What do i do my friend wants to commit suicide?!


Question: What do i do without her completely hating me? She cuts herself and doesn't eat. She tells me she wants to commit suicide. She already talked to a therapist but her mom thinks shes just lieing and doesnt understand. Her dad gets angry when she tells him she wants to see a therapist. She tell her mom that she needs to go get mental help cause she afraid that she will get angry or cry. What should I do please help i am really worried.


Answers: Nobody here has specifically mentioned calling for an ambulance, until gennoah mentioned it. There are a few stages of suicidality worth mentioning, in regard to making this decision: thoughts, planning, and carrying out the plans. When she starts carrying out the plans, or starts practicing to, that's when an ambulance will take her to get the care she needs. Even if she's making plans, that's enough for an emergency room to do something with her. The aim is to get her into a hospital if she's unsafe outside of the hospital. You'll want to do this before the planning gets elaborate enough that she starts hiding her plans from you. (I'm not saying it will get that bad. But it might, and it's a contingency worth preparing for.)

If the lack of eating is becoming a matter of her starving herself, that's grounds for calling an ambulance, although you didn't indicate that that's what was going on.

You might want to go with her to make sure she doesn't "say what they want to hear," so that she gets out of it.

Yeah, she could be angry with you, but that's par for the course for borderline personality disorder, which the cutting indicates she has. It's a mood disorder characterized by the same mood swings as manic-depressive disorder, except the swings are triggered much more by the external environment, happen faster, and aren't organic/biological in origin. The title of a book on the subject, "I Hate You, Don't Leave Me," describes the abandonment/attachment conflict those with BPD suffer, and it's what you're in for.

If she's still in school, one option you might want to give her is to time her ambulatory period during the upcoming spring vacation, so that at least it won't be noticed by the kids that she's gone. In return, the in-patient facility could hook her up with professional out-patient care, someone specializing in her problem who will take her seriously. Hospitals are good at matching patients to specialists, which is important for BPD.

I'm having trouble reconciling one thing though. How can her father say she's lying, when she's not only not eating but cutting herself? Does he not see the slash marks? Does she cover them up around him?

Good luck.





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