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Ask HN: How do you deal with suicidal thoughts ?

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Re: Ask HN: How do you deal with suicidal thoughts ?

#31
post #23

This is not serious, useful advice like the other posters (and pls listen to them)... but I always thought, if you are considering suicide, why not fake your death? All the good stuff like re-birth, freedom, and what not... without the bad stuff.. like being dead forever.

Well, if you have life insurance that constitutes insurance fraud. If you have people that care about you (and its probably safe to say virtually everyone does), you have just done a lot of harm to them. If you have responsibilities, this probably means you are abandoning them.

If you succeeded in faking your death (very hard to do in modern society, I would suspect) you may gain some benefit from it, but you will cause problems for a lot of other people. Not to mention the problems you bring on yourself if you are caught could be very substantial.

(I thought it was a funny post though, even if attached to a serious topic. In all seriousness, if you are having suicidal thoughts, seek help.)

Re: Ask HN: How do you deal with suicidal thoughts ?

#32
post #9

What you're talking about is called suicidal ideation: http://en.wikipedia.org/wiki/Suicidal_ideation . (Google those keywords to learn more.) I have dealt with this issue for 20 years. The first 10 years, I thought I was going to die. But I've learned to lower my suicidal ideation levels tremendously by trial and error. It was reassuring for me to learn from a psychologist friend that (A) suicidal ideation is the "l…

> Stop drinking if you lose control of yourself while drunk, especially if you're a sad drunk. Or at least limit the number of drinks you consume. Coming from someone who struggles with anxiety and paranoia, the first thing I was told when I went to the psychiatrist was to quit drinking. I am by no means an alcoholic, but I used to go out probably twice a week and I'd also have a beer after work to unwind. The result…

Sleeping with alcohol in one's system significantly reduces sleep quality, so your mental state the next day is not nearly as good as it could be, even if you aren't outright hungover. Plus, having sleep debt makes you more likely to drink, which makes you accumulate more sleep debt since you don't sleep as well, even though you're sleeping for longer.

http://pubs.niaaa.nih.gov/publications/aa41.htm

https://secure.wikimedia.org/wikipedia/en/wiki/Alcohol_use_a...

Re: Ask HN: How do you deal with suicidal thoughts ?

#33
Don't freak out, and seek therapy - and don't get bummed out about the fact that you are seeking therapy. That's a good thing.

We could all guess a million causes for this (drugs/alcohol/etc) - but in the end it doesn't matter. You've noticed something going on in your head, and you feel that it's not right.... so go see a doctor. or two. or three.

This by no way means you're headed towards offing yourself or going nuts. But still, see a doctor - if for no other reason than you've observed a disturbing and sudden change in your mental state that you can't explain. That's enough of a reason right there.

Re: Ask HN: How do you deal with suicidal thoughts ?

#34
post #24

This is going to sound nuts, and of course I offer no guarantees, but I found that I did a lot better on days I ate bananas. Hear me out for a moment. I really like bananas... I buy a couple bunches and they're gone in a few days. Yummy. But then I don't get to the store for a while, and so on. One day not too long ago, I saw a bit of a correlation between my mood and the days I had bananas. Digging around a bit, ban…

That's not nuts - I mean, proper nutrition (bananas are good food) and good sleep are necessary for good mental health.

Sometimes just some proper food and sleep is all you need.

Re: Ask HN: How do you deal with suicidal thoughts ?

#35
Yeah, I came pretty close (I think) to deciding to kill myself back in 1996. After that I went a long time with few - or no - suicidal thoughts, but every once in a while over the past couple of years I found a few of those thoughts creeping in again. I doubt I'll ever actually go through with it, but who can predict these things.

Probably the biggest thing(s) I've learned that help:

1. Fish-oil is considered to have an anti-depressant effect. And of all the "folk remedies" you sometimes hear about, this one has a fair amount of legitimate scientific research backing it up. I've been really depressed before, took a couple of fish-oil capsules and felt more cheerful within an hour or two.

2. Exercise does help for me. Just being "in the zone" working hard in and of itself helps, as does the "runner's high" effect. Plus it's a chance to plug my headphones in, put on some heavy metal and tune the rest of the world out and just jam. Trail running is fun and it's great exercise. I highly recommend it, along with mountain biking. But pick your own favorite.

3. Pay attention to the dialogue that's going on in your head. When you find yourself thinking "bad" thoughts, ask yourself "Wait, why am I thinking this? This is stupid, I don't want to think this crap, I'm going to think happy thoughts now." It sounds weird, but this kind of "meta" thinking does work (well, for me anyway). I was inspired by some stuff on CBT (Cognitive Behavioral Therapy), so you may find reading up on that to be useful.

There are a zillion books on dealing with this kind of stuff in the self-help section at Barnes & Noble or Borders. I have a couple, but I basically bought them, set them aside, and never read them. But you might find it useful to go in one day, browse that section, take a couple of books and go sit in the cafe and skim / read a little...you may find something useful.

4. Studying Zen Buddhism has also been helpful to me. I don't consider myself a Buddhist per-se, but I think their way of thinking to be useful. I'm still trying to adapt to it, but just reading Zen literature usually makes me feel better.

5. Eliminate negative influences as much as you can. If you have "toxic" people in your life (wife, girlfriend, friend, co-worker, boss, whatever) find some way to get away from them. The last thing you need is negative people dragging you down, or influencing you in a negative way.

And while I've never done it myself, a support group of some sort might be useful. Even if it's online and not in meatspace. If you believe - as BobbyH says below - that suicidal thoughts are a symptom of depression, you might find the /r/depression sub-reddit to be useful. I browse it every once in a while and some good stuff gets posted sometimes.

And if all else fails, my default advice is "get drunk and listen to Motley Crue." \m/

Edit: also, if you ever just want to talk, feel free to email me. My email is in my profile.

Links:

http://www.webmd.com/depression/features/fish-oil-to-treat-d...

http://abcnews.go.com/WNT/Health/story?id=129498&page=1

http://www.mayoclinic.com/health/fish-oil-supplements/AN0139...

http://www.reddit.com/r/depression

Re: Ask HN: How do you deal with suicidal thoughts ?

#36
post #9

What you're talking about is called suicidal ideation: http://en.wikipedia.org/wiki/Suicidal_ideation . (Google those keywords to learn more.) I have dealt with this issue for 20 years. The first 10 years, I thought I was going to die. But I've learned to lower my suicidal ideation levels tremendously by trial and error. It was reassuring for me to learn from a psychologist friend that (A) suicidal ideation is the "l…

I haven't been consuming alcohol for a while now, I think the last was during some world cup match.I don't necessarily lose control, but I guess I am a sad drunk.My thoughts do get darker when I have alcohol in my system.

I am in shape, and do exercise regularly. I don't think it makes a difference in my case.

Thanks for the links, and comments. I don't usually have a cheerful face, but yesterday I tried to keep a forced smile for the most part, because I read some literature that suggested it can improve how an individual feels. It hasn't really been useful.

I plan on seeing a doctor, but I don't have an appointment till this Tuesday.

Re: Ask HN: How do you deal with suicidal thoughts ?

#38

Earlier quoted context omitted.

"If there's a chemical imbalance, drugs can help." Medical statistics seem to show otherwise. For people who undergo a first bout of depression, most people who don't medicate get better in 6-18 months and then never relapse. Whereas those who medicate have a much higher chance of relapsing multiple times later in life. source: Anatomy of an Epidemic by Robert Whitaker.

That doesn't mean that there's no such thing as a chemical imbalance that can be improved with drugs. Maybe we're just over-prescribing anti-depressants.

"That doesn't mean that there's no such thing as a chemical imbalance that can be improved with drugs."

While it's not theoretically impossible that depression is caused by a neurotransmitter imbalance, most of the evidence is against it and most researchers now reject the hypothesis. Wikipedia has a nice summary of the current consensus on the serotonin imbalance hypothesis.

Re: Ask HN: How do you deal with suicidal thoughts ?

#40
post #24

This is going to sound nuts, and of course I offer no guarantees, but I found that I did a lot better on days I ate bananas. Hear me out for a moment. I really like bananas... I buy a couple bunches and they're gone in a few days. Yummy. But then I don't get to the store for a while, and so on. One day not too long ago, I saw a bit of a correlation between my mood and the days I had bananas. Digging around a bit, ban…

I don't think it's nuts. I am no doctor but I have a theory, which is basically as simple as positive versus negative thinking and energy. I absolutely believe eating foods you like, especially if they are naturally healthy, can help with depression. I think a reason many people become overweight is they seek something which provides something positive, like tasty foods, to alleviate depression. Unfortunately, they often choose junk food, which I don't recommend as it can spike your energy level, then bring you back down. Eating healthy can provide a much nicer energy curve, which I think is very helpful. Like others have said, I also believe exercise can help. This is because you take on a positive task (betterment of your health) and feel good for completing that task, in addition to feeling better physically. Here again is something positive which I believe offsets negative energy/thoughts. Chemicals within the body may also play a role, but again, I'm no doctor. I do, however, strongly feel that positive thinking and acts are very helpful. On the other hand, negative thoughts can spiral downward and become even more of a problem, so dwelling on negative thoughts should be avoided.
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