22
" There are people who fantasize about suicide, and paradoxically, these fantasies can be soothing because they usually involve either fantasizing about others' reactions to one's suicide or imagining how death would be a relief from life's travails. In both cases, an aspect of the fantasy is to exert control, either over others' views or toward life's difficulties. The writer A. Alvarez stated, " There people ... for whom the mere idea of suicide is enough; they can continue to function efficiently and even happily provided they know they have their own, specially chosen means of escape always ready..." In her riveting 2008 memoir of bipolar disorder, Manic, Terri Cheney opened the book by stating, " People... don't understand that when you're seriously depressed, suicidal ideation can be the only thing that keeps you alive. Just knowing there's an out--even if it's bloody, even if it's permanent--makes the pain bearable for one more day." This strategy appears to be effective for some people, but only for a while. Over longer periods, fantasizing about death leaves people more depressed and thus at higher risk for suicide, as Eddie Selby, Mike Amestis, and I recently showed in a study on violent daydreaming. A strategy geared toward increased feelings of self-control (fantasizing about the effects of one's suicide) " works" momentarily, but ultimately backfires by undermining feelings of genuine self-control in the long run. "
25
" I think it would be best if, when you’re having suicidal thoughts of stabbing yourself, that you try to think of rainbows instead.”
“Rainbows?” Ann said hugging a pillow.
“Yeah,” Lisa said, standing back to look at her wall art. “Ya know—happy, bright, refreshing, the calm after the storm, God’s gift to the earth.”
“Or the aliens’ gift,” Ann added.
“Course,” Lisa agreed. “Can’t rule that out. "
― Sage Steadman , Ann, Not Annie
29
" The issues of antidepressant-associated suicide has become front-page news, the result of an analysis suggesting a link between medication use and suicidal ideation among children, adolescents, a link between medication use and suicidal ideation among children, adolescents, and adults up to age 24 in short term (4 to 16 weeks), placebo-controlled trials of nine newer antidepressant drugs. The data from trials involving more than 4.4(K) patients suggested that the average risk of suicidal thinking or behavior (suicidality) during the first few months of treatment in those receiving antidepressants was 4 percent, twice the placebo risk of 2 percent. No suicides occured in these trials. The analysis also showed no increase in suicide risk among the 25 to 65 age group. Antidepressants reduced suicidality among those over age 65. Following public hearings on the subject, in October 2004, the FDA requested the addition of “black box” warnings—the most serious warning placed on the labeling of a prescription medication—to all antidepressant drugs, old and new. "
― , Kaplan & Sadock's Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry
30
" I hated being around people, couldn’t pay attention to what anyone was saying, couldn’t talk to clients, couldn’t tag my pieces, couldn’t ride the subway, human activity seemed pointless, incomprehensible, some blackly swarming ant hill in the wilderness, there was not a squeak of light anywhere I looked, the antidepressants I’d been dutifully swallowing for eight weeks hadn’t helped a bit, nor had the ones before that (but then, I’d tried them all; apparently I was among the twenty unfortunates who didn’t get the daisy fields and the butterflies but the Sever Headaches and the Suicidal Thoughts); and though the darkness sometimes lifted just enough so I could construe my surroundings, familiar shapes solidifying the bedroom furniture at dawn, my relief was never more than temporary because somehow the full morning never came, things always went black before I could orient myself and there I was again with ink poured in my eyes, guttering around in the dark. "
― Donna Tartt , The Goldfinch