Understanding Suicidal Crises
Natalie Staats Reiss, Ph.D., and Mark Dombeck, Ph.D.Helping a suicidal person demands your attention and compassion. It can easily end up being a very stressful process. If you've never felt suicidal before yourself, part of what is stressful about the process is the fact that it is truly difficult to relate to these thoughts and feelings. It can be quite difficult to understand how someone can seemingly overreact so dramatically to problems that you might consider solvable. If that is the case for you, please read on as the following sections may help you better understand what is happening.
What is going on in the mind of a suicidal person during a suicidal crisis?
A suicidal crisis is a temporary state that occurs in response to overwhelming stress, and which is associated with seemingly unbearable and unendurable emotional and/or physical pain. This pain is perceived by the suicidal person as being so severe, permanent and all-encompassing that there is no practical solution to resolving it other than suicide.
Even though the stresses endured by suicidal people seem overwhelming, these problems are generally not truly unsolvable or permanently horrible. They just seem that way to the individual during the crisis. In general, suicidal people are overwhelmed. Their thinking style can be described as negatively biased, intensely self-focused, and irrational. They are not easily able to rationally evaluate their problems and put them into proper perspective. They are too close to the circumstances that have provoked their suicidal crisis. They cannot see them objectively from a distance as a third party observer might. Feelings of loneliness, isolation, alienation, anger, rage and depression are common. Homicidal feelings may be mixed with suicidal feelings if there is a sense that someone has deliberately caused harm to them.
Depression is the number one cause of suicide. You may hear suicidal people talk about having the following kinds of depressive thoughts:
- Hopelessness:
- A sense that things will never get better ever again
- A feeling of inability or lack of motivation to change the situation
- A belief that your emotional pain is permanent or too much to bear
- A sense of personal worthlessness, self-hatred or self-loathing
- A sense that all the meaning has been removed from life
- A sense that suicide is the only way to make the problems/stress stop (founded upon the utter sense of hopelessness described above)
People become suicidal because they cannot or do not appreciate, or do not know about (i.e., have never learned) effective ways to cope with the stressful circumstances they are experiencing. Suicide can thus be prevented, to some extent, when suicidal people can be helped to expand and enhance their coping skills. Suicidal people cannot do this work on their own because, by definition, they lack perspective on their problems. As a result, they have already concluded that suicide is the only means of relief available to them.
Resources
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Articles
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The Nature of Suicide
- The Nature of Suicide
- Defining Suicide
- Suicide: A Reactive Action
- Suicide Statistics
- Other Factors Contributing to Suicide Risk
- Suicide Triggers
- Suicide Triggers Continued
- Tying it All Together: Why Does Someone Become Suicidal?
- Becoming Suicidal: Biological Contributions
- Becoming Suicidal: Sociocultural Contributions
- Suicide Prevention and Societal Measures
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Coping with Suicidality
- Coping with Suicidality
- How did you get to this suicidal place?
- Why does suicide seem like a solution to your problem(s)?
- How do you know your level of suicide risk?
- Suicide Warning Signs
- Suicide: What Should I Do if I'm Suicidal?
- Suicide: What will happen to you when you ask for help?
- Outpatient Suicide Treatment-Finding A Psychotherapist
- The Initial Suicide Treatment Interview
- Jeremy's Story
- Follow-up Suicide Therapy Visits
- Suicide: Other Things You Can Do to Help Keep Yourself Safe
- Suicide and Self Harm Resources
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Helping A Friend or Family Member who is Suicidal
- Helping a Friend or Family Member Who is Suicidal
- Understanding Suicidal Crises
- Why Do People Become Suicidal and What Can I do to Help?
- How Can I Judge the Level of Suicide Risk?
- What Are Other Suicide Warning Signs?
- What Happens When a Suicidal Person Asks for Help?
- How Do We Find a Therapist for Suicide Outpatient Treatment?
- What Else Can I Do to Help a Suicidal Family Member or Friend?
- How Do I Handle My Own Reactions Following a Suicide or a Suicide Attempt?
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The Nature of Suicide
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- Making Sense of Suicide
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- No Right Turn
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Links
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- Developing the Family Intervention for Suicide Prevention (FISP)
- Addressing the Rise of Teen Suicide
- Feeling down? Let's talk - Prevention of suicide among adolescents
- NPW 2017: Suicide and Substance Use in Young People
- Addressing Suicide
- Suicide Warning Signs
- How to Ask if Someone is Suicidal
- Suicide Tops Injury Deaths
- Assessment and Intervention with Suicidal Clients: Volume 2
- Assessment and Intervention with Suicidal Clients: Volume 1
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- Assessment and Intervention with Suicidal Clients: Volume 3
- Preventing suicide: a global imperative
- Youth Suicide Risk
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- The bridge between suicide and life
- Beyond the Data -- Preventing Suicide: A Comprehensive Public Health Approach
- Preventing Suicide: A Comprehensive Public Health Approach
- For Those Considering Suicide
- How to Help Someone Who is Suicidal
- Teen Suicide Prevention
- Reach Out - Preventing Teen Suicide
- Suicide Prevention with Lynn Keane
- Addressing Suicidal Thoughts and Behaviors in Substance Abuse Treatment
- Suicide Signs
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