Sometimes the Meds Work
Suicide


Depression, if it's serious, is usually accompanied by thoughts of suicide. So much so that I figure that if suicide hasn't crossed your mind, you're not seriously depressed yet.

The depression I fell into after my first manic episode was unlike anything I had ever experienced before it. I remember thinking, in the morning, that had there been a gun on my night stand, I would have chosen to shoot myself in the head rather than get out of bed. My response to that was to make sure there weren't any guns around.

A key thing to consider during a depression is whether you have serious reasons to be depressed. If not, the problem is probably chemical and antidepressants might help.

I read a biography of Ernest Hemingway, and he got depressed late in his life. Apparently, he had no rational reason at all to be depressed -- he was spending a lot of his time going on hunting and fishing trips with famous celebrities, which is what he wanted to do. He just got depressed for no reason, meaning that his problem was probably mostly or entirely chemical. Since he was massively into hunting, he had guns in the basement, so at some point, on a whim, he went into the basement and shot himself in the head.

One thing that is recommended if you're depressed and feeling suicidal is to go to support groups and talk about how depressed you are, especially if it's one of the first times you've been depressed. Depressed people often have trouble believing that they'll ever get better, and everybody else in the room will have had the experience of having gotten depressed and eventually recovered. They will have a lot of confidence that you will get better.


The closest that I ever came to suicide was when I tried the mood stabilizer Topamax. The drug hadn't been around for very long, so it was not yet well known that it radically reduces intelligence. Suspecting that I was dumber than I had been before, I bought a bunch of "test your own IQ" books on Amazon, and concluded that my IQ, which was normally very high, had been reduced to being basically too dumb to handle any desk job. I had experienced an accidental lithium overdose 6 months before, so I thought the problem was irreversible brain damage from the lithium overdose.

I discussed with my shrink the fact that I was devastated that my IQ was so low, but he totally failed to grasp the significance of it. He didn't put much stock in IQ tests, while I did. While I feel that one's score on an IQ test has very strong implications for one's career prospects, apparently he didn't. He totally failed to grasp how seriously I was taking the situation.

I'd been an intellectual all my life, and to a large extent, the few friends I had remaining were based on that. My career had always been computer work, which was now out of the question. I couldn't see having that much to live for.

I wasn't depressed. I'd been depressed before and knew how to recognize it. I just felt that I had valid reasons to not go on living any more.

I didn't discuss being suicidal with my shrink. I seriously wanted to keep open the option of killing myself, and he would just try to talk me out of it, and he might have locked me up, which would have just made things worse. There was no way he'd tell me that killing myself was the right idea.

I went to suicide chat rooms on the Internet and talked about it with people there. I made my case for why I wanted to kill myself and nobody there came up with a reason not to. The people you meet in suicide chat rooms are a pretty strange bunch.

I wrote a suicide note, in Microsoft Word. I wrote another one specifically about my shrink and how my killing myself wasn't his fault. I still have those on my computer.


Suicide Hotlines

NAMI (the National Alliance on Mental Illness) has a toll-free national suicide hotline at 800-950-6264. But that's just one of many available. Wikipedia has a huge list of suicide hotlines all over the world, including about a dozen in the US. If you call one and they seem unhelpful, you can just go on to try the next one on the list.

When I was really suicidal, I feared that talking about it with my shrink could have gotten me locked up, but I think I made a big mistake not discussing my situation with a suicide hotline. Even though they would have just tried to talk me out of it, that doesn't mean they wouldn't have come up with perfectly valid arguments. Your cell phone has GPS in it, so they'll know where you are and maybe send the cops to grab you and lock you up, but they definitely won't do that unless you tell them that you've settled on a definite plan of how you're going to do it.

I knew a bipolar woman from a support group who would call the local suicide hotline every day before she went to work. She came from a very accomplished, high-achieving family, and had failed out of college due to her bipolar illness and was generally considered the failure of the family, and the pressure from them was hard for her to bear. The people on the hotline knew her very well, they were on a first-name basis.


Thinking back on it, wanting to kill myself because I was much less intelligent than before was really stupid. Lots of people have low IQ's and have reasonably meaningful lives.

I could have gone and been a lumberjack -- years later, there was a TV show, "Axe Men", about lumberjacks. Work outside, pretty exciting work -- exciting enough that they made a TV show about it. It's dangerous, but that's not a big deterrent to someone who's suicidal. My great-grandfather was a lumberjack.

Not being an intellectual any more would mean that I would mostly have to find new friends to hang out with, but that's not the end of the world. I hardly had any friends at the time, so starting over from scratch wouldn't have been a big loss anyway.


The Mormon Church made a bunch of videos about the lives of individual Mormons. Each video is about 5 minutes long. They don't discuss their religion a lot, the purpose of the videos is to say "We're reasonable people, and we have decent lives, don't hate us." They're interesting videos, because they discuss people having adapted to a wide range of challenges. Here's one about a guy who got hit by a car and his head cracked open when he was 4 years old, leaving him with lifelong learning disabilities:

Even though this guy isn't terribly book-smart, he's made an enviable, heroic life for himself. He's able to support himself, he's got a cute wife, he's got kids, and he's doing worthwhile charity work.


Eventually I got some cyanide. I felt better knowing that I was equipped to kill myself if I wanted to, but I wasn't in enough short-term pain to do the deed.

Right around that time I switched from Topamax to other meds, and my IQ went back up. So that removed most of the motivation to do it. I still thought about suicide every day as a distant thought. My life by that point was really mediocre but far from horrible, I really didn't have much justification for wanting to kill myself, but I'd just gotten into a bad habit of fixating on the idea.

Eventually things got a bit better and I decided that if I wanted to participate in society, and have people trust me enough to be straight with me, I owed it to them not to keep death at my fingertips like that.

I got rid of the cyanide as a New Year's resolution.


My life is now so much better that a serious thought of suicide hasn't so much as crossed my mind for about a decade and a half.


Some cops are ready to talk people out of suicide. Once, I had a roommate who had crazy theories about the stock market and lost everything that way while unemployed. He went to the bank to make a withdrawal and the teller told him he had no money in his account. He said "OK, then I'm going to kill myself." and left the bank. The teller knew who he was by this point so she called the cops. The cops came to our apartment and had a conversation with him about it.

At the time, I had cyanide in my own bedroom. I had no idea how I could talk anybody else out of it. This cop somehow had a world view where he felt qualified to talk to anybody, in any situation, and somehow offer constructive advice to discourage them from killing themselves.

(I don't know the specifics of the conversation the cops had with my roommate because they went out to the driveway and talked there where I couldn't hear.)


The Note.

I can't convince you to never, ever commit suicide no matter what. But I do feel that if you do commit suicide, you owe it to everybody else to leave a note explaining why.

In 1990 I attempted suicide based on a crazy manic conversation with the almighty. I didn't leave a note. If I had died, it would have been a big burden on all my friends, leaving them wondering if they were personally responsible. If I had somehow composed a note, it would have been pretty clear that I was out of my mind and the action was no fault of theirs.

Part of the reason I didn't leave a note was that my thoughts weren't really coherent enough to compose one. In fairness, I think the fact that I wasn't competent to write a note was a pretty compelling argument that I wasn't competent to decide to end my life.


Collateral Damage

Some people try to kill themselves in their car.

In the documentary The Insurrectionist Next Door they tell the story of a 21-year-old girl who went to the Jan 6th demonstration with her uncle, who was a Proud Boy. She had been cooped-up for a year in the pandemic and just saw the trip as a chance to get out of town. She wasn't particularly political really. But she got doxxed and was being prosecuted afterward, but she got canceled on social media in her hometown. A lot of her friends quit being her friends, and she was getting a lot of hate mail, so she got off social media altogether, which meant she lost touch with the people who still would've been her friends and was completely isolated in the pandemic, and got increasingly depressed and turned to alcohol.

Eventually she was drunk and drove the wrong way on the freeway. The movie doesn't say whether she was too drunk to know what she was doing or making a deliberate suicide attempt. She hit somebody head-on, killing them. She was unscathed. When she was interviewed in the movie, she was going to be prosecuted, and her manner and demeanor suggested someone who was just sad to be alive.

Another woman I met in a support group said that, when she was manic and driving a car, she heard a voice saying to just close her eyes and floor the accelerator, which she did. She hit somebody, killing two kids. She was uninjured, prosecuted, and sent to prison. The case was covered on the press and she was on TV, which the prisoners in prison saw before she got there, and they were the worst offenders, including killers, some of whom had life sentences, and they beat her up all the time to punish her for what she did.

We're having a lot of mass-shooters shoot a lot of people, usually a lot of innocent people, and I think most of them intend to eventually be killed or kill themselves, though some of them survive to face justice. Evidently they have grudges toward the whole world and want to get even with reality on their way out. Typically mass-shooters wind up killing as many or more friends than foes.

When I was in suicide chat rooms, I suggested to everybody that if we were to shoot ourselves in the head, we should do it lying down on the grass so the bullet, after going through the head, is buried in the ground, rather than doing it in an apartment with the possibility that the bullet would continue through the wall and hit somebody in the next apartment who was enjoying life. Several people totally disagreed with that, saying that they would like to line several people they were angry at in line to be hit by the bullet after them.

People committing suicide very, very frequently change their minds at the last minute. Lots of people who jump off the Golden Gate Bridge and survive say they changed their minds about dying while falling (then when they hit the water they break their spine and are paralyzed for life, and they still want to live). So if you choose to kill yourself in a way that winds up harming others, there is a very, very good chance that your attempt at death will fail, you'll change your mind about dying, and you'll survive to face justice. On top of that, there's no sure way to know what happens after you die, and most religions in the world predict that after death, you will be held accountable for your actions.

One theory I have is that when someone attempts suicide, the afterlife they wind up in is one where they survive to face punishment for their actions.



If I Had Died a Year Ago

An essay by Rachel Drane, who had been close to suicide about a year previously, describing the year she had after choosing to live. If I had died a year ago.


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