Rehab 4 Addiction

What’s the Definition of Suicidality?

Many people will experience suicidal feelings at some point in life.

It’s more common to feel suicidal after a traumatic life event, but suicidality can happen at any time.

Cognitive Approaches to Combatting Suicidality defines suicidality as ‘suicidal thoughts (or suicidal ideation), suicide plans and suicide attempts.’[1]

This is a broad term which encompasses both suicidal ideation as well as suicide attempts or suicide.

There are varying levels of suicidality, which are dependent on your:

  • Current level of intent – how serious you are about taking your life
  • Ideation – the severity of and how often you experience suicidal thoughts
  • Planning – whether you’ve made a plan or begun to act one out

If you are experiencing some level of suicidality, you’re not alone.

However, it’s important to know that it is possible to move past these feelings with the right support.

What is Suicidal Ideation?

Man stood in a dark space experiencing suicidal thoughts

Suicidal ideation is similar to suicidality, but ideation doesn’t include suicide attempts.[2]

There are two types of suicidal thoughts:

  1. Passive suicidal thoughts – you have no plans to harm yourself, but you have vague desire to die, such as wishing you were never born
  2. Active suicidal thoughts – you have intention to die by suicide, and you may begin to think about how you would do it

Active suicidal thoughts are more severe, but passive suicidal thoughts should still be taken seriously.

What is Suicide?

A person holding a candle

Suicide is the act of deliberately ending your own life.

Suicide and self-harm are not mental illnesses in themselves, but they are often experienced by people in mental distress.[3]

In 2013, The World Health Organisation (WHO) declared rising suicide rates a ‘global public health crisis’.[4]

The WHO advocate for the prevention of suicide across the world.

There are an increasing number of charities, organisations and resources available in the UK to help people tackle suicidal thoughts.

While suicide is more likely among those with a psychiatric illness, it can happen to anyone.

What are ‘Suicidal Tendencies’?

Suicidal tendencies are another word for suicidality, and include all of the symptoms above.

Suicidal tendencies can make life feel alienating and painful. You might be experiencing tiredness and overwhelm.

Suicide Stats

A crowd at a zebra crossing

Statistics from the Office for Health Improvement and Disparities show that suicide rates have gone up in 2024, with 13.9 deaths per 100,000 in January.

That’s a 25% increase compared with the previous month.[5]

Why Have Suicide Rates Risen across the UK?

Research by Samaritans found that low socio-economic status is the main cause of suicide across the nation.[6]

This shows us that money struggles are a very big reason for people feeling suicidal.

The UK has been through some economic turmoil in recent years, which may have impacted this rise.

What is Socioeconomic Turmoil?

Socio-economic problems aren’t just financial, they also include the wider problems faced by the working class.

These include:

  • Inadequate housing
  • Low educational attainment
  • Poor mental health
  • Unemployment
  • Fewer opportunities
  • Loneliness[7]

What Are Suicidal Feelings?

A woman looking worrried

Life is full of ups and downs, and many people will experience suicidal feelings at one point or another.

Sometimes suicidal feelings are simply abstract thoughts about not wanting to be here anymore.

Suicidal thoughts can look like:

  • Thinking about taking your own life
  • Feeling people would be better off without you
  • Making plans and considering methods of suicide

What Does Suicidality Feel Like?

A man looking out of a window

Suicidality can feel like:

  • Tearfulness and overwhelm
  • Negative thoughts
  • Hopelessness
  • Feeling physically or emotionally numb
  • Feeling there’s no other way out of what you’re experiencing
  • Not feeling wanted or not needed by others
  • Being fixated on the idea of death

What are Other Common Symptoms of Suicidality?

Suicidality can also manifest itself in other symptoms.

These include:

  • Self-harm or thoughts about self-harm
  • Poor hygiene or not caring about your appearance
  • Avoiding socialising or people
  • Insomnia, waking up too early, or disrupted sleep
  • Eating more or less, gaining or losing weight rapidly
  • Struggling to say how you feel
  • Poor self-esteem
  • Writing a will or giving away belongings

Why Do I Feel Suicidal?

A teenage girl with a blank expression

Suicidal feelings can happen to anyone, regardless of your age, background or gender.

Usually, people who develop suicidal feelings have felt hopeless or worthless in the past.

Suicidal feelings can be brought on by a particular event, or they can simply crop up out of nowhere.

Common Causes of Suicidality

Suicidality can happen at any time, but there are some life events and genetic dispositions that can make you more likely to experience them at some point in your life.

Common factors that increase the risk of suicide include:

  • Pregnancy, labour and being a new parent
  • Domestic, sexual or physical abuse
  • Grief
  • Bullying, prejudice or stigma
  • Experiencing a stressful or traumatic event
  • Mental health problems
  • Breaking up with a partner
  • Financial problems
  • Long-term illness or disability
  • A big life change, such as a moving house, retirement or redundancy
  • Addiction or substance abuse

These things can be emotionally difficult to process, or make you feel life is no longer worth living.

The Centres for Disease Control and Prevention report that having a history of previous suicide attempts are also a risk factor of feeling this way in the future.[8]

It’s important to continue treatment even after these feelings have passed, as your mood may go up and down.

When you contact Rehab 4 Addiction, a helpful team of non-judgemental people can offer you help and advice.

For more information about addiction and suicidality, simply reach out to our 24/7, confidential hotline on 0800 140 4690.

Can Medication Cause Suicidality?

Woman taking a pill painkiller

Medications which change your brain’s chemistry can cause hormonal changes.

Hormonal changes can be the cause of mental health problems, including suicidality.

Medications that can cause mental health issues include:

  • Antidepressants
  • Antipsychotic medications
  • Mood stabilisers[9]

Although these mental health medications can have adverse symptoms, it’s important to know that given the correct dosage, they can greatly improve how you feel.

If you’re concerned your psychiatric medication is changing the way you feel, consult with your GP. Often they will adjust your dosage.

Which Mental Health Disorders Coincide with Suicidality?

Two men having a serious conversation

Research has shown that psychiatric illnesses greatly increase your chances of suicidality.

The mental disorders most often linked to suicidality are:

Why is Substance Use Linked to Suicidality?

Woman leaning into her hands and looking tired

Studies tell us that more than 50% of people who take their own life are dependent on drugs or alcohol.

Researchers have found that the feeling of hopelessness in people with substance use disorders is one of the main causes of this link.

People experiencing addiction often have altered brain chemistry which can make being sober feel more negative.[11]

It’s important to know that it’s possible to recover from addiction, and go on to live a fulfilling life of sobriety.

When you contact Rehab 4 Addiction, a helpful team of non-judgemental people can offer you help and advice.

For more information about addiction and suicidality, simply reach out to our 24/7, confidential hotline on 0800 140 4690.

Should I Be Honest About Feeling Suicidal?

People drinking tea and talking about menopause and mental health

You should try to communicate with people who care about you.

Talking about how you feel has been proven to boost mental health.[12]

Making an appointment with a doctor will give you the chance to discuss how you’re doing. They’ll ask you a few questions about how you feel.

Be honest about your symptoms, as this will allow them to correctly prioritise your need for treatment.

The sooner you open up about what you’re going through, the sooner you can begin to heal.

How Do I Talk About How I’m Feeling?

One man with his hand on another's shoulder

It’s very normal to not want to tell people about feeling suicidal.

You might feel as though you’re:

  • Worried about them judging you
  • Incapable of telling someone
  • Unsure who to talk to
  • Apprehensive that they won’t understand

Try the following tips and tricks:

  • Choose the right time and place – When you’re ready to talk, find somewhere comfortable, quiet, and where you won’t be disturbed
  • Tell the person in advance – This lets the person know that you want to have a personal and private conversation. They can then prepare themselves to give you their full attention
  • Find your own way to express yourself – If face-to-face conversations feel too uncomfortable, try a video or phone call, write your feelings down in a letter, email, or online chat
  • Keep a journal – This will allow you to understand your feelings, and explain them to others
  • Practise what you want to say – Think about how much do you want to share and the key things you feel are important[13]

How Long Will Suicidal Feelings Last?

Man reading in bed

Suicidal feelings can come and go quickly, or they can stick with you for a long time.

When you’re feeling negative, it’s common to think you’ll never be happy again.

It’s important to know that this feeling of hopelessness is just a symptom of your mental health, and that it is very possible to feel better.

How long you feel this way depends on your circumstances, but there are a few things you can do which will help you to feel more positive.

It is very possible to recover with time and treatment. Many people go on to leave suicidal feelings behind, and go on to live fulfilling lives.

How Can You Tell if Someone is Suicidal?

Muslim women in headscarves talking

You may notice this person is:

  • Being reactive – angry, aggressive or tearful
  • Lethargic
  • Not answering messages, talking much or wanting to meet up
  • Losing interest in things they used to like
  • Using defeatist, hopeless language
  • Showing self-destructive or risky behaviours like gambling[14]

If you think someone might be struggling, try asking questions, and don’t assume how they’re feeling.

How Do I Get Better?

Man in therapy with a female therapist

Many people feel driven to suicidal thoughts because they feel they’ll never get better.

With the right support, it is possible to get through this and begin to enjoy a fulfilling life.

Emergency Help for Suicidality

Ambulance

If you or someone has harmed themselves and needs emergency care, call an ambulance to the address.

Samaritans

Website: https://www.samaritans.org/wales/how-we-can-help/if-youre-worried-about-someone-else/if-you-think-its-emergency/

Crisis hotline: 116-123

Text: SHOUT to 85258

How Do I Support a Loved One with Suicidal Ideation?

An older man smiling

It can be hard to know what to do when someone you care about is struggling with their mental health.

Show support and willingness to listen by bringing up the topic of mental health.

If the person is willing to talk to you about how they’re feeling, you could see if they’d like any more support.

You could offer to:

  • Do a favour, like childcare, a household chore or help them run an errand
  • Find some support together
  • Chaperone them to a doctors appointment, if they wish

If your friend or loved one isn’t open to communication, don’t push the subject.

It’s also important to remember that mental health problems are only one part of their life, so don’t feel you need to talk about it all the time.

What is Active Listening?

Two men with tattoos talking in a dark setting

Samaritans have created the SHUSH acronym to help you remember some tips.

These will help you listen to your loved one, in a way that makes them feel heard.

SHUSH active listening:

  • Show you care – Put away your phone and give your full concentration to the conversation
  • Have patience – Create trust by allowing the person time to express themselves
  • Use open questions – eg. ‘what’s been going on for you this week?’ – this allows them to give a more detailed answer
  • Say it back – Check you’ve understood by repeating what you’ve taken away from the discussion
  • Have courage – If you get a negative response, don’t be put off. Change the subject, and try a different approach in a little while

Five Steps You Can Take

Two people having a chat

The National Institute of Mental Health recommends these five steps to help someone in emotional pain:

  1. Ask questions – asking a person if they’re suicidal does not increase suicides or suicidal thoughts
  2. Keep them safe – remove any potentially lethal items, and keep them away from dangerous places if you can
  3. Be there – listen carefully to what they tell you. Research suggests acknowledging and talking about suicide can reduce suicidal thoughts
  4. Help them connect – save suicide and crisis lifeline numbers in your phone so you have quick access to them. Help them reach out to a trusted individual like a family member, friend, or mental health professional
  5. Stay in touch – stay connected after a crisis. Studies show that suicide risk decreases when someone follows up with the person at risk[15]

What are the Treatment Options for Suicidality?

A woman with her hands on her chest

There are many treatments that can help you to ease symptoms of suicidality and psychiatric disorders.

A mental health treatment plan can greatly decrease negative feelings and risk of suicide.

Therapy

In a study of the effectiveness of psychotherapy on suicide risk, the most effective therapies were found to be:[16]

Cognitive Behavioural Therapy

CBT focuses on changing unhelpful thought patterns and behaviours by analysing and altering them.

You’ll learn:

  • To understand your emotions
  • How to spot unhelpful cycles
  • How to change your behaviours

Dialectical Behavioural Therapy

DBT is a talking therapy similar to CBT which is designed to treat people who feel their emotions very strongly.

You’ll learn:

  • How to manage and accept negative emotions
  • Coping mechanisms to ease them
  • How to make positive changes to your life

A qualified mental health professional can ensure you’re well supported through therapy.

Medication

A doctor typing on a laptop

It’s a delicate balance treating suicidality with medication.

Too much or too little can have adverse effects. Occasionally you may find that you need to change which medication you’re taking.

Everyone is different, so there’s no fixed approach.

However, antidepressant medication is associated with a major decrease in suicide risk in people with certain mental health conditions.[17]

Self Help

A woman sat at a table, journalling

  1. Find your local Mind – This charity offers therapy, support for the prevention of suicide, advocacy and befriending services. Find a group here
  2. Find a recovery college – this is an organisation that offers supportive courses to boost mental health. Find more info here
  3. Talk to your GP – They’ll be able to conduct a suicide risk assessment, offer diagnosis of mental disorders and refer you on for further treatments
  4. Learn about mental health disorders – this may help you to understand and manage your symptoms. Find more info here
  5. Make a self-care box – when you find something that brings you joy, put it in the box. Write down moments when you felt happy and read them when you need reminding
  6. Make a crisis safety plan for if you need it – this can include coping tools, a list of loved ones who can help, and agencies to call

How is Suicidality Diagnosed?

A female doctor and patient during a GP appointment

Your GP or mental health professional will be able to diagnose you after a few questions.

Be honest about how you feel, and try to remember how you’ve felt at your lowest.

You may have good days and bad days, so it’s important to give them the full picture.

Your doctor may assess whether you have any:

  • Physical health conditions
  • Mental health conditions
  • Medications which would be causing mood changes
  • Alcoholism or drug misuse

You may need to be referred to specific mental health services.

References

https://sites.manchester.ac.uk/carms/2020/02/04/a-brief-introduction-to-suicidality/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8429339/

https://www.mentalhealth.org.uk/explore-mental-health/statistics/suicidal-thoughts-statistics

https://www.ncbi.nlm.nih.gov/books/NBK565877/

https://www.gov.uk/government/statistics/near-to-real-time-suspected-suicide-surveillance-nrtsss-for-england/statistical-report-near-to-real-time-suspected-suicide-surveillance-nrtsss-for-england-for-the-15-months-to-august-2023#:~:text=Figure%201%20presents%20monthly%20rates,rate%20in%20the%20reporting%20period

https://www.samaritans.org/wales/about-samaritans/research-policy/inequality-suicide/socioeconomic-disadvantage-and-suicidal-behaviour/

https://www.samaritans.org/wales/about-samaritans/research-policy/inequality-suicide/socioeconomic-disadvantage-and-suicidal-behaviour/

https://web.archive.org/web/20230210122937/https://www.cdc.gov/suicide/factors/index.html

https://www.mind.org.uk/information-support/types-of-mental-health-problems/suicidal-feelings/causes-of-suicidal-feelings/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4023515/

https://pubmed.ncbi.nlm.nih.gov/1932152/

https://www.nhs.uk/mental-health/self-help/guides-tools-and-activities/five-steps-to-mental-wellbeing/

https://www.caba.org.uk/mental-health/managing-mental-health/how-talk-feelings.html

https://www.samaritans.org/wales/how-we-can-help/if-youre-worried-about-someone-else/how-support-someone-youre-worried-about/

https://www.nimh.nih.gov/health/topics/suicide-prevention

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6389707/

https://www.derbyshirehealthcareft.nhs.uk/application/files/7215/6777/3304/Medicines_and_suicide_professional_aide_memoire.pdf

boris

Boris is our editor-in-chief at Rehab 4 Addiction. Boris is an addiction expert with more than 20 years in the field.  His expertise covers a broad of topics relating to addiction, rehab and recovery. Boris is an addiction therapist and assists in the alcohol detox and rehab process. Boris has been featured on a variety of websites, including the BBC, Verywell Mind and Healthline. You can connect with Boris online at LinkedIn or X.com.