Depression
Depression is very common and everyone feels fed up, sad, unhappy, miserable at times. Sometimes we know that there is a cause for our depression - maybe we have just broken up from a relationship, maybe someone we were close to has died, we may have failed exams, we may be ill - but other times there doesn't seem to be one cause - it may be a build up of problems, feeling unable to cope with life and we are not really sure why.
When depression is very severe some people can feel that life isn't worth living, they want to die. When depression doesn't go away it is important to ask for help. It is not a sign of weakness to ask for help but a sign of strength to recognise that you have these feelings and are unable to cope. Many people find at some stage in their life that it is hard to cope as well as they used to. You don't have to be strong all the time - recognise when you are finding it difficult to cope and need support.
People can get a variety of symptoms when they feel very depressed.
General feelings of unhappiness which don't go away.
Having no interest in life.
Finding it difficult to concentrate and make even easy decisions.
Having no feeling of enjoyment in life.
Not wanting to go out or mix with people but spending a lot of time on your own.
Feeling very tired and having no energy.
Finding it difficult to sleep and waking up frequently during the night.
Having no appetite and eating very little
Losing self confidence and feeling worthless.
Being very irritable, anxious, impatient.
Feeling very negative about life.
Having suicidal thoughts.
If you are depressed don't bottle it up - it is important you talk to someone - family, friend, teacher, youth leader, GP, organisation, helpline etc. - anyone you feel you can trust If you don't share how you are feeling you may find yourself using unhealthy coping strategies which will in the long run only add to your problems and make you feel worse - some people may start drinking alcohol more, may take drugs, may start self harming and cutting themselves, may stop eating or binge eating and making themselves sick.
You may find that counselling will help you as this will give you a safe space to talk to someone who is especially trained. This will help you to say how you really feel inside and the counsellor will work with you to help you find solutions and healthy coping strategies and to look at the reasons behind your depression. This will give you a better understanding of your feelings and some support in working through anything which is troubling you. If you find that counselling doesn't work for you then it would be an idea to see your GP and discuss with him other ways of helping you with your depression.
Talking to others and counselling and therapy can help but to pull yourself out of a depression you need to do a lot of work yourself. When you are depressed you may feel you have no control over your life but you do still have choices. You can choose to stay depressed and not eat properly, not exercise, stay in bed all day, etc. or you can choose to try and help yourself to get out of the depression . If you take care of yourself physically it will help you to feel stronger emotionally and to cope more easily with life. Just as a car needs petrol to work properly so does your body need nutrients from food so although you may not feel like eating please try and eat healthily and drink plenty of water.
Sometimes when we are depressed life can seem very negative and black - it can be easy to forget that there are beautiful things in the world surrounding us. Try and get out each day into an open space, park, forest, lake etc. and just take in the beauty of your surroundings, and try and be at one with nature. This can help keep things in perspective and lift your mood.
Set yourself small goals - maybe each day try and write down something you want to do the following day and try and follow this through. The more active you are the less time you will have to focus on your depression. Try and interact with other people when you can as if you totally isolate yourself and cut yourself off from the outside world you could find your depression gets more severe.
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What Can I do To Help Myself
Don't bottle things up - find someone to talk to about how you are feeling.
Make sure you get plenty of exercise and plenty of fresh air. You will find that even if you do a quick walk every day and a short period of other exercise each day you will start to feel physically and emotionally stronger and more able to cope.
Make sure you eat a healthy balanced diet - eat little and often and don't skip meals. If you are not eating properly you will feel more depressed and listless.
Try and keep busy - to keep your mind occupied.
Do things you enjoy to relax, treat yourself and take care of yourself.
Try and get to bed at a regular time. If you find it difficult to sleep listen to the radio/TV/read and you may find you drop off to sleep more easily.
Don't resort to unhealthy ways of dealing with your problems like drinking, taking drugs, cutting, eating disorders.
Ask for help when you need it.
Try to stop thinking in a negative way - when you think a negative thought try and replace it with a positive one.
If you need a hug ask someone you trust - this can make you feel that someone really does care how you are feeling.
Remember depression is very common - you will not always feel like this - you will come out of it and be able to enjoy life.
If your depression is severe and you are having thoughts about harming yourself or ending your life it is important you talk to someone immediately about how you are feeling. If you are a child or young person speak to your parents about how you are feeling. They would want to know how you feel and to support you and look at ways of helping. Talk to your GP and make him aware of what is going on for you. It is very difficult to deal with severe depression on your own - you need help and support and in some cases your GP may advise medication.
ENDING YOUR LIFE AND HARMING YOURSELF IS NEVER THE ANSWER. YOU HAVE YOUR WHOLE LIFE AHEAD OF YOU AND WILL NOT ALWAYS FEEL LIKE THIS.
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Agencies which offer support and information
SupportLine Telephone Helpline: 020 8554 9004 (Helpline), email info@supportline.org.uk - Confidential emotional support to Children Young People and Adults. Also keeps details of agencies, support groups and counsellors throughout UK.
Association for Post Natal Illness: 020 7386 0868, www.apni.org, emailinfo@apni.org - To advise and support women suffering from post natal illness. Running a network of volunteers to support sufferers throughout the UK.
Aware Defeat Depression: 08451 202961, email help@aware-ni.org - Support, information or a listening ear for all those affected by depressive illnesses.
Breathing Space: 0800 83 85 87 (Area served SCOTLAND), www.breathingspacescotland.co.uk - Helpline for young men 12-40 years who are experiencing difficulties and unhappiness in their lives and for their friends and family.
CALL Community Advice and Listening Line (Wales): 0800 132737, www.callhelpline.org.uk - Mental health helpline for Wales providing confidential listening support service.
Childline: 0800 1111, www.childline.org.uk.
Crossline Central: 0845 658 0045 (Area served SCOTLAND) - Christian based helpline and counselling service for the general public and people in crisis.
DABS Mail-Order Book Catalogue: 01709 860023 - Wide range of books including those on depression, self esteem assertiveness, self harm, child abuse.
Depression Alliance: 0845 123 2320, email information@depressionalliance.org, www.depressionalliance.org - Confidential listening and support service. Also offer a range of information on depression and treatment options. National network of self help groups for people experiencing depression. National pen friend scheme offering support and fellowship to people with depression and their carers. Quarterly newsletter, booklets and leaflets on depression.
Depression Alliance Scotland: 0845 123 2320 (Area served SCOTLAND), email info@dascot.org, www.dascot.org - Telephone information and other support for people affected by depression. Information about symptoms and treatment, listening support and signposting to other agencies.
Depression Support Group Association ( London based): 020 7328 8391, www.depressionalternatives.co.uk - Helping people whose lives have been distorted by insecurity, loneliness, shyness, unsatisfactory relationships to find alternatives to depression. Groups in London convened by professional counsellors/psychotherapists. Meet in a friendly, sociable environment and offer members route to a more fulfilling life, develop self esteem and confidence and learn how their emotional needs can be met more fully. Fee £15 per week, concessions students/unemployed. Also run Shyness & Social Anxiety Programme and Personal Relationships programme, Men's Group to strengthen men's sense of themselves. Also individual therapy.
Fellowship of Depressives Anonymous (FDA): 01702 433838, PO Box FDA, Self Help Nottingham, Ormiston House, 32-36 Pelham Street, Nottingham NG1 2EG UK wide self help organisation made up of individual members and groups which meet locally on a regular basis for mutual support. £10 yearly membership (reductions for those who cannot afford that amount).
Get Connected: 0808 800 4994, email help@getconnected.org.uk, www.getconnected.org.uk - Free telephone and email helpline finding young people the best help whatever the problem. Can connect a child or young person to any UK helpline where appropriate.
Hope in Crisis Telephone Line: 028 9446 9990 (Area served NORTHERN IRELAND) - Christian based organisation offering listening support and ministry for anyone in crisis.
The London Shyness Clinic: 020 7289 4317, www.shyness.co.uk - Therapy and counselling to overcome shyness and gain confidence.
Manic Depression Fellowship: 0845 634 0540, email mdf@mdf.org.uk, www.mdf.org.uk - Advice and information for people with manic depression and their families, carers and mental health professionals. Supply a range of information leaflets, books and tapes. Network of self help groups for people with manic depression, relatives and friends. Self management training programme.
The Maytree: 020 7263 7070 - Sanctuary for the suicidal offering befriending and support (based in N.London).
The Mental Health Foundation: 020 7803 1100, email mhf@mhf.orgl.uk, www.mhf.org.uk - Publish a booklet 'Understanding Depression'.
Meet A Mum Association: (MAMA) 0845 120 6162, www.mama.org.uk, email Meet-A-Mum.assoc@blueyonder.co.uk - To support mothers and mothers to be by putting them in touch with other mothers living nearby. Also provide one to one support and social activities.
Mind (National Association for Mental Health): 0845 766 0163, email contact@mind.org.uk, www.mind.org.uk - Publish booklets relating to Depression.
Muslim Youth Helpline: 0808 808 2008, email help@myh.org.uk, www.myh.org.uk (Area served London). Helpline providing culturally sensitive support to Muslim youth under the age of 25. Outreach services including family mediation, face to face counselling and befriending.
National Youth Advocacy Service: 0800 616101, email help@nyas.net, www.nyas.net - Provides information, advice, advocacy and legal representation to young people up to the age of 25 through a network of advocates throughout England and Wales.
Premier Lifeline: 0845 345 0707, email lifeline@premier.org.uk, www.premier.org.uk/lifeline - Christian run helpline offering information and a listening ear to the general public on a range of emotional and spiritual issues.
SAD Association: 01903 814 942, www.sada.org.uk - To inform the public about seasonal affective disorder. To support and advise sufferers of the illness. Limited light box hire scheme. Supply contacts list for members.
Samaritans:0845 790 90 90, email jo@samaritans.org, www.samaritans.org.
Self Help Services: (Manchester area) 0161 226 5412, email info@selfhelpservices.org.uk, www.selfhelpservices.org.uk - Run over thirty support groups for people with mental health problems or are in need of emotional support, including groups relating to depression.
Stress Anxiety Depression - Confidential Helpline: 01622 717656 - Advice, information on self help strategies, relaxation, exercise, nutrition, cognitive therapy etc.
Voice for the Child In Care: 0808 800 5792, email help@vcc-uk.org, www.vcc-uk.org - Telephone advice, information and advocacy services for children in care. Helpline for care leavers - 0808 100 3224. Visiting advocacy service for children in secure units and other residential homes.
Who Cares? Linkline: 0500 564 570, email mailbox@thewhocarestrust.org.uk, www.thewhocarestrust.org.uk - Helpline offering information and support for young people who are or have been in care.
Self injury / Self harm
A large proportion of calls and emails we receive at SupportLine are from people who self harm, the majority of whom are young people. Many of these have suffered abuse - emotional, physical and/or sexual. These callers present as having little or no self esteem, no value, no sense of worth and see themselves in a totally negative light - often reflecting that they are 'useless', 'worthless', 'a nothing'. On talking to these callers it comes across loud and clear the person they really are inside - compassionate, caring, sensitive, talented, a good listener, has a good sense of humour, is always there for others etc. It is so sad that the person cannot see that for themselves - cannot see themselves as others can see them.
Many self harmers find it difficult to verbalise how they feel, and may have blocked off or detached from their feelings of pain, hurt, anger, etc. Self harm can be used as a way of feeling something physically which they are unable to feel emotionally. It is not uncommon for a person who self harms to say they are not angry yet in reality there is often an enormous amount of anger inside which they are turning inwards on themselves.
Self harming is a way of coping - for someone to stop self harming they need to have help with finding other ways of coping, and ways of getting in touch with their feelings in a supportive environment. Anyone who self harms may need help with building up their confidence, their self esteem, their sense of worth so they can begin to see themselves in a realistic and positive light. When a person truly values themselves it is not so easy to harm and abuse yourself - when a person values themselves it is easier to start to take care of yourself, to start to see yourself in a positive light, to start to like yourself.
If you are self harming at the moment I know nobody can just tell you to stop doing it until you can find other ways of coping, and other ways of letting out your feelings and begin to value yourself. Please take time to read the following information which can give alternatives to self harm and advice in relation to keeping yourself as safe as you can. If you have been abused please take time out to read through the abuse pages on this site. You can learn other ways of coping and can start to value yourself. You may need a lot of support and help around you so please ask for it. Please don't self harm in secret, locked away, isolated and alone. Nobody should ever judge you for self harming - at the moment you are doing what you need to do to cope, to survive in the world - but there are other ways.
There are also a number of websites listed here which provide information and support for people who self harm. Many sites which provide excellent support and information to sufferers can also bring up immense feelings of sadness. It may be best therefore to choose a time to access sites when you know you can call someone or be with someone for support afterwards - even if you just need a hug or to hear a friendly voice. When you feel sad - look after yourself, cuddle up with a blanket, hot drink, cuddly toy, pet, look at photos and pictures which help you to feel safe and bring a smile to your face, you may have a safe box with objects to hold which feel good, velvet, pebbles, shells, playdough etc., and remember to access help you need to ask for it and try all the resources you need to in order to get the help you need.
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What Is Self Injury?
'I think control's a big thing, when you can't control what's happening around you…you can't control pressure from outside, from society but you can to yourself.'
Self injury is something you do to damage your body as a way of managing expressing intensely difficult feelings, without intending to kill yourself. Some examples include cutting or burning yourself, bruising yourself, taking tablets, pulling at hair, or picking skin. It can go on for years without being fatal and it is more common than a lot of people think.
Self injury is used mainly to keep feelings under control, rather than to get a response from other people. Many people have difficult times in their lives and feelings can be hard to put into words. Sometimes the only way to manage the intensity of what you feel is maybe to hurt yourself. When hurting yourself becomes a way of managing these pressures it means there are other things wrong in your life that need sorting out. Self injury can become compulsive - a way of coping, because the underlying issues haven't been sorted out.
For a lot of people trying to stop self injury without having any other ways of coping with problems is not realistic. Without help, feelings can build up and you can end up doing more damage to yourself. It can be frightening becoming aware of how you feel, and why, but if you can do this you can begin to work out where you mean to go from here.
It might be helpful to identify parts of your life that may be causing you difficulties:
What was happening when you first began to feel like injuring yourself.
Are you always at a certain place or with a particular person?
Have you been having frightening memories or thoughts and not been able to tell anyone?
What would help you not hurt yourself?
Is there anything else that makes you want to hurt yourself?
It's important to think of ways that minimise hurting yourself more than you intended. Using drink or drugs when you feel like injuring yourself is particularly risky.
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When you feel like hurting yourself what other ways of managing could help fora short while?
Writing about how you are feeling.
Curling up with a blanket, hot drink, by breathing and relaxing.
Listening to music.
Tearing up telephone books, newspapers.
Punching pillows or cushions.
Going for a run, brisk walk, dancing, any form of exercise.
Talk to a friend - have a list nearby of people you can ring.
Keep your mind busy - to distract your mind from harming yourself.
Carry safe things in your pockets - stones, pebbles, crystals.
Get a red felt tip pen and mark yourself as if you were cutting - this may give you similar relief.
Try aromatherapy oils e.g. lavender oil and breath it in - this can help you to feel more balanced and calm.
Try elastic bands around your wrists and flick them when you feel like cutting. If you need to feel sensation when you self harm try holding ice, brushing yourself with a toothbrush
Take a cold shower
Bite into something which is strongly flavoured, lemon, peppers etc.
Use play dough to give you something to occupy your hands.
Have a relaxing bath, treat yourself.
Do deep and slow breathing.
How do you feel?
Upset… you can't keep your feelings in, or maybe you can't let them out.
Helpless… you don't know what to do for the best.
Guilty… because you can't stop harming yourself, even if you want to.
Scared… because you don't know why you do it…it's getting worse.
Ignoring how you feel… it's too frightening…you don't know what you feel or how to deal with it.
Depressed… about anything ever getting better.
Lonely… no-one seems to understand.
Trivialised… in case people think you're just attention seeking.
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Are you worried in case no-one will listen?
There are lots of reasons why you could be worried about telling someone:
You might not know why you do it.
Embarrassment or shame… people might see it as attempted suicide.
Guilty… for worrying people.
People being angry with you, because they think you didn't need to do it.
Being judged… being seen as attention seeking, suicidal or manipulative rather than doing what you can to cope.
They might tell someone else… who you don't trust.
You will be made to stop using this way of coping… before you are ready.
You might not know what your feelings are; they just feel like a big pressure.
What do you find difficult about telling someone?
How do you get help?
'You've got to want to be able to do it, have the support of as many people as possible and bring it out in the open and not hide it from people'.
We all need help and understanding from other people sometimes . It can be hard to recognise when you need to involve other people. Talking to someone might help you feel more able to cope. You might wish you could express feelings more safely, or want to find ways of keeping them under control.
Try and talk to someone you like and trust . This could be a parent, carer, friend, friends parent or carer, teacher, school nurse, youth worker, counsellor, social worker, doctor, relative, helpline.
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Who Can You Trust?
Write down the reasons why you should or shouldn't tell people. It can help you decide and be clear about what your worries are about telling someone.
Where and when would you tell them?
What would you say?
You could practise saying it out loud, or with a friend.
Picture how these people would respond if you told them.
Is there another way you can get the response you need?
Is there another approach you would feel more comfortable with?
Writing a letter to someone you trust may help you express what you want to say without worrying about the other person's immediate response.
Think of a plan to look after yourself if they respond in a way which isn't what you'd hoped for.
Remember the first person might not be able to help, so be prepared to try again. Unfortunately you may meet some people who respond in a way that makes you feel worse. Remember people who respond like this may be finding it hard to manage how they feel too - it's not your problem, so don't take it on. Perhaps you could try telling them they are not helping. If they don't listen, try and find someone else who will. It can take a lot of courage and determination to keep trying, but you will find the right person in the end.
If your health or safety is at serious risk the person you tell might want tocontact your parents or carer. You may need to speak to this person first about this and explain you want what you say to be confidential.
Self Injury and Suicide
'I don't cut myself to kill myself, but sometimes it can get like that'.
You might have mixed feelings about wanting someone else to help, or wanting to be left to try to control your life on your own. You might want to control when you hurt yourself but at the same time be scared in case your life is at risk.
If you know you could be in danger of killing yourself it might be an idea to write down a survival plan of what you can do to prevent this.
Who can you phone?
Is there someone you can tell?
If you can't ask for help yourself, is there someone who could do this for you?
When you feel like killing yourself it's hard to remember anything good, or that anyone has ever said anything nice about you.
When you are not feeling suicidal, write a list of what these good things are. Keep it with your survival plan.
You could also keep photos or other reminders of good times - feeling so bad will pass. These suggestions may help you through it.
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Agencies which can offer Support and Information
Bristol Crisis Service for Women: 0117 925 1119 Helpline - Fri & Sat 9pm-12.30am, Sun 6pm-9pm, email bcsw@btconnect.com, www.users.zetnet.co.uk/bcsw - Focus on self injury and provide information and publications.
British Red Cross Society: 0870 1707000, www.redcross.org.uk - Free training in camouflaging scars.
Childline: 0800 1111
DABS Mail Order Book Catalogue: 01709 860023 - Wide range of books relating to self harm, child abuse, self esteem, depression, etc.
National Self Harm Network: PO Box 7264 Nottingham NG1 6WJ - Survivor led organisation, aims to bridge the gulf in understanding and to campaign for the rights of those who live with self harm. Leaflets have been produced for those who self injure and health care professionals. Email info@nshn.co.uk, www.nshn.co.uk.
Project Spear: 01793 520111, email info@projectspear.com, www.projectspear.com - Provides information and support on self harm.
SASH (Survivors of Abuse and Self Harm): Send sae for enquiries - 20 Lackmore Road, Enfield, Middlesex EN1 4PB, email sashpen@aol.com - Offer support, friendship and understanding. Allows those who self harm to communicate their feelings and thoughts on a one to one basis in writing. Free membership £5 annual fee for quarterly newsletter.
Self Harmers Support Group: 020 8591 6025 - Support and information to those who self harm. Support Group meets in Barking, Essex.
Self Help Services: (Manchester area) 0161 226 5412, www.selfhelpservices.org.uk, email info@selfhelpservices.org.uk - Run over thirty support groups for people with mental health problems or are in need of emotional support including groups relating to self harm.
SupportLine Telephone Helpline: Helpline: 020 8554 9004, email info@supportline.org.uk - Confidential emotional support for Children, Young People and Adults. Keeps details of agencies, support groups and counsellors throughout the UK.
ZEST (N.Ireland): 0287 126 6999 - Telephone counselling and other support services for individuals who self harm or attempt suicide.
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Useful websites
www.aest.org.uk - Site for survivors of abuse, also deal with self harm, self esteem etc
www.havoca.org - For survivors of abuse, also deal with self harm
www.justlikeme.org.uk – Self harm site for your people
www.mentalhealth.org.uk - Includes information on self harm
www.myfriend-myenemy.com
www.ncb.org.uk
www.nice.org.uk – National Institute for Clinical Excellence - national guidelines relating to treatment of self harm
www.palace.net/~llama/psych/self
www.recoveryourlife.com - A Suffolk based Self Harm community site offering support, companionship, information, advice, forum, message board
www.selfharm.org.uk
www.siari.co.uk
www.selfinjurysupport.co.uk
www.survive.co.uk - Information relating to self harm
www.why-me.org.uk - Young people's site
www.helplines.org.uk - Website of the Telephone Helplines Association giving information on helplines across the UK.
Useful book
The Scarred Soul: Understanding & ending Self-Inflicted Violence by Tracy Alderman - Publishers New Harbinger Publications: ISBN 1572240792
Click here to read more or buy this book
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What can i do to help a friend who is self harming?
It can be very puzzling why someone would hurt him or herself. The following can help your friend feel more supported and more likely to get help. Remember:
Keep an open mind.
Your friend will be concerned about what other people think, and will have taken a risk by telling you.
Show your friend that you care by making time to listen and take what they say seriously.
Help them to find their own way of managing their problems, including worries that don't seem to be connected to self injury (they might not want to handle things in the same way as you would).
Try to help them identify who can help (you could offer to go with them to tell someone or offer to tell someone for him or her).
Carry on doing ordinary activities you do together.
Don't tease them - your support will be very valuable.
Your feelings matter too.
Your friend might tell you that they are hurting themselves, and ask you not to tell anyone. This can put you in a very difficult situation. It's natural to want to help someone but it's up to him or her whether they feel ready for further help. It would be better if you could work out together who the best person to tell would be, but you might have to decide alone.
You might have lots of feelings about your friend. These could include:
Upset - because they are hurt.
Worried - you're not sure how to help.
Anger - that they could do something to hurt themselves, or at whatever has made them feel so bad.
Frustrated or helpless - because you don't know what to do.
Wanting to take care of them all the time.
Shocked - at the injury, or you didn't know they felt so bad.
Confused - because you don't understand why.
Resentful - that they hurt themselves even though you are trying to help.
Guilty - for feeling you don't help them.
Scared that your friend might damage him or herself seriously or even die.
Responsible for how your friend is.
Scared about involving someone else and scared if you don't.
Remember: Look after yourself - this can be a lot to go through on your own and even people who are trained to work with people who self injure need support from other people.
Try to carry on with your other activities and relationships.
You don't have to be available for your friend all the time.
If your friend hurts themselves it is not because of you.
If you can show your friend that you can look after your own needs, it can help them begin to think that they can do the same.
People who self harm often suffer from low self esteem and a counsellor will also help you to build up your self esteem but it is important that you talk about the reason why you are self harming.
Suicide
If you are feeling suicidal now you may be feeling very alone, lost, frightened, confused. You may be feeling there is no other way out of your problem, difficulties, worries, feelings, or whatever reason you are contemplating taking your life.
It may be that at the moment you are so overcome with feelings, sadness, despair, that you are not able to think clearly about other possibilities, other solutions, other alternatives, other ways of coping.
Suicide is very final - if you succeed in taking your life - there are no second chances and nobody really knows what will happen when they die. It may be difficult to take in at this moment in time but the feelings you have at the moment may be temporary - you may not always feel like this. There are people who have been in the exactly the same position as you and have somehow found the strength to come out of it and have gone on to find happiness and fulfilment in life and to be able to cope with life more easily - they have found alternatives to suicide and were glad that they did not take their own life.
You may feel like this now because the pain you are feeling has become unbearable. Just talking to someone else about how you are feeling can take some of that weight off your shoulders. There may be other things you can do to help yourself cope, to change things, to survive. It is incredibly sad that you feel so bad that you want to die. You may be telling yourself that other people would be better off without you but other people would not want you to take your life.
You may feel that nobody cares about you anyway but there are people who will care if you allow them to care for you. I care deeply that you are thinking of ending your life, that you see no hope, no alternative, but something so final as death.
You may be trying to convince yourself that your loved ones would be better off without you but if you were able to see the devastation that it causes families and friends of people who commit suicide you would not think that.
If you cannot see for yourself a reason to carry on living try and give others the chance to explore with you whether they can help you to see if there are any reasons for you to carry on living - give someone a chance to do that for you. You have nothing to lose. If you are determined to kill yourself there is no hurry - there is no need to take immediate action. Give yourself the next few days to see whether there are any alternatives, talk to a friend, a relative, a helpline, a counsellor, look at some of the websites where other people have felt suicidal but found alternatives to killing themselves. There are alternatives to suicide so give yourself some time to find some support, some help with coping and talk to others about how you are really feeling. Allow others to care for you just as you would if your best friend came and told you he/she was suicidal - talk to yourself as you would a friend.
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Agencies which provide support and information
SupportLine Telephone Helpline: 020 8554 9004, email info@supportline.org.uk or write to SupportLine at PO Box 1596, Ilford, Essex IG1 3FW - Provides emotional support and details of support groups, helplines, agencies and counsellors throughout the UK
Calm: 0800 585858, www.thecalmzone.com - Campaign Against Living Miserably Help and support for young men aged 15-35 on issues which include depression and suicide
Premier Lifeline: 0845 345 0707, email lifeline@premier.org.uk, www.premier.org.uk/lifeline - Helpline providing a listening service, information, emotional and spiritual support from a Christian perspective
Samaritans: 0845 790 9090 (1850 60 90 90 Rep. Of Ireland), email jo@samaritans.org, www.samaritans.org - 24 hr helpline offering emotional support for people who are experiencing feelings of distress or despair, including those which may lead to suicide
Youth to Youth: 020 8896 3675, www.youth2youth.co.uk - Help and support for young people up to 19 years
Useful websites
www.metanoia.org/suicide
www.theblackdog.net - Supportive site for men who suffer from depression and/or suicidal thoughts
www.touchingminds.org - Peer support for those who suffer from mood disorders
See pages on Depression for additional resources
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How can I help someone who is suicidal?
If someone tells you they are suicidal do not dismiss their feelings but take what you are being told seriously. If someone puts enough trust in you to confide his/her innermost feelings you really need to listen to what is being said.
A person contemplating suicide is often in enormous turmoil inside - perhaps at one moment wanting to die and the next to live. He/she needs to know that someone has listened to and heard their pain, that someone can recognise that he/she is in pain and hurting so try and empathise with the person and repeat back, acknowledge the pain and hurt they are in so the person knows you are trying to understand what they are feeling.
If the suicidal person gives you a reason for feeling this way don't dismiss it that it isn't serious enough to kill himself/herself over. The fact that the person is feeling suicidal means that in his/her mind it is serious enough to not want to live anymore.
Allow the person to talk openly about how they are feeling, how long they have been feeling this way, have they made a plan as to how they will commit suicide, what do they think will happen to them when they die, etc.
Try to encourage the person to seek professional help in order that they are giving someone the chance to explore with them what is happening for them and to see whether they can help the person to see alternatives to suicide.
Show the person you genuinely care - this can often be enough in itself to prevent the person from taking their life at that moment in time.
Remember that you can give a person caring, support, time, patience, empathy but that person may at some stage still make the choice to end their life. If you try to help someone who is suicidal and they take their life it is their responsibility and choice to do that. If someone is that determined and set on killing themselves there is not a lot anyone could do to prevent that and you must never take the guilt or blame on your shoulders. All you can do is do your best for that person but some people can have all the counselling, medical intervention, support from family, friends etc. but still make a choice to end their life.
If you are providing support to someone who is suicidal do not forget to get support for yourself as well.
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Help for those bereaved by suicide
If you have lost someone through suicide the pain is unbearable and the constant question of 'why' goes round and round in your head.
It is common for anyone bereaved by suicide to blame themselves - maybe I should have given the person more time, maybe I didn't listen enough, I should have picked up on the warning signs, I had a big row with him/her before he/she committed suicide, if only I had come back home earlier, if only I hadn't gone out, if only, if only if only.
There is also so much anger - how can he/she have done that and left me. There are people who think that suicide is a cowardly thing to do and an easy way out. However, if you were able to understand the intensity of the pain that the suicidal person feels and the immense struggle they have with what they are going to do - in no way is it an easy way out.
A person who is suicidal is so overwhelmed with feelings of despair and hopelessness that the intensity of their feelings takes over everything else. At that moment in time they honestly feel that their loved ones would be better off without them, they may feel a burden or that their problems are a burden to those around them and may not be able to think rationally about what their loss would really mean to others.
You cannot live your life thinking what if I had done this or that because at the end of the day if a person is determined to commit suicide it doesn't matter how much support and help they are given - they may still feel that the pain and hurt they are feeling is so intense and overwhelming that they at that moment in time cannot see any way out of - in some cases whatever you may have done or said or may not have done or said - it still may have not made any difference to the way the person was feeling inside and to their choice to take their life.
The person who has died would not want the loved ones left behind to live their lives feeling blame, guilt, bitterness but would want their loved ones to move on with their lives. The person did what they felt was best for them at that time. The people left behind can rationalise that it wasn't the best thing to do but the suicidal person was at a stage where they could not see that for themselves and may have felt that by ending their life they were saving others around them from hurt and pain. The last thing they would have wanted to do was to cause you more hurt and pain. A person has to find an alternative way out for themselves - if they cannot see that - nobody really has a right to judge them as nobody else is feeling what they felt, nobody else could see what they could see, even if they seemed happy and coping on the outside, nobody could see what they were feeling on the inside - nobody was living their life but them.
If you have been bereaved by suicide please ensure you get as much help and support for yourself as you can. There is still, unfortunately some stigma about suicide and it is so sad that families, friends, often feel they cannot talk about the person who has died in case other people will start asking questions and not be understanding. It is something that will always be with you so make sure you surround yourself with as much support, love, care that you can in order that you are not going through life with this on your own. There are resources on the internet, helplines, counsellors who will support you and work through your feelings with you.
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Agencies which provide support and information
SupportLine Telephone Helpline: 020 8554 9004, email info@supportline.org.uk - Provides emotional support and details of agencies, counsellors, helplines, support groups across the UK.
Child Death Helpline: 0800 282986, www.childdeathhelpline.org.uk - Helpline for anyone affected by the death of a child of any age. Advice, information, listening, befriending, referrals and face to face service by arrangement. Staffed by bereaved parents.
The Compassionate Friends: 0845 123 2304, email info@tcf.org.uk, www.tcf.org.uk - Helpline and support services run by bereaved parents. Support to parents and their immediate families after the death of a child of any age and from any cause. Local contacts and support meetings, befriending, phone and letter contact, leaflets and publications, postal library, retreats and an annual weekend gathering. Compassionate Friends have a sub group called Shadow of Suicide for parents and families of children who have taken their own lives.
Cruse Bereavement Care: 0870 167 1677 - Helpline offering listening support and practical advice related to bereavement. Puts people in touch with local Cruse branches which can provide individual and group support.
Lewes District and Wealden Mind: 01273 488660 Run Assist programmes (Applied Suicide Intervention Skills Training), email assist@47westernroad.co.uk - Provides practical training in preventing the immediate risk of suicide for caregivers - anyone to whom a suicidal person may turn to for support. (This is not a helpline service.)
The Samaritans: 0845 790 90 90, e mail jo@samaritans.org, www.samaritans.org - Provides emotional support. 24hr service.
Survivors of Bereavement by Suicide: 0870 241 3337, email sobs.admin@care4feee.net, www.uk-sobs.org.uk - National helpline and other support services run by a self help group for people bereaved by suicide. Helpline provides listening support and will put people in touch with their nearest local group. Monthly group meetings in various locations. Bereavement pack and literature for survivors. Conferences and support days.
WAY Foundation: 0870 011 3450, email info@wayfoundation.org.uk, www.wayfoundation.org.uk - Self help support group for men and women under 50 whose partner or spouse has died. Telephone support network of local members. Email support forums. Membership £10 per year.
Winston's Wish: 0845 2030405, www.winstonswish.org.uk - Support for bereaved children and young people.
Some local groups and phone support for those bereaved by suicide
Despair After Suicide: 01772 760662 (UK wide Helpline)
SOBS Support group and helpline (NE England & Tyne & Wear)
0191 417 4133
Norfolk & Norwich Suicide Group: 01603 410172
Take My Hand Support Group: 0114 279 6333 (Sheffield)
Leeds Loss Group: 0113 305 5313
London Bereavement Network: 020 7700 8134
Bereaved by Suicide: 01252 661002 (Hampshire), www.bereavedbysuicide.org
Useful book for those bereaved by suicide
A Special Scar – The Experiences of People Bereaved By Suicide by Alison Wertheimer - Publishers Routledge: ISBN 0415220270
Click here to read more or buy this book
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Useful Websites
www.childsuicide.homestead.com - For parents and families attempting to survive after the tragedy of their child's or sibling's suicide.
www.healingthehurt.com - Online support group for those who have been bereaved by suicide. Visitors are invited to share stories, feelings, to give and receive online support without judgement. Discussion Board, dedications, (tree, flower, ribbon, light a candle for your loved one).
www.metanoia.org/suicide - Help, support, information for those bereaved by suicide.
www.papyrus-uk.org - Prevention of youth suicide: will help parents and carers of young people who are suicidal to make contact with appropriate sources of support.
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