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Published on: 9/30/2024

What Are the Causes of Suicidal Thoughts?

Suicidal thoughts can be caused by a variety of mental health conditions like that includes grief, bipolar disorder, schizophrenia, posttraumatic stress disorder (PTSD), and substance use disorders.

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Explanation

When feeling intense feelings of "I want to die," "I want to disappear," or "I am tired of living" arise and persist, the following mental health disorders are considered.

Depression

People with depression often feel sad, have low energy, significantly increased or decreased appetite, lack of motivation and even suicidal thoughts.

Bipolar disorder

Bipolar disorder is characterized by alternating periods of deep depression with periods of mood elevation (mania, hypomania).

Schizophrenia

People with schizophrenia may hear or see things that do not exist. They may also have intense feelings of paranoia that can lead to thoughts of self-harm.

Post-Traumatic Stress Disorder (PTSD)

PTSD is characterized by memories of traumatic events that repeatedly resurface leading to a decrease in motivation, avoidance behaviors, and poor sleep that can then lead to suicidal thoughts.

Use of substances such as alcohol and cannabis

Relying on substances such as alcohol to alleviate distress can lead to symptoms such as impulsive thoughts of wanting to die or self-harm due to the effects of the substance.

(References)

  • Klonsky ED, May AM, Saffer BY. Suicide, Suicide Attempts, and Suicidal Ideation. Annu Rev Clin Psychol. 2016;12:30730. doi: 10.1146/annurevclinpsy021815093204. Epub 2016 Jan 11. PMID: 26772209.

  • Liu RT, Bettis AH, Burke TA. Characterizing the phenomenology of passive suicidal ideation: a systematic review and metaanalysis of its prevalence, psychiatric comorbidity, correlates, and comparisons with active suicidal ideation. Psychol Med. 2020 Feb;50(3):367383. doi: 10.1017/S003329171900391X. Epub 2020 Jan 7. PMID: 31907085; PMCID: PMC7024002.

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