Mental Illness Can Be Terminal

In light of the much publicized 20th anniversary of the suicide of rock star Kurt Cobain, increased media coverage of bullying-related suicides and my own recent personal struggles, I thought I'd present some common myths and facts about suicide. There is a huge social stigma related to mental illness, so much that many who need help the most never get it. The more education we get and provide, the more needless deaths we can hopefully prevent. This is by no means comprehensive, I intended to keep it as concise as possible. Nurses Announcements Archive Article

Dentistry has the highest rate of suicide by occupation, right?

According to the APA, studies show that occupation is not a predictor of suicide risk. In one study of suicide rates between 2001 and 2005, dentists did not make the top 30 at all, for men or women. However, female nurses made the list - at #30. Age, gender and ethnicity tend to pose more of a suicide threat than occupation (Link to the chart High-risk occupations for suicide). White Americans and Native Americans are more likely to commit suicide than those of other ethnicities in the US. In all age groups, men were more likely to commit suicide than women, although women were more likely to attempt suicide and fail.

According to the NIMH, "Older Americans are disproportionately likely to die by suicide," even though suicide was the third leading cause of death of people ages 15-24 in 2007. For example, 12.7 young adults age 20-24 of both genders, out of 100,000 committed suicide. At the same time, there were 47 suicides per 100,000 85+ year old white males. It goes without saying that most people who commit suicide are under the influence of drugs or alcohol. These are attempts at self medication that have apparently failed. Other risk factors include a history of abuse, chronic illness, chronic pain, family history of mental illness and/or suicide, and previous suicide attempts.

Suicidal ideation is just an attention getting tactic most of the time.

Sort of. Most of the time, suicidal ideation is a cry for help. The person disclosing these thoughts is in extreme distress and can think of no other option to relieve their suffering.

Life sucks. It's hard. Only cowards and weaklings "opt out."

If suicide is merely an act of cowardice, then so is pulling your hand away from a burning stove. Most people who commit suicide or express the desire to do so, are in extreme emotional pain and death seems to be the only relief possible. The fact is suicide is what makes some cases of mental illness terminal. Over 90% of people who commit suicide are afflicted with a major mental illness, including but not limited to major depression, bipolar disorder, schizophrenia and PTSD.

You just need to think positively. Cheer up! Stop being such a downer. Count your blessings! Think of all the people in the world who have it so much harder than you!

NO. Mental illness does not work that way. You cannot wish your way out of it. Disordered thinking is pathological and a symptom of an actual, real illness. Just because it isn't visible on the outside doesn't mean it doesn't exist. It's real, it's painful, it's disabling, IT KILLS PEOPLE. If someone had terminal cancer, you wouldn't tell them to think of all the people in the world who had worse diseases, would you?

Suicide is selfish.

Yes, it absolutely is. A person who can think only of suicide is thinking only of themselves. If you had a broken leg, you certainly would not be thinking of your family and friends. You would be thinking about nothing but the horrible pain you were in. Same concept, different pain.

If you keep guns out of homes, people will be less likely to kill themselves.

Yes and no. Firearms are linked to more COMPLETED suicides. Of course if there are access to guns, that will likely be the weapon of choice, and they are far more reliably lethal than almost anything else. If you keep guns out of homes, you keep people from shooting themselves, but there's always the rope in the garage or the aspirin in the medicine cabinet.

If we don't talk about it, people won't get the idea to kill themselves.

If you keep mental illness and thoughts of self harm or suicide under the covers, you're never going to know if someone close to you is ready to die. Talking about it is one of the first steps in preventing suicide.

You can't stop someone from killing themselves if they really want to.

Again, yes and no. If someone has confided suicidal thoughts to you, you CAN stop it by getting them help, because they've essentially begged for it. A situation like this is an emergency and should be treated as such. Do not leave them alone, call 911, get them to the ER, call a crisis line, and take away the means - guns, knives, medications, etc. They need the intervention of mental health professionals. There is always the possibility that they may walk out of the hospital and kick rocks on the train tracks until the 0315 comes along, but you can't control other people, and sometimes they're going to get their way.

I don't want this to seem like I am relieving suicide victims of all responsibility, because I'm not. People suffering from mental illnesses are unable to think clearly, but it's still up to the individual to choose to ask for help if they are capable, or to end it all.

I hope this was as much of an educational experience for you as it was a therapeutic experience for me. I've included links to my sources and other resources as well for further education.

Resources

American Association of Suicidology

http://www.afsp.org

National Institute of Mental Health

Suicide by profession: lots of confusion, inconclusive data

Specializes in PICU.

Thank you for this. It was definitely an eye opener

Smyleern2b walking by faith :)

Specializes in LPN.

Thank you for this. As someone who has struggled with depression and occasional suicidal ideation, I have heard all the stereotypes and have greatly learned not to talk about it. There is nothing worse than hurting, laying your heart out to someone, only to get a response of "think about your family!" or hearing people say "now she's saying stuff for attention".

It's always good to see this kind of education in medical circles. The same stigmas exist between many nurses and doctors as exist in the general public. No one is "immune" to personal mental issues.

When I was 20, my boyfriend commited suicide, and left me on the phone to hear him blow his head off. He blamed me in his suicide note, which made his family, our co workers etc. blame me as well. What he didn't write in that suicide note was I left him because a few days before he beat me up. Nevermind the mental abuse, nevermind he actually kidnapped me, and kept me locked in his room for 5 hours before he let me go home to my parents. Nevermind he threatened to hurt my dad if I said anything. Nevermind it took me over 10 years before I could actually have a healthy relationship again. I guess we should all focus on him and what he was going through at the time, right? We should all feel sorry for him because of the emotional turmoil he was going through, right? What about the victims of people who commit suicide? What about his parents? You have no idea what it did to them, to me, his friends. I won't ever see it any other way but a selfish act. If you're going to post an article like this, then you need to see it from both sides of view.

Specializes in MDS RNAC, LTC, Psych, LTAC.

Thank you for this article I lost my son to suicide last year , I agree and have heard all the fallacies stated in your article . I miss my son and I feel horrible he chose to end his life but the stupid things said like the things mentioned in your article have hurt myself and my daughters far worse . He was living in another state and I know he was in pain and I forgave him because I loved him and he was newly diagnosed bipolar as my Father was .I am going to post this to my Facebook because the world needs education. Some of my friends and family won't even speak of it and yes he did ask for help he was arrested for DUI and asked jail staff for help they didn't respond and call a crisis center but noted it in their logs . I pray no one ever has to outlive a child but he was an organ donor and he saved a man in New York who has his heart beating in his chest and his kidneys and corneas helped more he was 25. Peace

Specializes in MDS RNAC, LTC, Psych, LTAC.

Read below Sophie if you want both sides friend.

I like to think I can add some insight, as my brother committed suicide last year, and I have attempted it myself.

suicidal thinking for me, came from a sense of failure, and I had convinced myself that I was doing my family a favor by dying, and they would be doing them a favor by dying. Obviously not a logical way to think. My brother, who's always been sicker then me, held out for many years, to make sure my dad would be ok, before he did it. I'm not angry at all with him, neither is my dad. When you are suicidal to the point of trying it, it gives a special clarity on a very illogical way of thinking.

Specializes in MDS RNAC, LTC, Psych, LTAC.
I like to think I can add some insight, as my brother committed suicide last year, and I have attempted it myself.

suicidal thinking for me, came from a sense of failure, and I had convinced myself that I was doing my family a favor by dying, and they would be doing them a favor by dying. Obviously not a logical way to think. My brother, who's always been sicker then me, held out for many years, to make sure my dad would be ok, before he did it. I'm not angry at all with him, neither is my dad. When you are suicidal to the point of trying it, it gives a special clarity on a very illogical way of thinking.

Thank you Rose for your wise honest words.

Specializes in LTC, assisted living, med-surg, psych.
I like to think I can add some insight, as my brother committed suicide last year, and I have attempted it myself.

suicidal thinking for me, came from a sense of failure, and I had convinced myself that I was doing my family a favor by dying, and they would be doing them a favor by dying. Obviously not a logical way to think. My brother, who's always been sicker then me, held out for many years, to make sure my dad would be ok, before he did it. I'm not angry at all with him, neither is my dad. When you are suicidal to the point of trying it, it gives a special clarity on a very illogical way of thinking.

And it is illogical. It takes some pretty messed-up thinking for someone to come to the conclusion that their family would be better off if they were dead. A couple of years ago, I had some significant suicidal ideation about crashing my car into a tree at around 75 MPH; I didn't want to take anyone else with me, so it would've had to be a single-car 'accident', but every day for awhile I'd be flying down the freeway and think about what it would be like. Would it hurt? Would I be killed instantly?

There are two things that stopped me: one, I was afraid I wouldn't die, but end up paralyzed in a nursing home somewhere being turned and changed every 2 hours; and two, I didn't want to leave the family carless! It never occurred to me then that I would be leaving them Viva-less. How sad that I was more worried about inconveniencing my family than what they would have to go through if I committed suicide.

Thankfully, with the help of a great doctor and support system and some VERY good medications, the suicidal thoughts don't come along often, and when they do, they're promptly disposed of. But I still sympathize with those who attempt and/or complete suicide, because I know what it takes to get to that point where death seems preferable to going on in such misery.

When I was 20, my boyfriend commited suicide, and left me on the phone to hear him blow his head off. He blamed me in his suicide note, which made his family, our co workers etc. blame me as well. What he didn't write in that suicide note was I left him because a few days before he beat me up. Nevermind the mental abuse, nevermind he actually kidnapped me, and kept me locked in his room for 5 hours before he let me go home to my parents. Nevermind he threatened to hurt my dad if I said anything. Nevermind it took me over 10 years before I could actually have a healthy relationship again. I guess we should all focus on him and what he was going through at the time, right? We should all feel sorry for him because of the emotional turmoil he was going through, right? What about the victims of people who commit suicide? What about his parents? You have no idea what it did to them, to me, his friends. I won't ever see it any other way but a selfish act. If you're going to post an article like this, then you need to see it from both sides of view.

This was intended to be some insight in the mind of the suicidal person. I'll be happy to tell my story about the realizations I had while coming out of that deep depression if you'd like. Much of it was realizing what kind of lasting impact my death would have on my family and friends.