OK. So I've gotten several requests to share my knowledge and why I feel the way I do about this. Though I'll be referencing some of the comments on here, please do not anyone take what I say as an attack, even if we have differing points. It's not intended to attack anyone. So without further adieu (takes deep breath...)
The who: There are the dopey teenagers and drama queens who do this stuff for attention~this is not about them. This is about the hardcores, people like my patient. Info is amassed thruout my years of experience dealing with these cases~probably numbering in the hundreds...
The why: I'm not paid to judge these people folks. They trust me and pay me to assist the patients who are too ill, too weak, too disabled to do it for themselves. I think it's very easy for us to sit smugly in our homes, drive our cute cars to our jobs, where we have health insurance. A lot of these people don't have those benefits that we take for granted.
The what: I think it's easy for outsiders to look down on these folks, like it's something they deserve, they see the situation as very black and white. I say to you there IS no black and white. There's a myriad of reasons people kill (or try to kill) themselves. It's MUCH more complicated than it looks. Maybe they once had the tools to cope with what life throws their way, maybe they never had it, because no one ever taught them.
Maybe they don't have good insurance. County programs for the medically indigent are overcrowded and poorly run. Would YOU want to go down to the county facility and wait to be seen for 12 hours (sitting next to someone who might have TB, scabies or lice) when you need psychological help, only to be seen by the "doc of the day" who, for all you know, might be a gynocologist?
These folks don't realize there are programs out there to those who can't pay, but you gotta make noise to find them. Maybe they thought of therapy and tried, but couldn't find a doctor who was a good fit. Or maybe they come from people who think seeing a "headshrinker" is for the weak. Maybe they tried meds but it wasn't the right dosage to help them. Maybe they didn't like the way the pills made them feel. Maybe no one ever educated them enough to tell them that a good doctor will keep trying until they find a combo that works for you.
Tulip mentioned a suicidal relative on "pills." I'm assuming these are street drugs. Here's the thing a lot of people don't know about substance abuse. I've NEVER met a happy, well-adjusted person who's abusing drugs and/or alcohol. So, why do it, right? First off, these are ALWAYS people who are haunted by something and if they're honest with each other, it's traceable to a particular event (childhood sexual abuse, a rape, witness to a murder of a loved one, etc.) It's a lot easier to turn to booze and street drugs (they're mUCH easier to get!) than it is to admit you have a problem and that you need professional help. VERY difficult for many.
The reality is, no one wakes up one morning and says, "Eh, today's a good day to die~think I'll go 'head and off myself..." People like my patients have suffered for YEARS in pain and agony, with no end in sight. That is why they choose to commit suicide. For them, every day is a nightmare they feel they'll never awaken from, a well so deep they fear no one will ever hear their screams for help, a tunnel so long and dark they have lost all hope of EVER seeing a light at the end of it. Ever.
TL mentioned rationalism. Right, these people are NOT of rational mind. You and me, sure~say you need more money. WE know we can always go out and get a second job. Sure it'll be hard but we see the answer clear as day. The suicidal have lost their sight. Their minds have become blind.
Or, maybe they're just tired of fighting. Maybe they lost someone they loved more than life itself and the pain is so great, they feel like their heart is being ripped out through their throats. Have you ever loved someone that much? If you have, you know what I mean.
Look, I'm not trying to change anyone's opinion, just sharing what I've learned from the people I counsel. This girl on the train tracks, who knows? Maybe she was this amazing artist, maybe she could have been the last fundraiser to run the Susan G Komen that made just enough money the Breast Cancer foundation needed to finally find that cure...Maybe not, but then again, maybe...At any rate, these cases are sad, they leave behind friends, parents, children. Someone has to clean up afterwards and live with the guilt that they might have been able to help these people, including me. And that's why I feel sad for these folks.
Not as black and white as it looks anymore, is it?
XOXO