My brother called me recently talking about how much despair he felt and how he doesn’t see anything ever changing and that he was thinking of killing himself. His perception, and I can’t argue with it, is that he has been depressed his whole adult life and can’t see it changing. It’s not worth surviving just for the sake of surviving, if there’s no happiness. He can’t understand why other people are happy and he had never been. He is on a few meds and only recently has he felt this bad, so I said maybe he could get the meds re-evaulated, or wait it out as maybe it’s a phase. That wasn’t me being not understanding about depression, just that I go through phases too and come out the other side.
I’m depressive too but am on meds and it’s only briefly gotten bad enough that I considered suicide. I am relatively content: not happy, but fatalistic enough to accept that I won’t be happy and life isn’t fair. But that’s OK and I can still have some value in the world. He says he can’t stand just going to work and coming home to nothing. He was describing my life as well! but I find little things to content me.
Our mom was suicidal the whole time we were growing up (not that we knew that, she was very good at being there for us despite her pain) and now at 63 says she hasn’t felt like killing herself for a few years. Do I ask him to wait it out another 25 years and maybe things will get better?
The thing is, I can’t really argue with him. Yes, it’s his perception and may not be quite true, but it’s the truth to him right now. And it’s not far from the Truth. I try to tell him too that just by being around he is making himself available for things to come to him. He doesn’t have the will to seek out things that might make him more content, but perhaps something will come his way.
What’s weird is that he was recently in the hospital for a heart attack and while he sedated my parents and I discussed life support. My brother had expressed how he had brought the attack on himself (drug use, etc.) and wished he had just died from it. It was a second heart failure that put him under and made us have to evaulate options. What he had said after the first attack made me pull for no extraordinary measures and I said, what if we bring him back only to have him kill himself later? Wouldn’t it be better to allow a natural death? My father said he believes suicide is a natural death. He’s Catholic and wouldn’t do it, but didn’t see that if you didn’t believe it was morally wrong that it wasn’t an option!
So even though he has always been not happy, there are recent stressors that may be exacerbating it: the heart attack and subsequent diabetes diagnosis, no more drugs and alcohol which were an escape, appealing medical bills, etc. Even I have the same feelings he does when thinking about the things he has to take care of: a flood of despair at these responsibilities, because it doesn’t feel worth it.
Anyway, I feel some obligation to come up with the right thing to say to turn him around but I know there is probably no such thing. And I am not horrified by the thought of him killing himself because I understand it. This is tough.
But I don’t think he’s being selfish. But is that because he’s not leaving behind dependents and the rest of his family wouldn’t really blame him? And we aren’t that close so it wouldn’t be a devastating blow? Or because we were brought up to be independent and not think too much about obligations to our other family members? This is tough.