same, or worse. Death may be the only solution!
Suicide is not a
solution, it is an end before a solution can be found. It cannot be considered
an option, for an option denotes we have a choice and death robs us of both,
option and choice. Death is an irreversible act that does not end the pain, for
it remains in those who are left behind. Even people who are totally alone, and
take their own lives, transfer their pain to those of us in society who do
care, and we do - care!
Many people have
suicidal thoughts at some time during their lives. For most the thought is
fleeting, happening after a major life loss, or at some point in life where
they perceive the future as becoming hopeless. For others, life is not quite so
kind, they may have a strong genetic propensity to become depressed, a chemical
imbalance, or a series of unfortunate life experiences may eventually end in
depression. Still others have much to do with causing their own pain by using
an unrealistic cognitive thought process and having expectations in life that
are not possible to achieve. Whatever the cause, we are all at risk of having
strong suicidal urges when it seems as though the future has become hopeless.
There is no class or
type of person that is exempt from having suicidal thoughts. Doctors,
therapists, and teenagers from all walks of life, are all high on the
percentage lists of completed suicide, although it seems that those people with
strong religious convictions are least likely to attempt.
Suicidal "Triggers"
Given a person is
depressed and having suicidal thoughts, there are certain releasers or triggers
which intensify the suicidal urge. Recognising those triggers of renewed
suicidal urges which are present in your life will help you to understand what
is happening to you and begin to allow you more control of your emotions.
1. Beginning Therapy and After Therapy.
Suicidal urges are
particularly high just after a depressed patient first enters therapy. When
beginning therapy the very symptoms give rise to thoughts such as "this
will never work", or "why should I put myself through this, when
there is no possible hope of success". Combined with these thoughts may be
the possibility that the patient and therapist do not connect or bond (as may
happen between any two strangers when they first meet). The expectation that
therapy will fail, especially if this not the first attempt, is devastating. We
begin to believe that if therapy fails, then we will never be rid of this pain,
and what is the use of going on.
THIS IS VERY
IMPORTANT! It is particularly tragic, when a patient has gone through therapy
and the depression has substantially lifted, that they then kill themselves. It
happens! Depression is episodic, in that it can come and go, sometimes in an
instant. If a person is feeling euphoric and at long last can envision
themselves as depression free in the future, any setback will cause a flight
back to the conditioned response of suicidal ideation.
The thought of the
pain returning is unbearable and the urge to die may become intense. The
triggers which cause this renewed depressive and suicidal episode are usually
the same things which contributed to the depression in the first place. After
therapy a continued exposure to an abusive partner, an oppressive boss, the
inability to overcome substance abuse, inadequate concept of self, financial
problems, etc. can trigger renewed suicidal urges.
There is good news!
These suicidal urges do not have to plunge you back into the depths of your
depressive hell! This does not signify your therapy has failed or that you must
then start again from square one. Recognising those triggers or releasers of
renewed suicidal urges that are present in your life will help you to
understand when it happens and, that it can be reversed. The panic which
follows renewed suicidal thoughts will be short lived if you do not allow this
panic to take control of your mind. See your therapist, a friend, or the local
crisis center. Let them help you talk it out, what you need now is - time. The
feeling will pass, usually in 2 days or less!
Off in an isolated
room playing a game with a young child, or alone in the back yard inspecting whatever,
we hide trying to avoid any conversation which might remind us of the pain.
Aunt Annabell, or even a stranger might ask us if we have a job yet, or if the
divorce is final, and we are slammed back into depression and suicidal
thoughts. A loving relative might ask us "what's wrong" and try to
bring us out of our shell. An inappropriate angry outburst might follow, giving
credence to the saying that "you always hurt the ones you love". We
are sorry, we depress.
3. The Antagonists.
The antagonists in
our lives (the oppressive boss, the abusive spouse or partner, or
that jerk who never quits)
can easily trigger renewed suicidal urges. Strangers, at first meeting, soon
recognise or sense that we are depressed. This may be an unconscious
recognition on their part where our general demeanour, body posture, facial
expressions, and attitude send signals that may cause them to react with
outbursts of anger, which are not warranted, given the circumstances.
This unfair treatment of a depressed person is perplexing and gives rise to thoughts such as "life is so unfair", or "life sucks!". Some others may feel a compassion for the depressed person which they are seldom able to adequately express, and they may embarrass or act inappropriately. Still others seek out depressed individuals and take advantage of the situation, all in order to boost an ego that is badly in need of repair. Take heart, as our depression lifts, and we begin to regain control of our life and of our emotions, this treatment will pass - and it does!
4. Natural Events and Suicidal Thoughts
The effect that
natural events have on depression is extremely important, especially when one
is beginning to overcome the depressive response. Fast moving weather front
lows, the full and new moons, changes of the seasons, and decreased sunlight in
winter, will cause an increased state of anxiety when a person is depressed.
One is especially at risk when there is a fast moving weather front approaching
the two days before the full moon. This must not be discounted as hearsay or
superstition! Hollywood has made a mockery of the effect that the full moon may
have on people.
When I mention the
effect to people who have not experienced it, the same facial sneer always
appears and anything I say after that is discounted as the babblings of an
idiot. The fact is, that when depressed we are in a more primal state. Our
emotions are raw and we are subject to natural changes in our environment and
in our bodies. Increased risk can be anticipated during lows in the cycle of
our biological state (such as during a woman's menstrual cycle - men have high
and low monthly emotional and physical cycles also).
A statistical
correlation has not been identified concerning suicidal attempts and the full
moon because the full moon does not cause one to commit the act. The full moon
and the other listed natural events cause an increased state of anxiety which
exacerbates depression and increases the risk of the suicidal urge becoming
strong. Actually the risk of attempts of suicide is greatest during the week
after the full moon, as increased depression and the resultant suicidal urges
begin to take their toll.
Strong suicidal
urges, mania that approaches panic (and a resultant plunge back to depression),
or deepening depression that cannot be explained by renewed life crisis, can
many times be explained by looking at a calender which has the cycle of the
moon marked on it! Although knowledge of what is causing this reversal does not
keep it from happening, there is comfort in that one now understands what is
happening and comfort that it will end in two days or less, and it does!
CONCLUSION
Knowing what is
happening to us goes a long way in being able to regain control over our life
and our emotions. But real healing will not be possible until the depression is
lifted. I recommend that anyone who is depressed and having suicidal thoughts,
seek help. There are drugs which may help to maintain a depression free life,
and therapy is needed to help us better understand why we became depressed and
what we need to do in order to live our life in control of our emotions.
This manuscript was
conceived while I sat on a ledge overlooking the abyss of hell. I would
contemplate if I should follow the intense urge to jump and end it all, or if I
could muster the strength to take control of my emotions and of my life. I
tried so very hard to picture the future - with me in it. I hope that relating
the knowledge I have gained from my experience and my pain, might somehow help
ease your pain. Knowing what is happening to you and some of the reasons why it
is happening, might help you regain a positive view of your future, a view that
includes both, you and me.
by
© Stephen L. Bernhardt - 1996-2002
LINKS:
http://www.metanoia.org/suicide/
http://www.suicidology.org/survivorssupport.htm
http://www.mentalhealth.org/suicideprevention/
http://www.suicide-parasuicide.rumos.com/
http://www.1000deaths.com/lists.html
http://www.mhsanctuary.com/suicide/sui3.htm
http://www.survivingsuicide.com/
http://jugglecat.tripod.com/SOS/
http://www.main.org/sos/links.html
http://lenisemyers.tripod.com/havenforsurvivorsofsuicide/
http://dying.about.com/library/weekly/aa070200b.htm