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Coping with Depression and Suicidal Thoughts

Aug 13, 2014
By Kristen Scarlett

Depression is one of the most common mental disorders in the US. Here’s what you need to know about understanding this disease, both in others and in yourself.

The Facts About Depression

Fatigue, weight fluctuations, sleeplessness, and lack of focus are some of the common symptoms of severe depression. And while there’s no set delineation, there are some different trends between how depression manifests in men versus women. Women are more often treated for depression than men because men’s symptoms can be more difficult to recognize. Men may go longer without being diagnosed or treated because they are more likely to view their depression as weakness or failure and attempt to numb their feelings with distractions such as watching TV, working excessively, or engaging in risky behaviors such as abusing alcohol and/or drugs, engaging in unsafe sex, pursuing dangerous sports, or driving recklessly. While some women engage in risky behavior to cope with depression, they tend more toward ruminating or negative self talk patterns that further increase their depressive symptoms.

Dealing with depression can make someone feel hopeless. According to the American Foundation of Suicide Prevention, those with a history of depression, bipolar disorder, family history of suicide, and substance dependence are at a higher risk of attempting suicide. Environmental risk factors include overwhelming situations, such as losing a loved one, unemployment, or financial problems. When suicidal thoughts surface they are almost always temporary—they are generally triggered by problems that can be treated.

According to the National Institute for Mental Health, more than 90 percent of people who commit suicide have previously struggled with substance abuse and/or mental health issues including depression, while 50 to 75 percent tell someone about their intention to commit suicide.

Recognizing Suicidal Thoughts in Others

Below are possible signs that a friend or family member is experiencing suicidal thoughts:

  • A pattern of substance abuse issues.
  • Signs of depression: Sleep changes, weight changes, apathy, loss of interest in activities, withdrawal from friends and family, irritability, or sadness.
  • Expressions of hopelessness: “Things will never get better,” “What’s the point?”
  • Getting affairs in order: Creating a will, giving away person property, and settling personal conflicts.
  • Sudden calmness and acceptance.

Helping Someone Who is Depressed or Suicidal

The good news is 80 percent of people who seek help for depression are treated successfully. If you suspect a loved one is experiencing suicidal thoughts, the best thing to do is confront them and offer hope and support.

  • Help them get immediate professional help—call one of the helplines below for guidance.
  • Provide a safety plan to avoid alcohol and drugs, identify and help avoid triggers, and provide contact numbers.
  • Continue to be supportive and make yourself available to them.

Dealing with Your Suicidal Thoughts

When suicide feels like the only option, ask for help. Others can help with options, support, and perspective.

  • Reach out. You don’t need to be embarrassed or alone. Call a friend, family member, or even 911 for help.
  • Check yourself into an emergency room.
  • Call your local crisis hotline or the National Suicide Hotline.
  • Avoid drugs and alcohol.

Important Resources

National Suicide Prevention Lifeline – Suicide prevention telephone hotline funded by the U.S. government. Provides free, 24-hour assistance. 1-800-273-TALK (8255).

National Hopeline Network – Toll-free telephone number offering 24-hour suicide crisis support. 1-800-SUICIDE (784-2433).

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Kristen Scarlett

As a mental health counselor, Kristen enjoys getting to know her patients deeply, encouraging their growth and helping them develop the insight needed to overcome obstacles and achieve their goals. She primarily utilizes cognitive behavioral therapy in her practice, listening to her patients and then providing feedback focused on constructing solutions for everything from relationship issues to anxiety disorders. After earning her master's in counseling psychology from College of St. Elizabeth, Kristen developed her skills providing individual and family therapy in both the private practice and hospital settings. She spent several years as an oncology counselor and also managed her own private practice. She is a Licensed Mental Health Counselor and is certified through the NBCC.

The One Medical blog is published by One Medical, a national, modern primary care practice pairing 24/7 virtual care services with inviting and convenient in-person care at over 100 locations across the U.S. One Medical is on a mission to transform health care for all through a human-centered, technology-powered approach to caring for people at every stage of life.

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