I had the chemical imbalance variety. The psychiatrist at the time gave me Merital (nomifensine maleate) which is no longer made or prescribed in the U.S., probably because it works. It had/has the potentially unpleasant side-effect of causing a type of anemia so they don't recommend it any more.
Anyhoo, took that for a few months and it kicked my brain back into gear with the seratonin issues and I've been fine for over 20 years. I'm allowed to have a fast car, fast bike and guns in the house!
True that nobody knows what's going on in the person's head. It doesn't make it any easier for the family of a suicide victim but the fact is, nobody really knows what it is that causes a person to believe that suicide is the best alternative available. For some of us, it's the body chemistry screwing us up. For others, well, who knows?
Selfish? I don't think so. Saying it is is an attempt at guilt-tripping a person into not committing suicide as opposed to encouraging them to get the help they need. After the fact, it's generally an expression of anger and frustration at not knowing why the person did it, an unanswerable question.
When I made my first attempt at suicide, it wasn't out of selfishness. It was because I had given up on life altogether. Life had no pleasantries, no beauty, none of the things which make it worthwhile. For me at the time, life was constant emotional and mental pain, fraught with fear and uncertainty and a sensation of absolutely zero self-worth. The nearest description I can think of is that life was black. The mental will to live was gone but the physical body's biology was too healthy to allow me to just wither away, which was what I would have preferred.
Fortunately, I got the help I needed and I've been good to go ever since.
You who have never been in those shoes, remember that
1. It isn't your fault. Never ever ever believe that you could have done something to change the mind of the suicide victim. If you happen to be there at the moment or soon after and can call an ambulance, that is the ONLY thing you would have ever been able to do.
2. You can, however, be there for your friend or family member after the fact if they survive. They will need you but they won't need you telling them how to live their life. They just need you there for them. Let the doctors tell you how to help beyond that and let the doctors and the survivor figure out how to get past this.
3. For quite a long time after a person survives his suicide, you cannot allow that person to be alone. It can take a long time to figure out how to successfully treat the person and until the doctors are able to work it out, you can't leave that person alone.
I knew a man many years ago who was wealthy beyond imagination, had a beautiful family, professed a soul-deep belief in god and was diagnosed as bi-polar (or whatever they were calling it then). He started meds. His family was given strict instructions to never leave him alone. They left him one day to go grocery shopping and came home to find he had taken his own life.
4. Just by way of education, learn the signs. It's on the internet so google it and educate yourself on how to determine if someone is exhibiting those characteristics. You COULD be a help to a friend in need if you know what the signs are, in spite of #1 above.
As for self-euthanasia, I believe that to be a completely different topic. Briefly, if a person is otherwise healthy, suicide is unbelievably evil and wrong in every possibly way. On the other hand, if a person's physical body has been damaged or aged to the point that there is no hope of reprieve and quality of life is permanently lost, then the choice should be left to the person to determine the course of his life and how it should end.
I highly recommend the book, "Final Exit," by Derek Humphries. Yes, it does describe how you can go about taking your own life, but more importantly, it talks about all the issues which go into the decision. It is a serious book which raises serious issues for consideration in a sensitive and thoughtful way.
Life is precious. It should never be wasted.
--Wag--