Wednesday, October 27, 2010

Being Suicidal: What It Feels Like To Want To Kill Yourself

One of the best piece I have read so far this year and for obvious reasons of the most under-studied "field"- here:

According to Baumeister, there are six primary steps in the escape theory, culminating in a probable suicide when all criteria are met. I do hope that having knowledge about the what-it-feels-like phenomenology of ‘being’ suicidal helps people to recognize their own possible symptoms of suicidal ideation and—if indeed this is what’s happening—enables them to somehow derail themselves before it’s too late.

A journey inside the suicidal mind, at least as it’s seen by Roy Baumeister. You might even come to discover that you’ve actually stepped foot in this dark psychological space before, perhaps without knowing it at the time.

Step 1: Falling Short of StandardsBaumeister argues that such idealistic conditions actually heighten suicide risk because they often create unreasonable standards for personal happiness, thereby rendering people more emotionally fragile in response to unexpected setbacks. So, when things get a bit messy, such people, many of whom appear to have led mostly privileged lives, have a harder time coping with failures. “A large body of evidence,” writes the author, “is consistent with the view that suicide is preceded by events that fall short of high standards and expectations, whether produced by past achievements, chronically favorable circumstances, or external demands.”

Step 2: Attributions to SelfAcross cultures, “self blame” or “condemnation of the self” has held constant as a common denominator in suicides. Baumeister’s theory accommodates these data, yet his model emphasizes that the biggest risk factor isn’t chronically low self-esteem, per se, but rather a relatively recent demonization of the self in response to the negative turn of events occurring in the previous step. People who have low self-esteem are often misanthropes, he points out, in that while they are indeed self critical, they are usually just as critical of other people. By contrast, suicidal individuals who engage in negative appraisals of the self seem to suffer the erroneous impression that other people are mostly good, while they themselves are bad. Feelings of worthlessness, shame, guilt, inadequacy, or feeling exposed, humiliated and rejected leads suicidal people to dislike themselves in a manner that, essentially, cleaves them off from an idealized humanity. The self is seen as being enduringly undesirable; there is no hope for change and the core self is perceived as being rotten.

Step 3: High Self-Awareness“The essence of self-awareness is comparison of self with standards,” writes Baumeister. And, according to his escape theory, it is this ceaseless and unforgiving comparison with a preferred self—perhaps an irrecoverable self from a happier past or a goal self that is now seen as impossible to achieve in light of recent events—fuelling suicidal ideation. This piquancy of thought in suicidal individuals is actually measurable, at least indirectly by analyzing the language used in suicide notes. One well-known “suicidologist,” Edwin Shneidman, once wrote that, “Our best route to understanding suicide is not through the study of the structure of the brain, nor the study of social statistics, nor the study of mental diseases, but directly through the study of human emotions described in plain English, in the words of the suicidal person.”

Step 4: Negative AffectIt may seem to go without saying that suicides tend to be preceded by a period of negative emotions, but, again, in Baumeister’s escape model, negative suicidal emotions are experienced as an acute state rather than a prolonged one. “Concluding simply that depression causes suicide and leaving it at that may be inadequate for several reasons,” he writes. “It is abundantly clear that most depressed people do not attempt suicide and that not all suicide attempters are clinically depressed.” Anxiety—which can be experienced as guilt, self-blame, threat of social exclusion, ostracism and worry—seems to be a common strand in the majority of suicides.

Step 5: Cognitive DeconstructionCognitive deconstruction is pretty much just what it sounds like. Things are cognitively broken down into increasingly low-level and basic elements. For example, the time perspective of suicidal people changes in a way that makes the present moment seem interminably long; this is because, “suicidal people have an aversive or anxious awareness of the recent past (and possibly the future too), from which they seek to escape into a narrow, unemotional focus on the present moment.” Evidence also suggests that suicidal individuals have a difficult time thinking about the future—which for those who’d use the threat of hell as a deterrent, shows just why this strategy isn’t likely to be very effective. This temporal narrowing, Baumeister believes, is actually a defensive mechanism helping the person to cognitively withdraw from thinking about past failures and the anxiety of an intolerable, hopeless future.

Step 6: DisinhibitionBaumeister speculates that behavioral disinhibition, which is required to overcome the intrinsic fear of causing oneself pain through death, not to mention the anticipated suffering of loved ones left behind to grieve, is another consequence of cognitive deconstruction. This is because it disallows the high-level abstractions (reflecting on the inherent “wrongness” of suicide, how others will feel, even concerns about self-preservation) that, under normal conditions, keep us alive. These authors point out that while there is a considerable number of people who want to kill themselves, suicide itself remains relatively rare. This is largely because, in addition to suicidal desire, the individual needs the “acquired capability for suicide,” which involves both a lowered fear of death and increased physical pain tolerance. Suicide hurts, literally. One acquires this capability, according to these authors’ model, by being exposed to related conditions that systematically habituate the individual to physical pain.

Science might not give us a reason to live  but it give us a reason not to kill ourselves:


Always remember: You’re going to die soon enough anyway; even if it’s a hundred years from now, that’s still the blink of a cosmic eye. In the meantime, live like a scientist—even a controversial one with only an ally or two in all the world—and treat life as a grand experiment, blood, sweat, tears and all. Bear in mind that there's no such thing as a failed experiment—only data.

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