Dealing with a suicidal friend

greenice

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evilthecat said:
greenice said:
I just looked it up and I'm pretty sure there's a 116-123 number in Romania. It's anonymous, and they should be able to give you better advice than you can find on the internet.

You should also google 'suicide prevention' on google.ro, you'll probably be able to find some more specific advice for your country. But seriously, there is not a mental health professional alive who would not recommend you seek some kind of outside help if you suspect your friend may try to kill herself.

You don't have to lie to her or betray her trust, in fact I wouldn't recommend it, but it's better to tell her that you're going to seek help for her regardless of what she does and live with the consequences than to aid her in killing herself because of feelings which may well be temporary.

Good luck.
Thank you very much for all the advice you seem to really know what you're talking about, its been very useful.And of course I really appreciate everyone else's contributions too.

And as an update I seem to have at least delayed her plans which gives me more time to help. I didn't go yet to any authorities but if it will be necessary I will.The current plan is besides being supportive and there when she needs me to try and give her as many long term goals as possible which will both keep her occupied and give her a reason not to do it.I'm quite hopeful.
 

Terminal Blue

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manic_depressive13 said:
It seems like at least the OP has things well in hand now, so let's do this.

1) That "industry" you're talking about has helped millions of people, myself included. You have helped noone. Guess who I think is more worthy of being listened to? If you're determined to treat the medical profession as an enemy and assume that, despite apparently having nothing to lose you know better than the huge number of people who spend their lives helping people like you, then it's no wonder nothing has ever improved for you.

2) If someone confides in you that they are at risk, be it from suicide or abuse or any other factor but doesn't want you to tell anyone about it, there is a clear procedure which everyone who works with vulnerable people, be it children or the mentally ill, knows by heart. Firstly, you attempt to convince the person to come forward and seek help of their own accord. If that fails, you explain clearly that you cannot keep this information secret because the potential consequences for them are too great. If they still won't come forward with you, then you tell someone. At no point do you lie and claim that you will keep their secret. You are entirely honest with that person at all times.

So no, there are ways to deal with the situation which are neither betraying someone's trust or ignoring very clear warning signs.

3) For someone who claims to have depression, you seem to have very little understanding of what it actually is.

People get depressed all the time. Normally, it is linked to clear environmental factors such as bereavement, unemployment, illness, social and relationship problems, bullying, whatever. The feelings people have in these situations are grounded in by real events and therefore temporary. As the person leaves the situation or as time passes from a traumatic event, someone's mood will generally improve again. If their mood does not improve, then they have become clinically depressed.

Clinical depression is a mood disorder. Because of neurological problems and/or learned thinking patterns which result in negative emotions, a person with clinical depression feels sad regardless of what happens to them. It is nothing to do with their environment, because even if the environment improves or isn't that bad to begin with a clinically depressed person does not find any pleasure in it. At this point, the only way for the person to feel better is to take medication and/or to find some way to challenge the recurring thought processes which lead to a depressed response.

So either suicide is a response to a situation which is usually temporary (in fact both are often temporary, even clinical depression is treatable), or it is caused by by neurological or psychological problems which distort the person's mood. The only reason why a person might "reasonably" want to kill themselves is if there is genuinely no chance of their situation ever improving, such as having a terminal illness or a serious disability which reduces quality of life.

4) There is no painless and reliable way to end your own life short of getting a doctor to do it for you. However, contrary to your strange assessment cutting your wrists is actually pretty quick and easy if anyone was ever genuinely determined to do it. Hence, the first thing anyone would do if they were trying to make a place safe for a suicidal person is to hide any sharp objects.

What do you honestly think is a better option here? Do you imagine that dying of liver failure hurts less than bleeding out? Have you ever seen the face of someone who has died of liver failure?

All suicide prevention is meant to do, and all it does do is to stop someone from killing themselves during the few hours they might want to do so. Fuck, even if you go into a psychiatric hospital on suicide watch they'll release you within 24 hours and if you wanted to you could go straight out and jump off a bridge. The reason for this is that the need to kill yourself, not just the ability to think about it or fantasize about it, or to decide to do it at some point in the future, is almost always an extremely temporary feeling. It is not the result of a rational choice, it is the product of momentary desperation.

If you genuinely, rationally wanted to kill yourself, you could so in a couple of minutes. You wouldn't even need to tell anyone at all, in fact doing so would just hurt your chances of success. Any one of us could snap our fingers right now, decide to do it and probably manage it if we genuinely wanted to and had no trace of doubt or hesitation. But you know what, that pretty much never happens. Very few people who attempt to kill themselves are doing so because they have a terminal illness or because their situation is genuinely unlikely to improve. They are doing so because they are momentarily desperate.
 

Terminal Blue

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greenice said:
No problem.

It seems like things are going better now, and I'm really glad to hear that. You're right, in that it's important to be as supportive as you can be so that she feels she can talk to you and so you can keep track of any warning signs in future. Giving her long term goals, or just encouraging her to think or talk about the things that are bothering her (make lists of them, whatever) is probably a good idea. It might help her to rationalize them somewhat.

Just bear in mind you're not a therapist (yet) and you can't take full responsibility for someone in that position. Without the sense of detachment which a professional might be able to maintain, trying to care for someone in that state can really wear you down. Make sure to look after yourself too.

But if there's no specific danger it's probably not worth bringing in professionals yet unless you can persuade her to visit a doctor (she doesn't have to go to a therapist or mental health specialist if she doesn't want to, a family doctor is a good start).

But yeah, if you ever get the sense from her that there's something immanent, maybe call an advice line or even call up your own doctor. They should be able to advise you on what specifically can be done.
 

BloatedGuppy

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evilthecat said:
Pretty much 100% in agreement with you on all points, but I think this is an uphill battle for you. When I was a younger man, and deep in the throes of my own clinical depression, I romanticized misery and suicide to an almost ridiculous degree. I remember saying and thinking things very similar to the arguments manic is making in this thread, and believing them with all my heart, right down to the bosh about respecting people's decisions. You are making a rational argument in rebuttal to an emotional one, and through long experience I've learned that this never works out as well as I hope.
 

Terminal Blue

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BloatedGuppy said:
Pretty much 100% in agreement with you on all points, but I think this is an uphill battle for you. When I was a younger man, and deep in the throes of my own clinical depression, I romanticized misery and suicide to an almost ridiculous degree. I remember saying and thinking things very similar to the arguments manic is making in this thread, and believing them with all my heart, right down to the bosh about respecting people's decisions. You are making a rational argument in rebuttal to an emotional one, and through long experience I've learned that this never works out as well as I hope.
Oh, I understand, and I did that too. That's why it's so annoying, because it's like arguing with all the very worst parts of myself.

I don't expect this to go well at all, but hey.. I know when things are bad for me how much it helps to have someone point out where I'm being irrational. I'm used to hammering on a brick wall with people who really don't want to be helped, it doesn't upset or offend me any more to know that it probably won't make a difference to them, but it would feel negligent not to at least try.

I'm probably ready to give up in this case, though.
 

gamefreakbsp

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As her friend, you have an obligation to help her. You need to talk to someone who is trained to deal with this sort of situation. If what you try to do fails, and you do believe she is going to commit suicide imminently, call the police. If you consider yourself a friend to her, you have to help her, even if she hates you for it. At least she will be alive to hate you for it. Not to get too philosophical, but no-one knows what is after this life. It might be better, it might be worse, it might be nothing. No way of knowing and know way of finding out from someone who does know. What we do have, is THIS LIFE. Right here. And since that is all we know, we have to live it to the best we can, and as long as we can. If your frined doesn't understand that, make the choice for her.
 

HumourlessBaboon

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You can die at any time. It's a fact of life. But death is not something you can try and decide you don't like. People should make the best of what they have. I am not saying your friend has not tried this. I am not saying your friend is victimizing herself. I am not saying that she does not have good reasons to feel the need to die.
Speaking as someone who does know what it is like, I recommend waiting it out. The worst case scenario is dying. It can ONLY get better. Logically, though not morally, death is always an option. We go through every second of our lives choosing between life and death, among other things. Dying cannot make things better, because there will never be a choice after that. You can never know what is going to happen.
I think your friend is being unfair for dumping this on you, but I understand her reasoning. This is one of the most important choices you will make in your life. It will have the most repercussion of any choice you make in your life. I hate to put it like that, but you cannot make light of it.
People will tell you that there is no right choice. That can't be true. The choice is between life and death. Make the choice to get her the help she needs. There is always a way to fix a situation, even if it isn't obvious. It's an all-nothing or nothing-nothing bet. She is going for the option that is never improvable.
You feel selfish and a bad friend for not supporting her. That's normal. You are not selfish for wanting someone to live. It would be sick to just write her off no matter what your opinions were.
If her life is saved, you have been a good friend. If she hates you afterward, it doesn't matter. She's not going to be your friend if she's dead, either, and I guarantee that if you feel guilty now it will be nothing compared to how guilty you will feel later.


"Help her. You are her friend. Help her, even if she hates you for it."


I couldn't have put it better myself, though I can try. evilthecat also makes a strong argument that I appreciate. I hope I don't come across as too cold, I am trying not to let my emotions control my logical thinking. This is personal for me, and I am glad that you thought to get opinions from people that don't know who you or your friend are.
I am not going to argue over this. I am glad that someone was there for me and want your friend to be able to appreciate that someone was there for her, even if she couldn't see it at first. If she doesn't appreciate it, she hasn't lost anything and you don't need to be involved again. You will know that you saved someone's life, even if it's temporary. There will be pain no matter which path you take. There is pain. The secret of life is working through it and channel it into make the world a better place.
Personally, I suggest that your friend metaphorically give up her life--that she dedicate her life to finding people who feel like she does and making sure that no one feels the need to kill themselves again. It sounds naive, I know, but surely helping people appreciate their lives is a worthy goal, no matter how messed up she feels on the inside. It might even help heal her, working with people who feel the same way.



Apologies for the wall of text.