If you have bipolar disorder, you may find life difficult and overwhelming at times. Among the challenges that come with this condition, the risk of suicidal thoughts is a very important topic that we must definitely talk about. It is not something to be afraid of, but being clear about it can go a long way in protecting your own life and the lives of your loved ones.
Let's understand the exact risk factors of the disease
When we talk about bipolar disorder, our moods fluctuate between two very different extremes. Both of these extremes, that is, the hyperactive state and the extremely depressed state, are very dangerous in terms of suicidal thoughts.
Manic Phase
During this time, you may feel a lot of energy and happiness. There are many times when you act impulsively , without thinking about anything. With this high activity, you may sometimes start to see and hear things that are not really there. We call this psychosis . At times like this, you are not clear about what you are doing, so you are at high risk of harming yourself.
Depressive Phase
This is the other side of the story. During this time, you may feel like nothing in the world matters, there is no hope, and there is no point in living. When everything seems dark, you may mistakenly believe that the only way to escape this sadness is to end your life. Most suicides associated with bipolar disorder occur during this depressive phase.
Mixed Episodes
Sometimes, symptoms of both can be mixed together. Imagine, you are feeling very down and sad, but at the same time, you feel very restless, agitated, and unable to cope. These mixed episodes are the periods when we see the highest risk of suicide .
Warning signs to watch out for
If you have bipolar disorder, or if a friend or family member has the condition, paying close attention to these symptoms could help save a life. If you see them, don't ignore them.
| Warning feature | What does that mean? (Explanation) |
|---|---|
| Talking about death or suicide | If you often say things like "There's no point in living," "I'd rather die," or "Everyone would be better off if I were gone," you may even search the internet for ways to commit suicide. |
| Feeling like there is no future (Hopelessness) | If you speak with a deep sense of despair that nothing will get better, that these problems will never be solved. |
| Increased drug or alcohol use | If you turn to alcohol or other drugs without control, thinking that you can get rid of the pain in your heart. |
| Finishing one's work | It's like preparing everything before you die, giving away your beloved belongings to others, paying off debts, and writing farewell letters. |
| Doing risky things | If you do things that could endanger your life, such as reckless driving and unprotected sex, without any regard for your life. |
What do we do in an emergency?
Due to the nature of bipolar disorder, it can be difficult for you to think clearly and make good decisions when you are sick. Therefore, it is very important to create a 'safety plan' with your family and trusted friends on the days when you feel well and clear-headed.
This plan can include things like:
- Call your doctor immediately: If you are having suicidal thoughts, call your doctor or therapist without delay. Keep their phone numbers handy.
- Ask for help from family or friends: Don't be alone. Don't be shy about calling the people named in your safety plan and saying, "I'm not feeling well right now, I need help."
- Stay safe until help arrives: Ask a family member to keep things that could harm you (sharp weapons, stored pills) away from you. Don't stay alone until help arrives. Stay with someone you trust.
Remember, these negative thoughts are not part of your personality or a weakness. They are just a manageable symptom of your illness. This condition is temporary. With the right treatment, you will definitely feel better.
Where to get help
In Sri Lanka, when we experience this kind of stress, there are services that can help us immediately. It is very important to be aware of these.
You can call the National Institute of Mental Health's '1926' helpline , free of charge, any time of the day. They will listen to your concerns and provide you with the guidance and comfort you need.
Also, if the situation is urgent, you can go to the Emergency Treatment Unit (ETU) of the nearest government hospital without delay. There, you will be provided with the medical and mental health support you need immediately.
But most importantly, talk to your doctor about this so he or she can adjust your medication and provide you with the best treatment plan.
Take-Home Message
- There is a risk of suicidal thoughts with bipolar disorder. This is part of the illness, not a personal weakness on your part.
- Both the manic and depressive phases of the illness are dangerous. Always be aware of the warning signs.
- When you are feeling well, be sure to create a 'Safety Plan' with family and friends.
- If you have suicidal thoughts, talk to your doctor, the 1926 helpline, or someone you trust immediately . Don't go through this pain alone.
- With proper medical treatment and counseling, these thoughts can be completely controlled and you can live a happy life. So never give up hope.
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