On suicide, part II

Around 10.000 people commit suicide in Germany every year. That is roughly 30 each day. 30 EACH DAY! And every suicide leaves a family and friends behind that grieve. They probably cannot understand why their loved one had to go so soon and they are grief-stricken by the circumstances of his or her death.

The number of suicide attempts are assumed to occur 10 to 15 times as often. The actual number is unknown because not all suicide attempts are identified as such by helpers, relatives, and therapists. Just like your suicide attempts before December 2013 never became a topic between us. But every suicide attempt, once revealed, is shocking, for the patient and his or her relatives.

I can’t even begin to describe how relieved I am that you survived each attempt so far. But still I often ask myself “What if…?” Why did you even had to get so close to actually trying to die? I immediately start to cry whenever I think of how different my life would be today, had you actually succeded. I would be a widow, of only 32 years. I don’t even have the slightest idea of how to deal with funeral homes, authorities, and such. Your suicide would have taught me. I’m not sure if or how I could manage to go back to my life as it was. Would I have a break-down? How long would it take me to laugh again? What would I do with your side of the bed? Your clothes? Would I ever be able to watch a TV show, a movie or listen to music that we both like without starting to cry? Would I be able to go to the same bars or restaurants or streetfests where we used to go together? Would I ever dare to be happy again? Would I ever have a repationship again, when the past eight years with you were so happy that I could not imagine any reason for them to ever be over? And would there be a note explaining your decision to die? Would I understand your decision? Would it be clear to me that it was suicide or would there be the possibility that it was an accident? What cause of death would be easier to handle by those you left behind?

Of course I don’t know how it feels to lose a beloved husband, a person that I trust and who I’m so used to have around, who makes my days so much brighter. But these questions do make me grieve, although you are still alive. I can usually pull myself out of it. Most times I can tell myself that we are almost over this difficult part of your illness, that you are safe. But on some days, like today, all those questions haunt me.

Today

After being in shock for two days we both finally felt better. I visited you and we talked, talked, talked. It was good to see you! We remembered happy days. Very happy days, like a vacation trip two years ago. When you say you want to be that happy again, I know you can do it. You want to keep fighting!

You also had a chance to see a doctor today. Apparently, your suicidal thoughts didn’t go from 0 to 100 within minutes. Your worries about adjusting to life outside the clinic may have piled up over the last weeks and resulted in a suicide attempt as soon as something must have triggered it. This is good news. In a way. This means you can work on identifying the warning signs and react to them. Just another step towards recovery. It’s not a small step. But it can be done.

On suicide, part I

You learn quite some crazy stuff when you have a depressive husband. Stuff that you never even wanted to learn. For example, the three phases of suicidal tendencies: (1) consideration, (2) assessing, and (3) the decision to actually do it.

This week I learned that the husband can go straight to phase 3, the decision. With no time to assess or use any of the other strategies he learned during therapy to prevent his suicide. In the last minute he snapped out and called for help. This is why he is back at that clinic. After just being released. After months of hard work to learn how to deal with his depression and the constant voice in his head telling him he and his life are worthless.

I was traveling when it happened. But it wouldn’t have mattered if I was there. The morning he told me about the attempt, he also told me that he almost did it again while I was still sleeping in the other room. We cried, we talked a lot about it, and we called the clinic and told them he needs to come back. Then we had breakfast. We took extra long time for it, talked about the past week, laughed together. Some normality, before life in the clinic and frequent hospital visits started again.