The first six reasons come from a book.
The Six Reasons People Attempt Suicide from Happiness in this World by Alex Lickerman M.D.
1. They're depressed. This is the most common reason. The person says, "Everyone would be better off without me."
2. They're psychotic. They hear malevolent voices from within.
3. They're impulsive. Often drug and alcohol abuse lead to a snap decision.
4. They're crying out for help. The person is waving a flag, an alert to their anguish.
5. They have a philosophical reason to die. It's based on a "reasoned" decision- an attempt to take control of destiny.
6. Games gone too far. Often starts out as a fun game- risky, often sex-based. Asphyxiation is one type.
That all sounds pretty reasonable, and clearly it's been well-researched. However, permit me to add Reason Number 7, and Reason Number 8.
Reason Number 7.
Another reason people arrive as Suicide's Door is due to Antidepressant Zombieosis (I made that term up) where the patient on an antidepressant is left with all emotions stripped away, flat-lined, zombie-like. The patient becomes a vacant shell, a hollow man, form without content aimlessly shuffling off to nowhere. The thought of suicide arrives not on the frothy wave of emotion, but rather on the bleak granite slab of nothingness.
Reason Number 8.
Another journey that transports us to Suicide's Door is Withdrawal or Discontinuation from Antidepressants. It's important to note that it isn't necessarily depression and anxiety that gets us started on antidepressants- many patients are prescribed drugs like Cymbalta for pain, and these folks often end up standing incredulous at that door too!
We are misled by the propaganda that tells us withdrawal only takes two weeks- no problem. This misinformation is handed out to physicians on a pamphlet with a 100-dollar bill taped to the backside. The physician is happy (and even happier when solicited to present a seminar or write up a "study" for more cash). Likewise the media is compelled to bury the truth about antidepressant withdrawal as long as BigPharma is one of their sponsors: Dr. Phil is sponsored by Pfizer, so you won't hear anything negative about SSRIs on his show.
We are blindsided by hidden information. Perhaps it shouldn't be surprising that physicians often mumble as we're leaving the office, "You could be on these for the rest of your life . . .". The doctor often senses there's an anomaly present, but it's elusive.
We begin our withdrawal in earnest, enthusiastically! (Two weeks- I can handle that!) But soon we feel like something's wrong: "I should be over this by now! These symptoms must mean I've contracted some disease!" 4 weeks, 6 weeks, 8 weeks, 2 months, 3 months, 4 months- Nausea, vertigo, muscle pain, joint pain, headaches, tinnitus, sex life ended, cognitive impairment, loss of sense of smell, anxiety and panic, more depression, memory gaps and so on. It's deep deep water!
It takes months, not weeks; you have to be patient.
Understandably, the patient often ends up on another antidepressant because the physician is convinced this is a NEW condition altogether- especially if the drug had been prescribed for pain: The physician now sees depression, anxiety, chronic fatigue, sleep disorders, or fibromyalgia! Remember, there's nothing in the literature about this- in fact we are the pioneers, we are writing the history. It's really not surprising the patient finds himself or herself standing at Suicide's Door.
And it's during withdrawal and discontinuation that we encounter profound rage: mass murders have occurred during discontinuation from antidepressants, and the suicide often follows.
This is what it feels like to be set-up, to be deceived.
But now you know, so don't do nuthin' dumb!