Pondering about Self-Destructive Thoughts: An Insight into Suicidal Ideation
Updated: October 22, 2021
Discussing suicide can be distressing, but it's a vital subject that requires attention. If you're struggling with suicidal thoughts, please reach out to the 988 Suicide & Crisis Lifeline by calling or texting 988, or chatting online at https://988lifeline.org/. Trained counselors are available 24/7 to offer support.
Suicide refers to the act of taking one's own life, while suicidal ideation involves planning or thinking about suicide. These thoughts can be common and sometimes overwhelming, but they are not uncommon. According to a 2017 study by the Substance Abuse and Mental Health Services Administration (SAMHSA), nearly 5% of American adults reported having suicidal thoughts[1].
There are two main types of suicidal ideation: passive and active. Passive suicidal ideation involves having a desire to die, but without a specific plan, while active suicidal ideation involves planning ways to end one's life. Both types of thoughts should be taken seriously, as they might indicate a serious mental health issue[2].
In the United States, suicide rates have been rising in over half of the states since 1999. Suicide is the 10th leading cause of death and the second leading cause among young people aged 10 to 34. In 2017, the number of suicides was double the number of homicides[2].
There are several warning signs to watch for in someone experiencing suicidal ideation, including withdrawing from loved ones, talking frequently about death or suicide, engaging in risky behaviors, procuring items that could be used for suicide, extreme mood swings, and expressing regret[2].
Several factors can contribute to suicidal thoughts, such as chronic pain, divorce or breakups, depression, financial problems, job loss, loneliness, grief, and any form of trauma or loss[3].
If you're experiencing suicidal thoughts but not in an immediate crisis, your doctor may suggest treatment options such as therapy, medication, or lifestyle changes like maintaining a healthy diet and maximizing exercise[4]. In case you're at high risk, you may enter an inpatient treatment facility for close monitoring and therapy[4].
Identifying triggers and avoiding them can be helpful in coping after experiencing suicidal ideation[4]. Cutting down on triggers may involve attending substance abuse programs or ending toxic relationships[4]. Remember that feelings aren't always reality, and by seeking help through therapy, most negative thoughts can be overcome[4].
Building a supportive community can be essential in preventing suicidal thoughts. Reach out to loved ones and consider joining volunteer organizations or community groups[4]. Try to continue with fulfilling activities as much as possible, and take time to rest and relax[4].
If a loved one is experiencing suicidal ideation, be aware of the signs, offer emotional support, and help them connect with mental health resources or local support groups[5]. Maintain a connection with them, help them create a crisis plan, and follow up regularly[5]. If you're unsure of the steps to take, call the 988 Suicide & Crisis Lifeline for guidance[5].
For more resources, text HOME to 741741 to connect with a crisis counselor at the Crisis Text Line. For military veterans, active service members, or concerned loved ones, call 800-273-8255 and press 1, or send a text to 838255[4]. LGBTQ+ youth can contact The Trevor Project by calling 866-488-7386 or using TrevorText by texting START to 678-678[4].
According to the National Center for Health Statistics and the Centers for Disease Control and Prevention, suicide rates are increasing among many demographics, particularly young adults aged 18-25[6]. While there isn't easily accessible comprehensive data for older age groups, details from the National Survey on Drug Use and Health (NSDUH) can provide a more detailed breakdown across various age groups[1].
[1] Substance Abuse and Mental Health Services Administration. (2014). Key substance use and mental health indicators in the United States: Results from the 2013 National Survey on Drug Use and Health.[2] Substance Abuse and Mental Health Services Administration. (n.d.). Suicide.[3] Substance Abuse and Mental Health Services Administration. (2017). National Survey on Drug Use and Health.[4] National Institute of Mental Health. (n.d.). Suicide.[5] National Suicide Prevention Lifeline. (n.d.). Our strategy for suicide prevention.[6] Updated 7/13/2020 by the National Center for Health Statistics and the Centers for Disease Control and Prevention. (2020). Mortality in the United States, 2019.
A licensed therapist can help individuals cope with active or passive suicidal ideation as part of their mental health treatment, which might also include medication, therapy sessions, or lifestyle changes. Science has shown that chronic pain, depression, financial problems, and other factors can contribute to suicidal thoughts. To prevent suicidal ideation, maintaining a supportive community, avoiding triggers, and engaging in fulfilling activities can be beneficial, while seeking help through mental health resources like the 988 Suicide & Crisis Lifeline or The Trevor Project can provide emotional support and guidance.
