Depression affects people in different ways. One symptom of depression may be thoughts of suicide. If you are concerned about someone, it is OK to ask him or her if they are having these types of thoughts. You may be afraid to ask this person for fear that you will put the idea into their head. That is not the case. The person knows that suicide is a possibility whether you ask them or not. Asking this question can make a difference. If the person is having thoughts of suicide, then it is critical to get help.
If the person is in imminent danger of self-harm, or you are not sure, you can call 911 or take them to the emergency room. Having a therapist is also critical, if the person does not have one yet.
If the person has a plan, then they are at greater risk of suicide than just having passive thoughts such as, “I wish I were no longer here.” Again, no one can predict someone else’s behavior. All we can do is speculate on the risk. If the person has had an attempt in the past, then it is even more of a concern.
Some other things that increase the risk of someone killing him or herself include the death of a loved one. If a family member has committed suicide in the past, then it teaches offspring, that suicide is a viable option. Even a recent break up can lead someone to consider suicide.
One of the greatest predictors of suicide is hopelessness. It seems like things will not get any better in the person’s life. The individual cannot find any solutions to their problem or a way out of their situation. Suicide is a permanent fix to a temporary problem.
Increase in usage of drugs or alcohol is another risk factor. The barrier between attempting suicide or not, lessens. People who abuse substances are more impulsive and at greater risk.
Having no close relationships is problematic in people with depression. Just having a close friend or family member makes a difference. The person may feel less alone if there is someone special in his or her life.
Other things act as protective factors, such as a relationship with a therapist. The person knows they have someone to talk to. Just having hope of easing their burden is helpful.
Pets also serve as protective factors. I’ve had clients say, “No one will be there to take care of my dog,” which is something that makes them want to stay alive.
Having hope for the future, or goals can also be a lifesaver. Knowing that there is something or someone to live for is helpful.
If you have concerns about someone committing suicide, it may be helpful for you to get help. Most people don’t know what to do in that situation. Ideally the person who is so depressed and considering suicide would be working with a therapist. Call me at 713-304-6554 if I can help.
Take care,
Debbie Grammas, Ph.D.
