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Depression – Coping With Suicidal Thoughts

If you are having any symptoms or have any questions, please call 811 to speak with a registered nurse 24 hours a day.

Get emergency care if you or a loved one has serious thoughts of suicide or harming others.

What are suicidal thoughts and suicide?

Suicidal thoughts are thoughts about hurting yourself or taking your own life. Suicide is the act of taking your own life. Suicidal thoughts may include:

  • Feeling trapped or hopeless and like you need an escape
  • Feeling like it is too painful, overwhelming, or sad to continue living
  • Focusing on death, dying, or violence
  • Feeling that friends and family would be better off without you

A person who is suicidal may:

  • Make statements such as, “I wish I were dead,” or “I wish I had never been born”
  • Think about or actually find ways to commit suicide, such as buying a gun
  • Withdraw from friends, family, and social situations
  • Say goodbyes to family and friends, as if they don’t expect to see them again
  • Abuse alcohol or drugs, or engage in other risky behaviors
  • Have personality changes or mood swings

What causes suicidal thoughts?

Suicidal thoughts can happen to anyone – young and old, male and female – for a number of reasons. Usually, suicidal thoughts occur when a person is in intense emotional pain and doesn’t see a way out. The things that cause this type of pain are different for everyone.

Even though it may feel like your pain will never end, know that thoughts of suicide often are caused by a treatable health problem, such as depression. Depression is a serious medical condition that changes the chemicals in your brain and affects your moods, thoughts, and emotions. It can make it hard or even impossible for you to feel happy, remember good times, or see the solutions to your problems. Even if you have been treated for depression in the past, you may need to try other treatments before finding the one that works best for you.

How can someone cope with suicidal thoughts?

Give it time. You do not have to act on your suicidal thoughts. Make a promise to yourself that you will give yourself time to ask for help and seek treatment.

Reach out for help. You are not alone. You may feel like your loved ones don’t care about you or are better off without you. But know that, even if it doesn’t feel like it right now, people want to help you. So tell someone what’s going on. Call a friend or family member, contact your healthcare provider, a clergy member, or call your mental health crisis supports.  In Nova Scotia, contact the Mental Health Mobile Crisis Team at 1-888-429-8167.  In Prince Edward Island, contact the Island Helpline at 1-800-218-2885.

Avoid things that trigger suicidal thoughts. These things are different for everyone, but common triggers include being alone, drinking alcohol, and doing drugs. Instead, spend time with family or friends every day. Make your home safe by getting rid of alcohol, drugs, and the things that you used or planned to use to hurt yourself.

Take care of your health and wellness. Follow your healthcare provider’s eating and exercise advice. Get plenty of sleep. Learn how to deal with stress. Find and do things that you enjoy. If you’re taking medicine to treat depression, take the right amount at the right time.

FOR MORE INFORMATION

Mental Health Mobile Crisis Line (Nova Scotia)
Toll Free, 24 hours a day, 7 days a week 1-888-429-8167

Island Helpline (Prince Edward Island)
Toll free, 24 hours a day 1-800-218-2885

Public Health Agency of Canada
https://www.canada.ca/en/public-health/services/chronic-diseases/mental-illness/what-depression.html

Canadian Mental Health Association
https://cmha.ca/

Bibliography

See a list of resources used in the development of this information:
http://familydoctor.org/familydoctor/en/diseases-conditions/depression/symptoms/coping-with-suicidalthoughts/bibliography.html 

Created: 09-01-2012

This handout provides a general overview on this topic and may not apply to everyone. To find out if this handout applies to you and to get more information on this subject, contact your family healthcare provider.

Copyright (c) by the American Academy of Family Physicians

Permission is granted to print and photocopy this material for non-profit educational uses.

Written permission is required for all other uses, including electronic uses.

Nova Scotia Telecare, Reviewed by Clinical Services Working Group, December 2018.

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