This is a really difficult and sensitive topic to talk about. But we need to talk about this dark shadow that silently spreads in our society, among our own families and friends. Someone living with a mental illness called Bipolar Disorder is more likely to have suicidal thoughts . Therefore, being properly informed about this can possibly help save a life. So let's talk about this openly today.
Why is this risk higher with bipolar disorder?
Simply put, bipolar is a condition in which a person's mood, emotions, and activity fluctuate wildly. One day, a person may be extremely happy and hyperactive (we call this a Manic Episode), and the next day, they may be extremely anxious and bored with life (we call this a Depressive Episode).
Imagine, when a person is suffering from such severe depression, what kind of thoughts they have about themselves, the world, and the future. Thoughts like "I'm not worth anything to anyone," "I'll never get over this pain," and "Everyone would be better off if I were gone" begin to echo in their minds. That's when it's most dangerous. According to research, if proper medical treatment is not received, the chances of these thoughts being implemented are very high.
Common reasons that increase the risk of suicide
In addition to bipolar disorder, there are several other factors that can increase this risk. It is very important to be aware of these.
- Other mental illnesses or drug use: If you have other mental illnesses such as depression or anxiety along with bipolar disorder, or if you are addicted to alcohol or drugs, the risk is higher.
- Family history: If a close family member, such as a mother, father, or sibling, has suffered from a mental illness or committed suicide, that is also a risk factor.
- Previous attempts: We should be especially concerned about someone who has attempted suicide before, as they are more likely to try again.
- Past trauma: If you have been subjected to severe physical or sexual abuse as a child or at some point in your life, that trauma can also influence these kinds of decisions.
- Social influence : When a friend or family member does something like this, it can also have an impact on some people.
- Possession of firearms: Having items that can be easily used to commit suicide (firearms, poisons) increases the risk.
The most important thing is that we need to pay special attention to anyone who has one or more of these risk factors. It is our responsibility to understand them and offer to help.
How to recognize someone at risk? (Warning Signs)
Often, before someone makes such a serious decision, they give hints about it. These can be in words or in behavior. We need to be very aware of these warning signs.
| Warning Sign | What does this mean? |
|---|---|
| Talking about death or suicide | If you often say things like "I wish I were dead," "This life has no meaning," and "It's a relief for everyone that I'm gone," don't take it lightly. |
| Showing hopelessness and helplessness | If you speak with the feeling that you are worthless, that no one will help you, and that you will never be able to overcome these problems. |
| Sudden change in mental status | If someone who has been feeling extremely sad and anxious for days suddenly appears very calm and relaxed for no apparent reason, it can be a dangerous sign. It could be because they have made up their mind. |
| Behavioral changes | Increasing alcohol/drug use, engaging in dangerous activities such as driving through red lights, and completely giving up on things you used to enjoy (hobbies, sports). |
| Social distancing and farewell | Going to see or calling loved ones and saying goodbye. Giving away your belongings and valuables to others, changing your last will and testament, etc. |
| Serious changes in sleep | Not sleeping for days, pacing back and forth restlessly, always displaying a restless disposition. |
What do you want to do?
If someone you know, a friend, or a relative is showing any of these symptoms, never leave them alone. Don't just look away, thinking, "That's just talk." Listen carefully to what they have to say. Even just listening to their pain without judging them can be a big help.
The most important thing is to seek professional help immediately. That means seeing a qualified doctor immediately and talking about this situation.
Emergency situations that require immediate action!
There are times when we need to act without delay. In such a situation, immediately take the person to the Emergency Treatment Unit (ETU) of the nearest hospital.
- If you feel like you can't control yourself and are about to harm yourself.
- If you say you hear voices telling you to harm yourself.
- If you express an idea like "I'm going to do this right now."
- If someone you know has clearly stated that they want to commit suicide.
In such a situation, you can call 1990 (Sri Lanka's ambulance service) for help. You can also call mental health counseling services (e.g. CCCline 1333) for guidance. However, if the situation is urgent, it is best to go to the hospital's Emergency Treatment Unit (ETU).
This journey is not a solitary one. With the right medical care, support from family, and love from friends, anyone can manage bipolar disorder, overcome these dark thoughts, and live a successful life. The most important thing is not to be afraid to ask for help and to be available to provide that help to someone who needs it.
Take-Home Message
- Bipolar disorder is a serious condition that requires treatment. Don't ignore it.
- If someone is talking about suicide, don't take it lightly. It could be a cry for help.
- Always be aware of warning signs.
- Never leave someone who shows these symptoms alone. Stay with them.
- Seek professional help immediately. Refer yourself to a doctor . In an emergency, go to the hospital's Emergency Treatment Unit (ETU).
- Telephone services such as Sri Lanka's CCCline 1333 can be used for advice and support.
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