Becoming suicidal is a crisis that causes traumatic stress . Ingrained beliefs and values may cause an individual to be stigmatized by their own suicidality. This leads to shame and guilt. These cause alienation from self and withdrawal from others, which are also drivers. Suicidality entails changes in brain chemistry and physiology.
Suicidal individuals manifest various chemical imbalances.
Most notable is depleted serotonin , a neurotransmitter that inhibits self-harm. This is a neurological threshold and those near or beyond it must be treated with medications . There is no choice. Suicidal individuals are beset by suffering that is distracting and disabling. Suicidality is a state of total pain which limits options to enduring or ending utter agony.