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Depression How do people overcome survival instinct to kill themselves?

Severe clinical depression causes the survival instinct to break down. This illness is responsible for around 50% of all suicides, I'm not referring to feeling low, I'm talking about the illness that causes anhedonia, psychomotor retardation, avolition etc.

The rest of suicide cases mostly involve disinhibition due to alcohol or a similar drug.
 
AlsoTapered said:
Interesting idea. In the 1960s a psychiatrist used Diconal as a DLR for a patient with refractive depression. 6 months on, the patient committed suicide by taking a lot a once.

Now, I presume the psychiatrist was smart enough to only prescribe a few at a time so the patient never got hold of too many. But the patient had stopped using them and was stockpiling them.

Result - psychiatrist charged with murder which was dropped to manslaughter as well ae being struck off (obviously).

I suspect that this case has ensured that doctors will not use opioids to treat depression. ALL opioids will kill in sufficient doses.
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Tricyclic antidepressants are much more deadly but there is no limit on them.
 
Man67 said:
Tricyclic antidepressants are much more deadly but there is no limit on them.
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In the UK you can only get a 28 day supply. Yes, you could save them up and indeed suicidal people have done so... but paracetamol is still the most commonly used pill for 'throwing a seven'.
 
You often do it in a sudden moment of (what you perceive at the time to be) strength/bravery and then immediately regret it and panic. Like people who have hanged themselves often have cuticle lacerations on their neck from trying to claw at the rope or people who slit their wrists are often found lying on the floor where they have panicked at the last minute* and tried to drag themselves to the phone to call her help

*or from pain. Despite what people think, it actually takes on average 2-4 HOURS to exsanguinate after slitting your wrists (depending how well your lacerated the arteries) and as you bleed out your brain - as your blood pressure drops - begins to dehydrate first, causing excruciating headaches.
^adding the graphic detail (which is all true btw) hoping it will deter people from attempting suicide this way
 
AlsoTapered said:
In the UK you can only get a 28 day supply. Yes, you could save them up and indeed suicidal people have done so... but paracetamol is still the most commonly used pill for 'throwing a seven'.
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I've never heard "throwing a seven" before. Why is it called that?
Once in the pharmacy I saw a man trying to buy like 6 boxes of paracetamol and the person serving him called them pharmacist over and they not only (for obvious reasons) refused to sell him more than one box, but they kept questioning him about why he was buying so many. The guy was really red and looked SO distressed, I felt awful...wished there was something I could have said to him, but I figured adding my attention to the situation would just make him feel even more awkward.

I only get a 14 day supply of mine (Trazodone) due to a history of...attempts. The thing is, though, I'm actually prescribed it for sleep and only take when I REALLY need to so I have a cache of like 200 of them.
 
doctors are usually VERY careful if a patient is depressed.

Reading the OPs story, people have suggested practical methods of solving the cause if the negative emotions. I'm 52 and have lost too many people. Life ends soon enough - make the most of what you have.

No, trazadone isn't related to the tricyclics.

There are ways, but I'm not about to post them.

You know, I think some of those dubious 'right to dignity' advocates get a kick out of controlling someone else's future. Kenneth Law is an example.

I'm 52, I'm seriously disabled and suffer serious mental health issues - how long HAVE I got? But I keep going because in every single case of my feeling AWFUL, things always get better sooner or later.

If you top yourself, you WILL miss out on good times.
 
AlsoTapered said:
doctors are usually VERY careful if a patient is depressed.

Reading the OPs story, people have suggested practical methods of solving the cause if the negative emotions. I'm 52 and have lost too many people. Life ends soon enough - make the most of what you have.

No, trazadone isn't related to the tricyclics.

There are ways, but I'm not about to post them.

You know, I think some of those dubious 'right to dignity' advocates get a kick out of controlling someone else's future. Kenneth Law is an example.

I'm 52, I'm seriously disabled and suffer serious mental health issues - how long HAVE I got? But I keep going because in every single case of my feeling AWFUL, things always get better sooner or later.

If you top yourself, you WILL miss out on good times.
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I wasn't sure about Trazodone as the name "tetra-cyclic" makes it SOUND vaguely related but I know it's also known as an atypical antidepressant because it's sort of a group of it's own (possibly along with Nefazodone?)

I know how you feel. I'm only 32, but I'm also physically disabled and have severe chronic pain and severe mental health issues. I've been suicidal off and on since I was like 9 (first serious attempt to take my own life was at 11) but on good days I'm already grateful for every day at my age as every specialist told me I'd never make it to 30 (based on both the severity of so many mental health crises and the amount of alcohol and pills I was taking)...so at 32 I guess I'm doing okay, even if I have serious problems with my pancreas*, liver, stomach, kidneys and lungs.

*my pancreas actually currently functions at less than 1% meaning 2 years ago I suddenly became a type 1 diabetic.
 
someone who u cannot see whisper in their ears"Do it man!"Why to suffer?""Finish with this life".Man must answer to the question-Why I must suffer and where this sufferings came from and what it brings to me?.......Than he can decide......but what really is in the heads of the people shortly before they made last step-I really don't know.....and I don't want to know.....It's a sad,sad story
 
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ChemicallyEnhanced said:
Would Trazodone (technically a tetracyclic) be as deadly? Considering it is rarely prescribed due to how strong of a sedative effect it has
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No. I have tried to OD using a shit tonne of trazodone and a cocktail of other substances at my disposal, TWICE. Both times I just came to, about 30-38 hours later, with a raging headache. One of those times I woke up in hospital, I don't remember getting there.

So no, trazodone won't kill you. I tried, HARD. I stopped trying after that lol.
 
not sure if you’re active on SS but on there there’s a lot of discussion that basically always culminates to “you can’t.” your body is gonna fight for you even if ‘you’ don’t want it to.

this is completely unsolicited and probably patronizing to hear, I totally understand if you don’t wanna hear it cause I’ve been there before (and currently am) but when pain gets me down and more or less leaves me catatonic I’ve sort of learned that I can, crawl out of it in a way, if I know I have a purpose that’s less vague as “live pain free.” something specific that I know requires work and effort that I just have to push through to eventually accomplish. Not saying it’s not hard to get to that point since it physical pain is fatiguing, uncomfortable and just, fucking painful lol, but a tangible distraction and routine to satisfy it is usually recommended
 
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