Suicide and suicidal thoughts

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Coping and support

By Mayo Clinic staff

Don't try to manage suicidal thoughts or behavior entirely on your own. You need professional help and support to overcome the problems linked to suicidal thinking. In addition:

  • Go to your appointments. Don't skip therapy sessions or doctor's appointments, even if you don't want to go or don't feel like you need to.
  • Take medications as directed. Even if you're feeling well, don't skip your medications. If you stop, your suicidal feelings may come back. You could also experience withdrawal-like symptoms from abruptly stopping an antidepressant or other medication.
  • Learn about your condition. Learning about your condition can empower and motivate you to stick to your treatment plan. If you have depression, for instance, learn about its causes and treatments.
  • Pay attention to warning signs. Work with your doctor or therapist to learn what might trigger your suicidal feelings. Make a plan so you know what to do if suicidal thoughts return. Contact your doctor or therapist if you notice any changes in how you feel. Consider involving family members or friends in watching for warning signs.
  • Seek help from a support group. A number of organizations are available to help you cope with suicidal thinking and recognize that there are many options in your life other than suicide.
References
  1. Schreiber J, et al. Suicidal ideation and behavior in adults. http://www.uptodate.com/home/index. Accessed March 13, 2012.
  2. Kennebeck S, et al. Evaluation and management of suicidal behavior in children and adolescents. http://www.uptodate.com/home/index. Accessed March 13, 2012.
  3. Warning signs of suicide. American Foundation for Suicide Prevention. http://www.afsp.org/index.cfm?page_id=0519ec1a-d73a-8d90-7d2e9e2456182d66. Accessed April 30, 2012.
  4. Understanding suicide: Fact sheet 2012. Centers for Disease Control and Prevention. http://www.cdc.gov/ViolencePrevention/pub/Suicide_factsheet.html. Accessed Feb. 2, 2010.
  5. Logan J, et al. Characteristics of perpetrators in homicide-followed-by-suicide incidents: National Violent Death Reporting System — 17 US States, 2003-2005. American Journal of Epidemiology. 2008;169:9.
  6. When you fear someone may take their life. American Foundation for Suicide Prevention. http://www.afsp.org/index.cfm?page_id=F2F25092-7E90-9BD4-C4658F1D2B5D19A0. Accessed March 22, 2012.
  7. Kolla BP, et al. The base rates and factors associated with reported access to firearms in psychiatric inpatients. General Hospital Psychiatry. 2011;2:191.
  8. Durkee T, et al. Internet pathways in suicidality: A review of the evidence. International Journal of Environmental Research and Public Health. 2011;10:3938.
  9. McDowell AK, et al. Practical suicide-risk management for the busy primary care physician. Mayo Clinic Proceedings. 2011;8:792.
  10. Kennebeck S, et al. Epidemiology and risk factors for suicidal behavior in children and adolescents. http://www.uptodate.com/home/index. Accessed March 13, 2012.
  11. Simon G. Effect of antidepressants on suicide risk in adults. http://www.uptodate.com/home/index. Accessed March 13, 2012.
  12. Harvey SB, et al. Physical activity and common mental disorders. The British Journal of Psychiatry. 2010;197:357.
  13. Webb RT, et al. Suicide risk in primary care patients with major physical diseases. Archives of General Psychiatry. 2012;69:256.
  14. Revisions to product labeling. U.S. Food and Drug Administration. http://www.fda.gov/Drugs/DrugSafety/InformationbyDrugClass/UCM096273. Accessed May 30, 2012.
  15. Suicide: Taking care of yourself and your family after an attempt (Family guide). The National Alliance on Mental Illness (NAMI). http://www.nami.org/Template.cfm?Section=Issue_Spotlights&Template=/ContentManagement/ContentDisplay.cfm&ContentID=24452. Accessed April 30, 2012.
  16. Suicide: Taking care of yourself after an attempt (Consumer guide). The National Alliance on Mental Illness (NAMI). http://www.nami.org/Template.cfm?Section=Issue_Spotlights&Template=/ContentManagement/ContentDisplay.cfm&ContentID=24452. Accessed April 30, 2012.
  17. Bostwick JM (expert opinion). Mayo Clinic, Rochester, Minn. May 28, 2012.
DS01062 June 9, 2012

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