For you who consider suicide

Note: This article is for readers who may be having suicidal thoughts now or who have had such thoughts in the past and are not in immediate danger of acting on those thoughts. If you are at high risk of committing suicide please call a crisis line now: click here for phone numbers. If you are an immediate danger to yourself call 911 now.

Living with chronic illness is sometimes an exercise in managing overwhelming grief and despair. Days slip by in a blur of pain and fatigue. Social connections and community ties drop away. Friendships disappear because we don’t have energy to maintain them. Isolation becomes a kind of prison. Everything is hard to manage. Limited resources – physical, financial, mental and emotional – are stretched to the breaking point.

Without support from family and friends our most basic needs may not be adequately met as our collective social safety net is eroded to almost nothing. Because our society places a high value on productivity it is unforgiving to those of us who are unable to contribute in the workforce. If we’re unable to work we may begin to feel that there’s no purpose to our life. Even in the best of situations hopelessness and despair can be frequent companions.

Any or all of these things can snowball until suicide feels like the only, or perhaps best, option. Our world becomes a claustrophobic hell of suffering and we just want out of it. In those darkest moments how can we resist suicide?

Here are four techniques I use:

1. I remind myself (over and over again) that despair and depression are temporary; eventually they recede in intensity even if they don’t entirely go away. No matter how much despair I may be feeling or how many suicidal thoughts I have I don’t act on them. We live in a culture that values action and when we’re suffering we may feel like we’ve got to do something, anything, to make it stop. No matter how strong the impulse I resist the temptation to act on my suicidal thoughts. Instead, I try to sit with and simply be with whatever is happening. I sit with the depression and pain, whether it’s physical or emotional or mental pain, and try to relax as much as possible. By relaxing even just a little bit depression and pain can become more bearable. The more we can relax the more bearable our situation becomes.
2. When I’m having suicidal thinking I reach out to a friend or family member so that someone knows what’s going on. It’s not easy to do but it actually keeps me safer. In the past I’ve asked people to make me promise not to hurt myself. For me that’s been a powerful lifeline. If I make a promise to a friend or family member that I’m not going to hurt myself then I feel a responsibility to uphold that. It’s a bargain I’ve made with someone else that I feel a need to adhere to. It’s important to remember that the person we reach out to wants to be there for us. Our life matters to them even if, in the moment of our worst depression or despair, it no longer matters to us. Eventually we will value our life again and then we’ll be grateful that we reached out for help.
3. Over many years of working with severe depression I’ve learned to think of it as something that is completely impersonal. I try to see depression, to relate to it and experience it, as if it were nothing worse than a temporary weather system that’s set in – a long stretch of gloomy rainy days that will eventually lift and move on. This technique is similar to the first point above because it involves a willingness to simply be with what’s happening, to relax with it and wait it out.
4. Whenever we resist the urge to commit suicide – and instead protect our own lives – it becomes easier for others to do the same. No matter how depressed I am I keep resisting suicide in order to help other people. It’s well known that suicide runs in families and can span multiple generations. As my therapist once said, “suicide is a terrible family legacy.” Suicides often come in clusters within the larger community as well. When a person takes their own life it increases the risk that another person – whether a family member or stranger – may do the same. By resisting suicide we may actually save another person’s life. We may even save the life of one of our own future descendents or relatives. And that’s worth doing.

One day when I was in particular pain and thinking about suicide it occurred to me that if I’m really willing to take my life then I ought to be able to find the courage to face my life. It really helped. I had this sense of fearlessness. Because at that point, when I’m willing to end my life, then I’ve got nothing to lose. So why not continue to live? When there’s nothing to lose that means we’re beyond hope – we’re experiencing hopelessness – but since hope and fear always go together like two sides of a coin that means we’re also beyond fear. We can be fearless. At least for a little while we can experience that. We can have a taste of what that’s like.

When there’s nothing to lose what’s actually left is kindness and compassion. We can experience what it’s like to have a fearless kindness and compassion for ourselves. Love, compassion and kindness have always been the most important things. So we have this amazing chance; we have this precious opportunity to extend kindness to ourselves and to others no matter what’s happening, no matter how sick we may be, no matter how much pain we may be in. What does that look like? It’s just as simple as a smile. Of course we can’t smile all of the time, but if we smile once in a while that’s good enough.

Years ago a friend sent me a card with a famous saying from the Talmud: “And whoever saves a life, it is considered as if he [or she] saved an entire world.” The life we save can be our own. Our life, no matter how seemingly ordinary, is a miracle and the smile we share with another may end up traveling around the world. If we aren’t here to share that smile when it’s our turn to pass it along it will never reach the next person who needs it.