How To Stay Alive (When You Really Don’t Want To)

How to Stay Alive: Understanding Suicide Risk Factors and Finding Support. Learn how to talk about it, remove access to firearms, and build a strong social support network.
Ways to stay alive even when you don't have the desire to keep going.

How To Stay Alive (When You Really Don’t Want To)

A subscriber recently requested:

❝Request: more people need to be aware of suicidal tendencies and what they can do to ward them off❞

…and we said we’d do that one of these Psychology Sundays, so here we are, doing it!

First of all, we’ll mention that we did previously do a main feature on managing depression (in oneself or a loved one); here it is:

The Mental Health First Aid That You’ll Hopefully Never Need

Now, not all depression leads to suicidality, and not all suicide is pre-empted by depression, but there’s a large enough crossover that it seems sensible to put that article here, for anyone who might find it of use, or even just of interest.

Now, onwards, to the specific, and very important, topic of suicide.

This should go without saying, but some of today’s content may be a little heavy.

We invite you to read it anyway if you’re able, because it’s important stuff that we all should know, and not talking about it is part of what allows it to kill people.

So, let’s take a deep breath, and read on…

The risk factors

Top risk factors for suicide include:

  • Not talking about it
  • Having access to a firearm
  • Having a plan of specifically how to commit suicide
  • A lack of social support
  • Being male
  • Being over 40

Now, some of these are interesting sociologically, but aren’t very useful practically; what a convenient world it’d be if we could all simply choose to be under 40, for instance.

Some serve as alarm bells, such as “having a plan of specifically how to commit suicide”.

If someone has a plan, that plan’s never going to disappear entirely, even if it’s set aside!

(this writer is deeply aware of the specifics of how she has wanted to end things before, and has used the advice she gives in this article herself numerous times. So far so good, still alive to write about it!)

Specific advices, therefore, include:

Talk about it / Listen

Depending on whether it’s you or someone else at risk:

  • Talk about it, if it’s you
  • Listen attentively, if it’s someone else

There are two main objections that you might have at this point, so let’s look at those:

“I have nobody to talk to”—it can certainly feel that way, sometimes, but you may be surprised who would listen if you gave them the chance. If you really can’t trust anyone around you, there are of course suicide hotlines (usually per area, so we’ll not try to list them here; a quick Internet search will get you what you need).

If you’re worried it’ll result in bad legal/social consequences, check their confidentiality policy first:

  • Some hotlines can and will call the police, for instance.
  • Others deliberately have a set-up whereby they couldn’t even trace the call if they wanted to.
    • On the one hand, that means they can’t intervene
    • On the other hand, that means they’re a resource for anyone who will only trust a listener who can’t intervene.

“But it is just a cry for help”—then that person deserves help. What some may call “attention-seeking” is, in effect, care-seeking. Listen, without judgement.

Remove access to firearms, if applicable and possible

Ideally, get rid of them (safely and responsibly, please).

If you can’t bring yourself to do that, make them as inconvenient to get at as possible. Stored securely at your local gun club is better than at home, for example.

If your/their plan isn’t firearm-related, but the thing in question can be similarly removed, removed it. You/they do not need that stockpile of pills, for instance.

And of course you/they could get more, but the point is to make it less frictionless. The more necessary stopping points between thinking “I should just kill myself” and being able to actually do it, the better.

Have/give social support

What do the following people have in common?

  • A bullied teenager
  • A divorced 40-something who just lost a job
  • A lonely 70-something with no surviving family, and friends that are hard to visit

Often, at least, the answer is: the absence of a good social support network

So, it’s good to get one, and be part of some sort of community that’s meaningful to us. That could look different to a lot of people, for example:

  • A church, or other religious community, if we be religious
  • The LGBT+ community, or even just a part of it, if that fits for us
  • Any mutual-support oriented, we-have-this-shared-experience community, could be anything from AA to the VA.

Some bonus ideas…

If you can’t live for love, living for spite might suffice. Outlive your enemies; don’t give them the satisfaction.

If you’re going to do it anyway, you might as well take the time to do some “bucket list” items first. After all, what do you have to lose? Feel free to add further bucket list items as they occur to you, of course. Because, why not? Before you know it, you’ve postponed your way into a rich and fulfilling life.

Finally, some gems from Matt Haig’s “The Comfort Book”:
  • “The hardest question I have been asked is: “How do I stay alive for other people if I have no one?” The answer is that you stay alive for other versions of you. For the people you will meet, yes, but also the people you will be.”
  • “Stay for the person you will become”
  • “You are more than a bad day, or week, or month, or year, or even decade”
  • “It is better to let people down than to blow yourself up”
  • “Nothing is stronger than a small hope that doesn’t give up”
  • “You are here. And that is enough.”

You can find Matt Haig’s excellent “The Comfort Book” on Amazon, as well as his more well-known book more specifically on the topic we’ve covered today, “Reasons To Stay Alive“.

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  • Stop Cancer 20 Years Ago

    Dr. Jenn Simmons shares vital tips on preventing cancer and inflammation, advocating for lifestyle changes and proactive health management at any age.

    Get Abreast And Keep Abreast

    This is Dr. Jenn Simmons. Her specialization is integrative oncology, as she—then a breast cancer surgeon—got breast cancer, decided the system wasn’t nearly as good from the patients’ side of things as from the doctors’ side, and took to educate herself, and now others, on how things can be better.

    What does she want us to know?

    Start now

    If you have breast cancer, the best time to start adjusting your lifestyle might be 20 years ago, but the second-best time is now. We realize our readers with breast cancer (or a history thereof) probably have indeed started already—all strength to you.

    What this means for those of us without breast cancer (or a history therof) is: start now

    Even if you don’t have a genetic risk factor, even if there’s no history of it in your family, there’s just no reason not to start now.

    Start what, you ask? Taking away its roots. And how?

    Inflammation as the root of cancer

    To oversimplify: cancer occurs because an accidentally immortal cell replicates and replicates and replicates and takes any nearby resources to keep on going. While science doesn’t know all the details of how this happens, it is a factor of genetic mutation (itself a normal process, without which evolution would be impossible), something which in turn is accelerated by damage to the DNA. The damage to the DNA? That occurs (often as not) as a result of cellular oxidation. Cellular oxidation is far from the only genotoxic thing out there, and a lot of non-food “this thing causes cancer” warnings are usually about other kinds of genotoxicity. But cellular oxidation is a big one, and it’s one that we can fight vigorously with our lifestyle.

    Because cellular oxidation and inflammation go hand-in-hand, reducing one tends to reduce the other. That’s why so often you’ll see in our Research Review Monday features, a line that goes something like:

    “and now for those things that usually come together: antioxidant, anti-inflammatory, anticancer, and anti-aging”

    So, fight inflammation now, and have a reduced risk of a lot of other woes later.

    See: How to Prevent (or Reduce) Inflammation

    Don’t settle for “normal”

    People are told, correctly but not always helpfully, such things as:

    • It’s normal to have less energy at your age
    • It’s normal to have a weaker immune system at your age
    • It’s normal to be at a higher risk of diabetes, heart disease, etc

    …and many more. And these things are true! But that doesn’t mean we have to settle for them.

    We can be all the way over on the healthy end of the distribution curve. We can do that!

    (so can everyone else, given sufficient opportunity and resources, because health is not a zero-sum game)

    If we’re going to get a cancer diagnosis, then our 60s are the decade where we’re most likely to get it. Earlier than that and the risk is extant but lower; later than that and technically the risk increases, but we probably got it already in our 60s.

    So, if we be younger than 60, then now’s a good time to prepare to hit the ground running when we get there. And if we missed that chance, then again, the second-best time is now:

    See: Focusing On Health In Our Sixties

    Fast to live

    Of course, anything can happen to anyone at any age (alas), but this is about the benefits of living a fasting lifestyle—that is to say, not just fasting for a 4-week health kick or something, but making it one’s “new normal” and just continuing it for life.

    This doesn’t mean “never eat”, of course, but it does mean “practice intermittent fasting, if you can”—something that Dr. Simmons strongly advocates.

    See: Intermittent Fasting: We Sort The Science From The Hype

    While this calls back to the previous “fight inflammation”, it deserves its own mention here as a very specific way of fighting it.

    It’s never too late

    All of the advices that go before a cancer diagnosis, continue to stand afterwards too. There is no point of “well, I already have cancer, so what’s the harm in…?”

    The harm in it after a diagnosis will be the same as the harm before. When it comes to lifestyle, preventing a cancer and preventing it from spreading are very much the same thing, which is also the same as shrinking it. Basically, if it’s anticancer, it’s anticancer, no matter whether it’s before, during, or after.

    Dr. Simmons has seen too many patients get a diagnosis, and place their lives squarely in the hands of doctors, when doctors can only do so much.

    Instead, Dr. Simmons recommends taking charge of your health as best you are able, today and onwards, no matter what. And that means two things:

    1. Knowing stuff
    2. Doing stuff

    So it becomes our responsibility (and our lifeline) to educate ourselves, and take action accordingly.

    Want to know more?

    We recently reviewed her book, and heartily recommend it:

    The Smart Woman’s Guide to Breast Cancer – by Dr. Jenn Simmons

    Enjoy!