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"Depression is a cyclical disease,” he said, “and it tends to get worse as it recurs.” The most dangerous points for individuals caught in the cycle are midway between the high and low points.
When they are caught in the depths of depression, the affected person is often in such a “vegetative state” that they are unable to make decisions about acts like suicide, Mr. Nettles said. And, at the high point, their mood is upbeat and they are unlikely to consider ending their life.
It is when they see themselves entering the depressive phase, with a knowledge of what lies ahead, that the likelihood of a suicide attempt is greatest. Conversely, as their mental state improves as they leave a depressive episode, their feeling may be, “I'm better now, but sooner or later it will get worse again - so why keep going?”
Mr. Nettles stressed that “a person who is acutely suicidal needs to be hospitalized in a psychiatric unit” which is accustomed to dealing with suicide prevention and the treatment of depression.
Symptoms which may be evidenced by a person contemplating suicide include giving away treasured possessions, writing a will, paying bills and otherwise “tying up loose ends,” or “a stressed and anxious person who is suddenly at peace
without the source of the stress being resolved."
A person evidencing the last symptom. Mr. Nettles said, “has
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