A recent Rosie Dimanno article in the Star about a psychiatrist who spent one day a week for 5 years reading suicide notes:
https://www.thestar.com/opinion/sta...ices-from-the-grave-that-should-be-heard.html
Another article on the same topic:
https://www.thestar.com/news/gta/20...n-help-with-prevention-research-suggests.html
About 90% of those who died to suicide had a diagnosed mental illness. Repeated themes included feelings of powerlessness and exhaustion, as well as the belief that the world is better without them. Many felt they had no control over their illness; others expressed feeling a sense of control but blamed themselves for not being healthier. Another common theme was anger over their experience in the health care system. This is of particular note as there is a common misconception that those who die to suicide simply haven't tried to get help from the system; indeed the study indicated 30% sought help from a professional within 30 days of their death, and the number of diagnosed illnesses indicates that almost all tried to get help from the system at some point.
There were also links to other recent articles on the topic that indicate the lack of/contradictory nature of understanding suicide, even within the health care community.
This article talks about the difficulty in predicting and preventing suicide:
https://www.thestar.com/life/2018/0...n-the-difficulties-of-preventing-suicide.html
This article talks about the possibility that suicide should be thought of as its own illness--perhaps with distinct biomarkers--rather than as a symptom of depression:
https://www.thestar.com/news/insigh...-getting-closer-to-understanding-suicide.html
I understand why it's poorly understood. Unless you've been in that mindset and have first hand experience with how hopeless, destructive, manipulative and twisted your thought process gets in that state, well it's simply hard to relate. But that's why people need to try to suspend judgement, try to be empathetic, and listen to those who have experience with suicidal ideation and/or have tried and survived.
The idea that people haven't tried to get help doesn't reflect the reality that it's not as simple as getting treatment. It can be incredibly hard to find a doctor who will give you adequate treatment and, even if you find that, you may spend years and years trying various meds, psychiatry/psychology/counseling, excercise/good diet, meditation etc. and you still don't find something that works. You can find stuff that works for a chunk of time then something in you changes and those meds and such don't work anymore.Then it's long periods of finding something else that works. Getting off the meds that are no longer working, which can take a very long time, can be coupled with bad withdrawal symptoms. I've known people who have felt like they've had the flu for almost half a year while coming off meds. Your sleep can be totally ruined which leads to a worse mental state. Sleep disturbance/insomnia has been shown through many studies over the past 25 years to aggravate, heighten, and lead to suicidal ideation and behaviour.
Then there's the issue of affording the help available. Medication is incredibly expensive. Many people can't afford to buy their medications and it's very unfortunate as those meds can make a substantial difference in people's mental well being. Meds can save people's lives. An example of how much money we could possibly be talking, my medications cost approximately $700 a month. That's more than my car payment and insurance. Depending on what you have, that wouldn't be an abnormal cost. Luckily, Ontario has programs to help people pay for their medications but not everywhere has those kinds of programs. So some people are left having to decide between buying medications for the month and having enough to buy food or pay necessary bills. On top of that, paying for psychiatry/psychology/counseling is a whole other issue.
Anyways, long story short, it's often not simple to navigate a mental health issue but, like so many things, it's easy to think it's simple when you haven't done it yourself.