“What in the world do you have to be depressed about?”
“Did something happen to make you sad?”
“Just snap out of it.”
Susan* has heard all of these statements her entire life from friends and family as she battled clinical depression.
“Growing up I was a very shy person in a family of extroverts,” says Susan. “My siblings all love being social and funny. I’m the one who just wants to stay home and read. Throughout my childhood I was very moody.”
It wasn’t until law school when she was waking up in the middle of the night with her jaw clenched that she decided to talk with a counselor. During her first session, the counselor asked, “At what point in your life did you determine it was your job to be the savior to everyone?”
“It was at that moment that it hit me,” Susan recalls. “Up to that point, I was the person everybody came to with their problems. I learned I needed some serious boundaries in order to stop letting people walk all over me. I also learned I was clinically depressed.”
Susan knew she had much to be thankful for, but that didn’t stop her from feeling horrible on a daily basis.
“Living with depression is like this fog that minimizes joys and magnifies hurts and criticism,” Susan shares. “People who don’t have depression see the world in color. People with depression see the world in black and white. I have dealt with suicidal thoughts for 20 years.”
Susan recalled a time three months before her wedding. She was driving home from work, planning her suicide in her mind. She wanted the pain to be over. Clearly, she did not follow through with her plan. Susan’s fiance was out of town on business, and she could not think of one other person who would know what to do. She got the help she needed to get through that moment, but every day is still a battle.
“In listening to people talk about the suicides of Kate Spade and Anthony Bourdain, I think people don’t understand that when you suffer from depression, it’s like every day on this earth is a living hell,” Susan says. “My depression is so severe, it often interferes with my ability to function. For me, and I think many others dealing with depression, the thought of not having to deal with the pain anymore is very appealing.”
When asked what people say as they try to help, Susan shared that it isn’t helpful to tell a depressed person to just snap out of it, pop a pill or ask if they had a fight with their spouse.
“It is helpful to ask, ‘What can I do?’ or to send a text to check in or call and ask how things are going,” Susan says. “Both my husband and I suffer from depression. He knows that when I am having a hard time, the best thing he can do is give me space and let me be quiet. I know that when he is struggling, the thing that helps him most is to get out and do something.”
Talking to a friend or family member about their suicidal thoughts and feelings can feel awkward. But if you're unsure whether someone is suicidal, the best way to find out is to ask. You can't make a person suicidal by showing that you care. Giving a suicidal person the opportunity to express his or her feelings, however, can provide relief from loneliness and pent-up negative feelings, and may prevent a suicide attempt.
If you want to be helpful to a person who you believe may be having suicidal thoughts, here are some things you should do:
Be yourself. Let the person know you care and that he/she is not alone. The right words are often unimportant. If you are concerned, your voice and manner will show it.
Listen. Let the suicidal person unload despair or vent anger. No matter how negative the conversation seems, its existence is a positive sign.
Be sympathetic, non-judgmental, patient, calm and accepting. Your friend or family member is doing the right thing by talking about his/her feelings.
Offer hope. Reassure the person that help is available and that the suicidal feelings are temporary. Let the person know that his or her life is important to you.
Take the person seriously. If the person says things like, “I’m so depressed, I can’t go on,” ask: “Are you having thoughts of suicide?” You are not putting ideas in their head, you are showing that you are concerned, that you take them seriously, and that it’s OK for them to share their pain with you.
Ask them how you can be helpful. They may not be able to immediately answer this question, but asking it encourages them to think about it.
Here are some things you should not do. DO NOT:
Argue with the suicidal person. Avoid saying things like: "You have so much to live for," "Your suicide will hurt your family," or “Look on the bright side.”
Act shocked, lecture on the value of life or say that suicide is wrong.
Promise confidentiality. Refuse to be sworn to secrecy. A life is at stake and you may need to speak to a mental health professional in order to keep the suicidal person safe. If you promise to keep your discussions secret, you may have to break your word.
Offer ways to fix their problems, give advice, or make them feel like they have to justify their suicidal feelings. It is not about how bad the problem is, but how badly it’s hurting your friend or loved one.
Blame yourself. You can’t “fix” someone’s depression. Your loved one’s happiness, or lack thereof, is not your responsibility.
If you or someone you know is struggling with suicidal thoughts, there are a number of websites and organizations with excellent resources for you. HelpGuide is a great place to start, along with the American Foundation for Suicide Prevention at 1-800-273-TALK (8255).