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by jspthrowaway2 4906 days ago
He has a point, though. It's pretty conservative to say "get help" for every thought about suicide. I think there's a difference between thinking about doing it or, say, wondering what death is like or whether you'd have the stones to go through with it. Honestly, I wonder what death is like a lot.

That being said, I tend to agree with you to be more conservative, but I've had similar thoughts as the guy you're replying to and know without a doubt that I'd never kill myself. Of course, there's probably a psychological argument that me knowing that is up for debate.

(Don't take this as displeasure with your efforts in this thread: thank you.)

2 comments

I drive the conservative line because suicidal ideation is a symptom of depression and depression is a good predictor of suicide (and bloody unpleasant in itself).

People in a normal mood just don't think about suicide.

It's a reliable signal that something is wrong. And given how available help is, the smart thing to do is seek help.

I've engaged in suicidal ideation for many years. I'm not at risk of suicide, but if I thought that there was help available I would certainly seek it out.

My question is: what are the forms of help that are available? I know of A) therapy and B) medication.

I've spoken to 5 therapist for a couple sessions each, and my impression was that they are just normal people who you can talk to. They're not people who have answers, nor do they conduct their sessions with an overarching strategic plan. Rather, they're just people who you can talk to, and they will try their best to listen, even if they don't necessarily understand what you say. I know a lot of people benefit from this, but when I tried option A I didn't get anything out of it.

In my case, my mental suffering derives from loneliness. I follow John Cacioppo's work on the subject, and he claims that loneliness is a biological signal (just like hunger) that requires a response. I believe in his explanation, and so to me applying medication to ease loneliness would be similar to giving someone a pill to end their feeling of being hungry. To me that's not really a solution: in the case of hunger, food is the solution, and in the case of loneliness, connection is the solution.

Neither forms of help seem to me like they will help in my particular case. However when you say there's easy help available, you sound very confident. What am I missing?

Fair enough. Thank you again.
I was curious if some of those claims are true, especially since angst, existential despair and melancholy have been part of the human condition and described in one form or another by philosophers and others for thousands of years.

I found this:

http://www.suicidecallbackservice.org.au/Suicide-Myths.html

> Myth: All suicidal people are mentally ill. 'Normal' people do not think about suicide.

> Fact: Thoughts of suicide are not uncommon and can occur for anyone. People who see suicide as an option are in emotional pain and may be desperately unhappy. Although mental illnesses such as depression, bipolar disorder and schizophrenia may be associated with suicidal thinking and behaviour, not everyone who contemplates suicide is living with mental illness.

They don't cite their sources, though it seems to be an australian national suicide prevention site so presumably their claims are not just made up.

I agree, but they're putting the same facts in a different light.

This question is really about the stigma of suicidal ideation ("Oh no, what if I'm a crazy person?"), rather than the fact that suicidal ideation is a serious symptom that should trigger reaching out for help.