Topic: depression

Question: How can I help my husband after a suicide attempt?
After he got home from the hospital he was angry, then for a time wonderful. Now he is depressed and hopeless again.

Answer (from Lovener WightmanNYC Counseling):
A failed suicide attempt is commonly thought of as a “cry for help,” however it can also be a serious attempt to find a permanent solution to depression, hopelessness or other feelings a person feels are unbearable. It’s wonderful that you want to support your husband, but If your husband is feeling depressed and hopeless, you can best help him by getting him to a mental health professional. Feelings of hopelessness and depression, and previous attempts at suicide are all risk factors for future suicide attempts. With a mental health professional, or in the emergency room of a hospital, your husband should be evaluated for suicidal thoughts, intent and plan, and if he is a danger to himself he should probably be hospitalized again until he is stable. Without knowing the particulars, your husband may suffer from Major Depressive Disorder or some other illness on the depressive spectrum. In that case medication could help him immensely, at which point you can offer your support and encouragement him to practice gentle self-care. And do not forget to practice it for yourself.  Remember: a suicide attempt not only affects the person, but it is an immense stressor for his or her loved ones as well. As they say, “put your oxygen mask on first.” Then you will be better able to provide your husband with calm and loving care and attention.Kayla Schwartz, LMSW[email protected]

Answer (from Lauren Ostrowski, MA, LPC, NCC, BC-TMH, CCTP, CCHI tailor my therapeutic approach to each client's strengths and goals):
The fact that you're reaching out for help here is really helpful.The first thing I would suggest is that you consider seeing a local mental health professional yourself to be able to talk about the details, how this is affecting you, and how you can hold onto you are while also being supportive to you husband.From the way that you describe this, I wonder what has changed since coming home from the hospital. Perhaps you can have a conversation with your husband this and mention that you are asking him questions to learn more about his experience and you can discuss how you notice that things were going much better when he came home from the hospital, and now things are not as good. Perhaps he can tell you about what is different so that you may know him would be most helpful to him.I also hope that you husband is still continuing with his own treatment.There may also be a local peer support telephone number for the county that you live in that they be able to help you determine whether your husband needs more immediate treatment if he is feeling hopeless again. There are national crisis telephone numbers listed below as well.

Answer (from Beth Bickel):
Before I answer your question I want to cover some basics given that attempted suicide is very  serious. I don't mean to scare you but I do want to be realistic with you. If a person attempts suicide once it is more likely they will try again. Men also succeed more often than women because they typically use a means that is more fatal. Here are some signs you can watch for:Threatening to hurt or kill himself, or talking of wanting to hurt or kill himself; and or,Looking for ways to kill himself by seeking access to firearms, available pills, or other means; and/or,Talking or writing about death, dying or suicide, when these actions are out of the ordinary. Some other signs are:Increased substance (alcohol or drug) useNo reason for living; no sense of purpose in lifeAnxiety, agitation, unable to sleep or sleeping all of the timeFeeling trapped – like there’s no way outHopelessnessWithdrawal from friends, family and societyRage, uncontrolled anger, seeking revengeActing reckless or engaging in risky activities, seemingly without thinkingDramatic mood changesGiving away prized possessions or seeking long-term care for petsNow, in terms of ways you can help: 1. Ask if your husband is okay or if he is having thoughts of suicide2. Express your concern about what you are observing in his behavior3. Listen attentively and non-judgmentally4. Reflect what he shares and let him know that his is heard5. Tell him he is not alone6. Discuss treatments available that can help7. Guide them to additional professional help: National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255).A mental health professionalA hospital emergency departmentIf you are interested, I have more information on my website under "Resources/Information" and "Suicide". www.bbcounseling.net I wish you both the best!

Answer (from Sherry Katz, LCSWCouples and Family Therapist, LCSW):
Since as husband and wife your lives are closely joined, how your husband feels greatly influences the way you feel.Give yourself some time to concentrate on how you've been affected by your husband's suicide attempt.   Even if you decide against immediately telling him how you're feeling, knowing this about yourself will guide how and the topics you bring up with him.Is your husband talking easily with you?Do you have some ideas as to what is creating his feeling of hopelessness?The ideal approach would be if the two of you are able to discuss what bothers him and what bothers you.Depending on how far away you each are from such a position, you may benefit from speaking with a licensed professional therapist who can guide you and or you and your husband on opening up for discussion what feels stressful enough to merit taking one's own life.