[HN Gopher] People who die by suicide want to stop suffering, no...
       ___________________________________________________________________
        
       People who die by suicide want to stop suffering, not to stop
       living
        
       Author : belter
       Score  : 346 points
       Date   : 2023-05-20 11:24 UTC (11 hours ago)
        
 (HTM) web link (english.elpais.com)
 (TXT) w3m dump (english.elpais.com)
        
       | tpoacher wrote:
       | > Question: Can suicide be addressed as if it were a disease?
       | 
       | > "Answer": Suicide is not a mental disorder like depression or
       | addiction. In a high percentage--70% to 90%--of cases, there is
       | an underlying mental disorder but there are 10% to 20%, who are
       | people who may reach a point where they make an existential
       | calculation, see that their life no longer makes sense, that they
       | do not have a life project, and they feel isolated and experience
       | a certain tiredness of living.
       | 
       | I fundamentally DISAGREE with this interpretation (and what's
       | more, I think it is a very dangerous one).
       | 
       | At the risk of invoking the definitional fallacy, this conflates
       | suicide with something that it is not.
       | 
       | Rationality and "existential calculations" are not only
       | irrelevant as causes in this context, but indeed manifestations
       | of the 'condition'; human beings (and animals more generally) are
       | pre-programmed to do certain things, that serve
       | biological/genetic purposes in the grand scheme of things, but
       | are completely irrational actions from a "logical" point of view.
       | "Normal" humans primarily put dead organic matter in their
       | mouths, not out of a logical desire to obtain nutrition, but
       | because they 'hunger'. "Normal" humans, identify other humans to
       | rub genitals with not because of a logical desire to practice
       | fluid exchange or a conscious yet indifferent decision to
       | rehearse procreational maneuvers optimizing for genetic
       | diversification, but because they have 'sexual urges'. "Normal"
       | humans don't rationally choose to sleep because they have a
       | logical desire to replenish their bodies from toxins and train
       | their neurons and memories, but because they feel 'sleepy'. And
       | similarly, "Normal" humans do not simply choose to live or not
       | live in the day because they feel their existence (or that of
       | their offspring) has a specific, measurable, logical consequence
       | that positively affects the planet (or whatever purpose the
       | planet is here for in the first place); they go on with their
       | lives precisely _despite_ the hopelessness of it all, because
       | they experience a deep biological imperative and hunger for
       | "survival at all costs, for themselves and/or their offspring".
       | 
       | When anxiety or similar disease affects your ability to feel
       | sleepy, it may "feel" like you're choosing revenge
       | procrastination instead of sleeping, but really, your biological
       | circuits that enable your sleepiness to override other functions
       | are malfunctioning, allowing you the illusion of rationality and
       | conscious choice. When you "decide" not to eat to the point that
       | you are morbidly underweight, it may "feel" like a rational
       | decision, but really, the biological circuits that control your
       | brain's ability to allow hunger to override such behaviour is
       | malfunctioning, allowing you the illusion or rationality and
       | conscious choice. You may think you "decide" not to have sexual
       | urges because of societal norms or whatnot, but really, if you
       | are having no sexual urges, the part of your brain that is
       | designed to override your social inhibitions in pursuit of
       | procreation is malfunctioning, allowing you the illusion of
       | rationality and conscious choice. And similarly, you may think
       | that "I just realised life makes no logical sense" and therefore
       | having suicidal thoughts sounds "rational", but really, the
       | primitive part of your brain that lusts for survival is
       | malfunctioning, leading to a perception of rationality and
       | conscious choice in the matter of whether to live of not.
       | 
       | Similarly, the circuits can go wrong in the opposite direction:
       | you might sleep too much, be bulimic, be a sex-addict, and you
       | can make yourself crazy-hypochondriac-bipolar-whatever from an
       | overwhelming desire to "never die" (i.e. a pathologically high
       | survival instinct).
       | 
       | Feelings of depression or suffering etc may be important
       | variables, particularly in terms of triggers and treatment, but
       | are orthogonal to the problem. Indeed, there are countless
       | examples of people undergoing extreme sufferring, but where that
       | sufferring seemed to intensify their lust for survival, rather
       | than nullify it. And there are countless examples of people who
       | are living a comfortable life, ostensibly free of suffering, but
       | are incredibly suicidal. We can see the same happen with other
       | human urges. You can be not eating and be very conflicted about
       | it, or be completely "meh" about it. Conversely, you could be
       | stuffing yourself, and be very guilty about it, or be totally
       | indifferent. In fact, a big feature of these conditions of
       | 'diminishing urges', is that they feature "splitting". Once the
       | programmable part (i.e. the 'urge') returns, the brain shifts to
       | "it was never rational to think this". If the urge disappears
       | again, the brain shifts to "it was always rational to think
       | this". We know this very well from anorexia for instance;
       | whenever the 'physical' matter is dealt with resulting in a
       | successful restoration of the appetite function, anorexic
       | neurosis often goes away with it. And thus the first pillar of
       | treatment for anorexia is "treat the physical cause first".
       | 
       | Yes, depression and other mental disorders are often accompanied
       | by suicide, and treatment of the former often mitigates the
       | latter, but it would be a mistake to conflate the two as a single
       | disease, somehow manifesting in a spectrum. Rather, suicidality
       | should be seen as a secondary complication of the depression as a
       | primary disease. It is a mistake to consider "yes they were
       | depressed, but because of this suicide was a logical decision",
       | as it robs a person who may have otherwise not "logically" wanted
       | to commit suicide had they been 'restored to normal function',
       | from the opportunity to make that decision _in the right context
       | and frame of mind_ (under the assumption that the  "correct"
       | frame of mind is the one that we have been programmed for as
       | humans in the first place -- a deep philosophical statement in
       | itself).
       | 
       | Life is not _meant_ to be logical. The very essence of life that
       | leads to its continuation is precisely the fact that there are
       | things we do that ensure our survival (both individually and as a
       | species), that make ZERO F**ING SENSE, and yet we do them anyway,
       | because we 're programmed to do them at a _molecular_ level. If
       | for whatever reason, life suddenly became logical, you could
       | reliably expect the planet to blow up within a matter of weeks.
        
       | xarromaster wrote:
       | Indeed
        
       | cideograp wrote:
       | We all die eventually, so what's the big deal with leaving early?
       | 
       | I think they're making a bold choice to complete life on their
       | own terms.
        
         | blooalien wrote:
         | > ... "making a bold choice to complete life on their own
         | terms."
         | 
         | Or making the only choice they feel they have left to them when
         | faced with unsurmountable obstacles to ending their pain in any
         | other way... This "fuck everyone else but me" society we
         | currently live in isn't real conducive to even _noticing_ or
         | caring about the pain of another human (except maybe to blame,
         | ridicule, or add to said pain), let alone helping them end that
         | pain in a positive manner.
        
       | NoMoreNicksLeft wrote:
       | This headline strikes me as asinine. It wants to be profound, and
       | certainly other people who hear or read it would consider it
       | wise... but it offers no true insight. It can neither explain
       | suicide nor help to prevent it or educate anyone on why they
       | should want to try to do that.
       | 
       | It has a smarmy veneer of subjectivity to it.
       | 
       | If someone built an true general AI, and it suddenly started
       | obsessing over suicidal ideation, would you jump to the "it's
       | suffering!" explanation, or would you ask why it was
       | malfunctioning?
       | 
       | "The subroutine that offers up solutions to perceived problems is
       | fixated on a course of action that does result in the solution of
       | any problem" seems more like an appropriate response. Or maybe
       | "What errors exist in the code to cause it to constantly loop
       | back to the wrong answer?"
       | 
       | Those would be the non-stupid reactions. So what about a natural
       | intelligence doing the same thing makes you all wax poetic about
       | suffering and being pushed beyond ordinary limits and crap like
       | that? Natural intelligences shaped by evolution and chance have
       | it worse off, of course, bugs and errors and bad code are just
       | the way things are.
       | 
       | If anyone wants to ever be able to fix such things, this is the
       | only way. Not wallowing around in psychology and other
       | pseudosciences.
        
       | lloydatkinson wrote:
       | Thought this was obvious
        
         | tiny_sal wrote:
         | This is such a hacker news comment, I love it.
        
           | lloydatkinson wrote:
           | I'm not sure how. And I laugh at HN comments all the time.
           | 
           | Is it not obvious?
        
         | nicoburns wrote:
         | I think some people have never experienced prolonged periods of
         | suffering, and thus it is hard for them to imagine .
        
           | zozbot234 wrote:
           | We may have not experienced prolonged pain, but we all have
           | experienced suffering. Life itself is synonymous with
           | suffering, for all but those few master sages who have been
           | successful in conquering all of their cravings and reaching
           | the utmost of equanimity.
           | 
           | Suicide itself is virtually always a highly disordered act,
           | that only demonstrates how deeply the person resorting to it
           | is mired in her cravings. While some kinds of physical or
           | spiritual pain might in fact be a real obstacle to attaining
           | inner growth, this is quite rare and not what most people are
           | dealing with.
        
             | bowsamic wrote:
             | > Life itself is synonymous with suffering
             | 
             | What? No it isn't. Just because some guy wearing orange
             | robes told you it is, doesn't mean it's true. I have been
             | through a lot of depression and I would never accept such a
             | statement alone: life is no more synonymous with suffering
             | than it is with peace and joy
        
               | zozbot234 wrote:
               | You are in fact agreeing with what I said, in that we do
               | experience peace and joy whenever we manage to lessen
               | some of our cravings (and overcoming a state of
               | depression is an especially clear example of this). But
               | very few people hold freeing themselves of their
               | spiritual fetters as their fundamental goal in life, and
               | even fewer manage to achieve this. Thus, there is clearly
               | a way in which life is synonymous with suffering, at
               | least as a default state that we are all mired in from
               | birth.
        
               | bowsamic wrote:
               | Again, I totally disagree.
               | 
               | A vast majority of humans experience peace and joy.
               | 
               | A vast majority of humans also experience suffering.
               | 
               | Why then say "life is synonymous with suffering", and not
               | "life is synonymous with all the manifold experiences
               | that comprise it"?
        
               | zozbot234 wrote:
               | > Why then say "life is synonymous with suffering", and
               | not "life is synonymous with all the manifold experiences
               | that comprise it"?
               | 
               | Because it's important to fully empathize with those who
               | have not yet learned to view pain as merely one of "all
               | the manifold experiences that comprise" life. It's good
               | that you understand this more spiritually sound
               | perspective but to most people, suffering (meaning the
               | innumerable cravings and spiritual addictions that we are
               | all subject to as part of living) is kind of a Big Deal.
               | Sometimes it's so big of a deal that they make
               | irreversible and very poorly considered decisions over
               | it, as OP discusses.
        
               | bowsamic wrote:
               | Literally the default western perspective is "life is a
               | rollercoaster"
        
               | haswell wrote:
               | The Buddhist point of view on this is closer to "the
               | default state of life is unsatisfactoriness". The word
               | "suffering" tends to elicit thoughts about pain and
               | distracts from the myriad of other ways humans "suffer"
               | daily.
               | 
               | > _life is no more synonymous with suffering than it is
               | with peace and joy_
               | 
               | I'd argue that by _default_ , life is closer to
               | "unsatisfactoriness" than peace and joy, due largely to
               | the evolutionary drives that make us strive for more.
               | While you _may_ be fortunate enough to experience the
               | latter, it comes only through deliberate effort and a
               | successful navigation of life's basic survival
               | requirements. Living in a modern society shields most
               | people from the more persistent existential suffering of
               | our ancestors.
               | 
               | Hunger, thirst and bodily breakdown are guaranteed. Peace
               | and joy are optional, but what make life worth living.
               | But it is seeing "suffering" for what it is - a mental
               | state that we have the power to change - that makes
               | living a peaceful and joyous life possible.
        
             | hotpotamus wrote:
             | What about someone who has conquered their craving to
             | continue living and decides they are prepared to embrace
             | the end? Have you seen "The Good Place"? It's really quite
             | an interesting show in that it combines a (sometimes very
             | funny) sitcom with a pretty thoughtful exploration into the
             | subject of ethics.
        
             | nicoburns wrote:
             | > We may have not experienced prolonged pain, but we all
             | have experienced suffering
             | 
             | Sure, but people rarely consider suicide due to momentary
             | suffering, or even suffering for a few weeks or month.
             | People typically consider suicide when they can't see an
             | end to their suffering, and while this is sometimes
             | irrational there are also many cases where it isn't.
        
               | zozbot234 wrote:
               | I've already pointed out that suffering is inherent to
               | life for most of us, so it encompasses far more than "a
               | few weeks or month[s]". You seem to be focusing on the
               | aversion of physical or spiritual pain, but that's merely
               | one sort of suffering which is not different in nature
               | from the far subtler and less obvious suffering we all
               | experience throughout our lives.
        
               | vaidhy wrote:
               | There is suffering and there is suffering. Even Buddha
               | differentiated between the physical needs and the
               | spiritual pain. We now know there is also mental pain and
               | it is disingenuous to categorize all of them into a
               | single category.
        
         | reuben364 wrote:
         | I'm sure that holds for most people. However I'm not exactly
         | attached to the idea of being alive. If I'm dead I naturally
         | wouldn't have any thoughts on the matter. Dying however does
         | scare me.
        
       | sylware wrote:
       | Yep, or you'll get all depressed young adults seeking state
       | assisted suicide.
        
         | ycombin23918 wrote:
         | [flagged]
        
         | thr-nrg wrote:
         | So long as it's not state mandated, more power to them. If they
         | feel 50 more years are not something they want why should we
         | force them to?
        
           | brazzy wrote:
           | Because the vast majority of them eventually (often pretty
           | soon) change their mind about it.
        
             | Der_Einzige wrote:
             | A permanent solution to a temporary problem still solves
             | the problem
        
       | pdevr wrote:
       | This lumps all the people who die by suicide into a single
       | category. People commit suicide for various reasons.
       | 
       | Some of them do it to stop suffering, as the article says. Some
       | do it out of sheer vengeance. Some do it as part of a pact. Some
       | do it in such a way so that the cause is not proven to be
       | suicide, and thus their near-and-dear get the insurance money.
       | Some do it so that they have control over their lives till the
       | very end. Some others like Mitchell Heisman, do it just because
       | they can.
       | 
       | At the same time, some of these causes are preventable. Good
       | faith attempts to address those causes are, of course, always
       | laudable.
        
       | 93po wrote:
       | My personal experience with ideation was both because I was
       | suffering, but also because of complete apathy. I didn't care
       | about my life and didn't see a point to continuing it. The
       | suffering was influential as well, but even without it, I still
       | didn't see a point and life was _effort_.
       | 
       | To be honest, now being in a much healthier place, I still
       | somewhat don't care about my life beyond the animal instinct of
       | death being scary. I am still apathetic about my life and its
       | impact on the universe. But I'm in a healthier place of being
       | able to find joy in places, and finding a sense of satisfaction
       | in enduring through all the effort that life requires.
       | 
       | Also as sad as it is, the thing that has nearly entirely
       | alleviated my mental health issues has been adderall. It is by
       | far the most effective drug I've ever taken for it, and I've
       | tried a lot.
        
       | Wronnay wrote:
       | "Why hasn't the number of deaths by suicide decreased?"
       | 
       | That housing and groceries is getting more and more expensive
       | certainly doesn't help with that...
       | 
       | Of course, not so many people in this world suffer anymore from
       | hunger but in the last years additional problems came up.
       | 
       | I know some older people who think that Depression is just a
       | excuse for not wanting to work but these older people had it
       | easier to build or buy a house than my generation - so I think
       | more that the rising Depression in many is a symptom for an live
       | which gets more and more difficult and them not being able to
       | deal with it.
        
         | ChuckNorris89 wrote:
         | _> these older people had it easier to build or buy a house
         | than my generation_
         | 
         | Also easier in finding a job with an employer that would invest
         | in your training and invest in the community and a stable
         | economy where your wages, purchasing power and savings weren't
         | obliterated overnight through the stroke of a pen that also
         | pushed housing prices up by the same amount.
         | 
         | The fabric of society and community has degraded in the last
         | couple of decades since the 2008 bust and it hasn't gotten any
         | better. It's now "grab everything you can while you can, screw
         | everyone else, or be poor".
        
         | Name_Chawps wrote:
         | You truly think housing and food have anything to do with it?
         | We live in the richest society in history, and also the most
         | suicidal. Why don't people living in true poverty around the
         | world feel depressed and kill themselves like we do?
         | 
         | Why do we kill ourselves? It's because we have no communities
         | anymore. Many of us are alone. Some call it a loneliness
         | epidemic. And we've replaced community with social media. Our
         | society is sick, and it has nothing to do with needing more
         | housing or whatever your pet political issue is.
        
           | badpun wrote:
           | > We live in the richest society in history, and also the
           | most suicidal.
           | 
           | Actually, the US is not even in top 30 of countries with most
           | suicides per capita. And of course, it's probably better than
           | most at actually keeping records, which means that it should
           | be even lower down the list.
           | 
           | See: https://en.wikipedia.org/wiki/List_of_countries_by_suici
           | de_r...
        
           | s1artibartfast wrote:
           | I think it is more than just loss of communities, although
           | that is a big part of it.
           | 
           | It is also a hallowing out of the human experience and the
           | inability to enjoy simple pleasures available to anyone
           | alive.
           | 
           | Consumerism is so deeply entrenched in the minds of people
           | that they usually blame their unhappiness on a lack of
           | material goods and external factors.
           | 
           | Meanwhile, There are millions or billions of people who can
           | find pleasure and satisfaction with with practically nothing.
           | Enjoying a quiet cup of tea in hovels, reading books for
           | pleasure, or taking in everyday beauty.
           | 
           | To me, this indicates that a large part of dissatisfaction on
           | depression are about mindset, which should be obvious.
        
             | harimau777 wrote:
             | If they have a spouse and kids, then perhaps they are
             | simply better off than someone who is wealthy but alone.
        
               | s1artibartfast wrote:
               | yeah, I think that is a big part of it. Or people who
               | have friends, social groups, ect.
               | 
               | It can also have to do with what you focus your attention
               | and spend your time on. Maybe watching the 40+ hours of
               | TV a week that average Americans do doesn't actually make
               | people happier, and sitting around a coffee shop and
               | playing games (a cheap and common past time in some poor
               | countries), is better for mental health.
        
               | twelve40 wrote:
               | maybe. I tried to play board games with my boys many
               | times, but even something as simple and potentially
               | enjoyable as Monopoly or cards quickly turns our warm
               | relationship into a nasty pissing match. We actually
               | turned to movies and shows for that reason (or more
               | collaborative types of games but that's harder to come
               | by)
        
               | s1artibartfast wrote:
               | I don't know you or your family so I would never comment
               | on whether I think your choices are healthy or not.
               | 
               | My point was more General in that people can make poor
               | choices for themselves that leave them unfulfilled and
               | worse off.
        
             | Der_Einzige wrote:
             | Mental illness and mental issues are systemically
             | underdiagnoaed in the third world. I do not believe for a
             | single second that third worlders have better mental health
             | than first worlders. The average third worlders has seen
             | ultra traumatic experiences that simply do not happen to
             | the average first worlder.
        
               | s1artibartfast wrote:
               | I do think that third worlders have better mental health
               | than first worlders with respect to depression.
               | 
               | Different people respond in wildly different ways to
               | hardship and trauma. The difference in outcome between
               | two people is internal, not circumstance. It is
               | impossible that it could be otherwise when you some
               | people have experienced the worst the world has to offer
               | and are relatively happy, while some others have
               | experienced the best and are suicidal.
               | 
               | Furthermore, know that the _same_ people can be depressed
               | or happy despite the same material external
               | circumstances, depending on their outlook.
               | 
               | Depression especially hinges on mental perspective,
               | perspective, and conditioning. It stands to reason that
               | this could vary culturally and geographically for many
               | reasons.
               | 
               | It would be absolutely unethical, but I think you could
               | raise two sets of children to be more depressed or happy
               | with the same material quality of life. Raise one group
               | telling them they are helpless, worthless, and that the
               | world is a terrible place. Tell them that you will give
               | them riches and always disappoint them. Take the other
               | and teach them to have low expectations but enjoy simple
               | pleasures. Equip them with cognitive tools to deal with
               | the challenges of life and disappointment in healthy
               | ways. Do you think you would see a difference between the
               | two groups?
        
               | twelve40 wrote:
               | Well the first group you mentioned is borderline abused
               | so of course they would be miserable. The second group is
               | interesting.
               | 
               | > enjoy simple pleasures. Equip them with cognitive tools
               | to deal with the challenges of life and disappointment in
               | healthy ways
               | 
               | is this really fully teachable? Is it something that
               | truly can be trained or it depends on a very complicated
               | number of external and internal factors, including
               | genetics?
               | 
               | as far as this part: > teach them to have low
               | expectations
               | 
               | Sounds kind of simplistic to say that, but there is
               | always this worry that having low expectations leads to
               | McDonald's, where you may realize that no you actually
               | expected much more out of life, but by that point it's
               | kind of too late and pretty hard to dig yourself out.
        
               | s1artibartfast wrote:
               | I would agree that the first case could be construed as
               | abuse, but this type of abuse is relatively common to
               | some degree.
               | 
               | My point was more to illustrate the fact that cognitive
               | development and personality impact how people experience
               | the world, and is probably the biggest factor in what we
               | consider depression.
               | 
               | The point is to show how trivial it would be to bias
               | humans towards depression and thereby illustrate the
               | importance of the psychological component.
               | 
               | I don't think that you can teach kids in a way that's
               | 100% successful, but I still think it is a huge Factor,
               | probably then the biggest. There's vast amount of data
               | that backs this up.
               | 
               | When it comes to my statement about expectations, it is
               | obviously more nuanced. What I meant is low expectations
               | for how easy life will be in that they will have to
               | overcome challenge and that a happy and successful life
               | requires work. Also low expectations for the material
               | necessity is to have a happy life. I look around today
               | and see lots of peers who think they can't be happy
               | without owning a home. Owning a home is admittedly more
               | difficult now than in the past, but even then something
               | like 40% of people would never be homeowners in their
               | life. If that's a prerequisite for happiness, you have
               | doomed 40% of the population to be unhappy
        
           | Wronnay wrote:
           | > Why don't people living in true poverty around the world
           | feel depressed and kill themselves like we do?
           | 
           | That actually happens. There are just not enough statistics
           | about that because nobody cares.
           | 
           | I remember a documentary about a part in China with a very
           | high suicide rate - mostly because people couldn't find a
           | job. Another example would be the Irish Travellers - a
           | community which has it hard to find a job and has a way
           | higher suicide rate than the rest of the UK.
        
           | firstplacelast wrote:
           | Absolutely, yes.
           | 
           | I can't speak for everyone, but for whatever reason those
           | things cause me (a very middle-class person) a lot of stress.
           | 
           | Maybe because of what I was taught or how I grew up or my
           | experiences, which are not the same for everyone, but it's
           | still there. I've been food insecure, been temporarily
           | homeless, had to bounce around from place to place without
           | much money to my name when younger.
           | 
           | Not being able to put down roots stresses me out. Will rent
           | go up? Will landlord sell my place (has happened before),
           | will I need to move to the middle of nowhere in my late 40's
           | and start all over building a community?
           | 
           | I'm not looking for a nice SFH as a need, just a mediocre
           | condo, but in a very expensive place. It's where the jobs
           | are, unfortunately. Relying on other people's income
           | (roommate/spouse) does not solve this issue for me.
           | 
           | While there are many different issues for many different
           | people, not being able to carve out a space for yourself is
           | very stressful for many people.
           | 
           | I've talked about this in therapy. Get married or look at all
           | the poor people worse off is what I am told. Not helpful.
           | 
           | It is what it is, I guess.
        
       | guerrilla wrote:
       | This is a blatant false dichotomy. People can stop suffering by
       | stopping living. If a person perceives the probability of
       | continued suffering in life as very high with no ability to
       | effect that then stopping living is their best chance to stop
       | their suffering.
        
       | gwd wrote:
       | "...what is it we need but more life? What does the infant need
       | but more life? What does the bosom of his mother give him but
       | life in abundance? What does the old man need, whose limbs are
       | weak and whose pulse is low, but more of the life which seems
       | ebbing from him? Weary with feebleness, he calls upon death, but
       | in reality it is life he wants. It is but the encroaching death
       | in him that desires death. He longs for rest, but death cannot
       | rest; death would be as much an end to rest as to weariness: even
       | weakness cannot rest; it takes strength as well as weariness to
       | rest. How different is the weariness of the strong man after
       | labour unduly prolonged, from the weariness of the sick man who
       | in the morning cries out, 'Would God it were evening!' and in the
       | evening, 'Would God it were morning!' Low-sunk life imagines
       | itself weary of life, but it is death, not life, it is weary of.
       | Never a cry went out after the opposite of life from any soul
       | that knew what life is. Why does the poor, worn, out-worn suicide
       | seek death? Is it not in reality to escape from death?--from the
       | death of homelessness and hunger and cold; the death of failure,
       | disappointment, and distraction; the death of the exhaustion of
       | passion; the death of madness--of a household he cannot rule; the
       | death of crime and fear of discovery? He seeks the darkness
       | because it seems a refuge from the death which possesses him. He
       | is a creature possessed by death; what he calls his life is but a
       | dream full of horrible phantasms." -- George Macdonald, "Unspoken
       | Sermons: Life"
        
         | niea_11 wrote:
         | Another relevant quote by David foster wallace :
         | 
         |  _The so-called 'psychotically depressed' person who tries to
         | kill herself doesn't do so out of quote 'hopelessness' or any
         | abstract conviction that life's assets and debits do not
         | square. And surely not because death seems suddenly appealing.
         | The person in whom Its invisible agony reaches a certain
         | unendurable level will kill herself the same way a trapped
         | person will eventually jump from the window of a burning high-
         | rise. Make no mistake about people who leap from burning
         | windows. Their terror of falling from a great height is still
         | just as great as it would be for you or me standing
         | speculatively at the same window just checking out the view;
         | i.e. the fear of falling remains a constant. The variable here
         | is the other terror, the fire's flames: when the flames get
         | close enough, falling to death becomes the slightly less
         | terrible of two terrors. It's not desiring the fall; it's
         | terror of the flames. And yet nobody down on the sidewalk,
         | looking up and yelling 'Don't!' and 'Hang on!', can understand
         | the jump. Not really. You'd have to have personally been
         | trapped and felt flames to really understand a terror way
         | beyond falling._
        
           | layer8 wrote:
           | > The so-called 'psychotically depressed' person who tries to
           | kill herself doesn't do so out of quote 'hopelessness'
           | 
           | Yes, they do. Out of personal experience, when things are
           | very bad and you have lost all hope of thing being able to
           | get better _ever_ , that is a strong incentive for suicide.
           | Having any hope vs. none makes a crucial difference in
           | whether life is bearable.
        
           | 2-718-281-828 wrote:
           | i think this opinion is simply wrong. a lot of people do kill
           | themselves out of a feeling of hopelessness. and yes, for
           | some death seems very appealing at some point especially
           | given a painless method. every time i read something by dfw i
           | get the impression that he was just a little bit too
           | infatuated with his eloquence and putting style over
           | substance.
        
           | ryandvm wrote:
           | That is a powerful metaphor.
        
           | atchoo wrote:
           | Should people quote DFW as an authority given his suicide?
           | 
           | Using metaphors of physical reality for psychological states
           | can make it falsely appear more immutable that it is. It is
           | possible to escape the burning buildings of the mind and
           | knowing that you have agency over your ideas can be an
           | essential part of the reframing/rethinking/challenging that
           | can free you from suffering.
           | 
           | Letting people believe they are in a situation like floor 100
           | of the WTC and their flesh is literally burning with no
           | escape could be outright harmful and irresponsible for those
           | experiencing suicidal ideation.
        
             | denton-scratch wrote:
             | > Should people quote DFW as an authority given his
             | suicide?
             | 
             | Why not?
             | 
             | It sounds as if you presuppose that it's always wrong to
             | take your own life, and that anyone who thinks otherwise
             | should be "cancelled".
        
             | hiatus wrote:
             | > Should people quote DFW as an authority given his
             | suicide?
             | 
             | A very good writer who committed suicide is probably a
             | great person from whose experience we might learn,
             | especially since they expressed what might be their
             | internal anguish so eloquently.
        
               | atchoo wrote:
               | He might only teach as a counter-example.
               | 
               | He may be advocating for highly dysfunctional irrational
               | thinking patterns that leads to suicide. They might be
               | convincing, seductive and dangerous and should only be
               | responsibly presented with clear context and challenge.
        
               | dimal wrote:
               | I don't think he was advocating anything. I think that
               | misses the point. He was just trying to state the matter
               | in a form that would allow people to understand the
               | suffering better and have empathy for those who are in
               | that type of suffering. Personally, I think he nailed it,
               | and for that I am thankful.
        
               | micromacrofoot wrote:
               | this sounds like "don't ever listen to anyone because
               | they might be wrong"
        
               | 2devnull wrote:
               | I like the idea that DFW is such a good writer that his
               | words cause death. That would be a great plot device.
        
               | mattkrause wrote:
               | Throw in a tennis academy and some strange quasi-
               | apocalyptic geopolitics and you might have yourself a
               | book! :)
        
               | [deleted]
        
               | uoaei wrote:
               | He's trying to share what the experience is like to
               | promote empathy, so that suicide can be better understood
               | by those with less personal experience with it. He's not
               | advocating for people to commit suicide, just for ways to
               | engage with the problem that doesn't further isolate and
               | other those who are suffering.
        
             | niea_11 wrote:
             | Sorry, I never read the quote as supporting suicide as a
             | decision. But it's possible that a person contemplating
             | suicide might see it that way.
             | 
             | I always read it as being about empathy. Explaining that
             | sometimes a person's action probably have subjectively
             | valid reasons that we should try to understand, or at least
             | try to accept.
             | 
             | I read the gp comment's quote the same way that's why I
             | shared this one.
        
               | jimsimmons wrote:
               | It isn't seen an condoning suicide. GPs point is more
               | that his eventual suicide makes him less of an authority
               | here. Bit like a relapsing addict trying to justify his
               | drug use
        
               | mthoms wrote:
               | Not justify... _explain_.
        
             | Xelynega wrote:
             | I think to portray it otherwise would be to lose the
             | message, and the fact that Wallace commited suicide should
             | give credibility that the thoughts he wrote beforehand were
             | those of an eventually suicidal man.
             | 
             | In my opinion, without the immutability of the situation
             | the metaphor loses its meaning. People don't kill
             | themselves because they feel they're in a situation they
             | can get out of. I think it does more harm for those with
             | suicidal ideation to ignore their feelings rather than
             | validate them.
        
               | [deleted]
        
           | anonymouskimmer wrote:
           | > i.e. the fear of falling remains a constant.
           | 
           | I don't buy it. From personal experience I know that certain
           | mental states can reduce or exacerbate fears.
        
         | worrycue wrote:
         | > What does the old man need, whose limbs are weak and whose
         | pulse is low, but more of the life which seems ebbing from him?
         | 
         | The old man needs _health_ and life. Without health, life would
         | just be a tortured existence and at some point  "enough is
         | enough".*
         | 
         | * It doesn't help that for many old people, all their friends
         | are also gone. Without their social circle, it's one less
         | reason to hang around.
        
           | gwd wrote:
           | I think you missed Macdonald's point. He's saying that "real
           | life" is not simply the continuance of conscious existence,
           | but "human thriving". If the man could achieve human thriving
           | without health and without friends, then he'd be fine; it's
           | precisely because he _cannot_ achieve  "human thriving"
           | without health and without friends that that he says "I'm
           | tired of life". Health problems, pain, and loneliness aren't
           | life, but a form of death. So, MacDonald says, he's not tired
           | of _life_ -- he 's tired of the continuance of conscious
           | existence _without_ life; he is, in fact, tired of _death_.
        
           | GartzenDeHaes wrote:
           | "Adults aged 75 and older have one of the highest suicide
           | rates (20.3 per 100,000). Men aged 75 and older have the
           | highest rate (42.2 per 100,000) compared to other age
           | groups." [1]
           | 
           | 1. https://www.cdc.gov/suicide/facts/disparities-in-
           | suicide.htm...
        
       | treeman79 wrote:
       | at lowest for me it was normal to be in bed for 16-20 hours a day
       | in agonizing pain and horrific migraines. Dozens of doctor
       | appointments had mostly been a waste. They all claimed it was
       | anxiety.
       | 
       | Realized one morning that I had spent hours thinking how
       | wonderful it would be to never wake up again. Have kids, and the
       | would end up in state care without me. (No family capable of
       | caring for them)
       | 
       | Started trying every suggestion I could find on the internet.
       | Lots of wasted effort and backfires. 6 months later I was
       | Kayaking with kids each weekend. Took about 3 years to get mostly
       | back to normal.
       | 
       | Hardest part was giving up all normal food and switching to a
       | strict plain chicken, sweet potatoes and green veggies diet.
       | Supplements, massages, avoiding all scents, special eye glasses,
       | etc. eventually finding the right medications that didn't have
       | insane side effects.
        
         | the__alchemist wrote:
         | What/was is the cause of the pain and migraines? What triggered
         | the fix, if you know? (The transition from bed to a kayak)
        
           | treeman79 wrote:
           | Underlying causes. Autoimmune Sjogrens, clotting disorder
           | that was in over drive (factor 5) high cranial pressure(IIH)
           | Nerve damage(probably from Sjogrens) lot Vit D
           | 
           | Did an elimination diet. That calmed the body down. AIP diet
           | to maintain.
           | 
           | Started high doses of Vit D, E, Omega 3. Started watching bob
           | and Brad and spent a couple hours a day on stretching and
           | massages. Discovered and treated TMJ. Removing smells and
           | lights. That got migraines under control. (Slow reduction
           | over the months)
           | 
           | LDN got nerve pain under control.
           | 
           | Diamox to get head pressure under control.
           | 
           | The big one was I kept having stroke symptoms, but MRIs were
           | clean. Started blood thinners and symptoms went away.
        
             | throwaway02sfv wrote:
             | My wife seems to have broadly the same symptoms you are
             | mentioning.
             | 
             | Sharp migraines, anxiety attacks (as per doctors), rapid
             | heartbeats, disturbed sleep, bodyache, random mood swings
             | etc.
             | 
             | Her MRI is clean too. Doctors just started her with blood
             | thinners which might be alleviating some pain but no, she
             | is not feeling good at all. Had done multiple tests,
             | visited bunch of doctors but still yet to figure what's
             | exactly wrong with her body?
        
       | denton-scratch wrote:
       | The article is heavily focused on how to prevent suicide.
       | 
       | They note that suicide is sometimes rational (they call it
       | "existential", euphemistically). I'm all for removing the causes
       | of people wanting to die.
       | 
       | But if people have any rights at all, the right to decide when
       | and how you die seems to be the most fundamental.
       | 
       | It seems to be almost impossible nowadays to obtain the kinds of
       | drugs (basically, barbiturates) that you need to ensure a quick,
       | painless death. Doctors get struck-off for so much as giving true
       | advice on how to do it. You can get charged for accompanying your
       | relative to a Swiss clinic.
       | 
       | The idea that relatives might encourage an elderly person to kill
       | themselves is widespread, but I think that kind of motive is
       | pretty rare. Mostly the opposition to enabling killing yourself
       | is ideological, and seems to be particularly prevalent among
       | people with strong religious opinions.
       | 
       | I don't want to die. But I'm not very well, and I might get to
       | the point where I do want to. So I've been trying for several
       | years to acquire the means to do it easily. But I've failed
       | dismally.
        
         | aeturnum wrote:
         | IMO this is correct - an implication of the inherent worthiness
         | of each human and each of our rights to self determination is
         | that people get to make choices about their lives (including
         | this kind of choice).
         | 
         | I have always approached the morality of this question as: how
         | should other people in the life of someone who is convinced
         | they want to die act? It's clearly possible they are suffering
         | from a temporary set of conditions that will pass - it's also
         | possible that they are making a sad but accurate judgement
         | about what they would prefer under the circumstances. The
         | former is _much more common_ but to ignore the later cuts you
         | off from connecting to and helping people who are struggling. I
         | actually quite like the disease understanding of suicidality -
         | like other diseases we should do our best to treat it and give
         | comfort to the afflicted, and we should work to recognize when
         | the case is too advanced and we should switch to palliative
         | care.
        
         | zajio1am wrote:
         | > Ut seems to be almost impossible nowadays to obtain the kinds
         | of drugs (basically, barbiturates) that you need to ensure a
         | quick, painless death
         | 
         | There is an easy way to get quick, painless death. One can just
         | get diving regulator (from diving shop) and nitrogen cylinder
         | (from industrial gas shop). As feeling of suffocation is based
         | on raising CO2 levels, scuba mask that allows breath-out CO2
         | while breath-in N2 leads to fast asphyxiation without feeling
         | of suffocation.
         | 
         | https://www.researchgate.net/publication/253647263_Suicidal_...
        
           | denton-scratch wrote:
           | I'm aware that N2 leads to a quick and painless death; I've
           | been warned more than once by lab-workers of the dangers of
           | opening liquid N2 tanks in basements, even though I've never
           | been near a lab.
           | 
           | But I thought there was some downside? I can't remember.
           | Obviously, it's difficult to dose accurately, and it's
           | impossible to stop dosing once you've had enough. So there is
           | a risk you'll be discovered in a space filled with an
           | odourless, invisible toxic gas.
           | 
           | What does a scuba mask do, that you can't do without a scuba
           | mask? Surely, if you can breathe in and out, you can exhale
           | CO2? My understanding is if you breathe N2, you first become
           | unconscious (with no preceding wooziness), then you die. So
           | there's a huge risk of accidents. Maybe that's why I thought
           | there was a downside.
           | 
           | At any rate, "being discovered" is something I'd want to
           | avoid at all costs! I can't imagine what it would be like to
           | discover the body of someone that had killed themself.
        
         | anonymouskimmer wrote:
         | > Mostly the opposition to enabling killing yourself is
         | ideological, and seems to be particularly prevalent among
         | people with strong religious opinions.
         | 
         | Kevin Yuill is an atheist. If you want the non-religious
         | argument against state-sanctioned suicide read him (though, of
         | course, as an individual he doesn't cover every anti-euthanasia
         | atheist's point of view).
         | 
         | I'm sorry for your particular situation.
        
           | denton-scratch wrote:
           | > non-religious argument against state-sanctioned suicide
           | 
           | I don't like the word "suicide" at all. It has strong
           | connotations of sin and criminality.
           | 
           | The phrase "state-sanctioned suicide" implies that the state
           | has active involvement in someone taking their own life. What
           | I'm talking about is the state not actively interfering to
           | make it hard for someone to decide for themself how and when
           | they die.
           | 
           | "My particular situation" is nothing; I'm fine, and whatever
           | health problems I have are the result of a life of self-
           | indulgence and dissolution.
        
             | mthoms wrote:
             | The expression " _committing_ suicide " has those
             | connotations and is considered taboo by some. Maybe that's
             | what you're thinking of? The alternative suggestion is
             | "death by suicide" which is both technically correct and
             | devoid of any implication of criminality/sin.
             | 
             | Of course, you're free to think what you want about the
             | word, I'm just relaying something I've read.
             | 
             | (I agree with the rest of your point, I just wanted to
             | mention that specific nuance about the terminology)
        
               | denton-scratch wrote:
               | I was alive when attempting suicide was still a crime
               | (obviously, you can't be prosecuted for succeeding!). For
               | me, the word "suicide" has connotations of wrongdoing,
               | like "homicide" and "patricide".
               | 
               | Younger generations may not be so aware of those
               | connotations.
               | 
               | For me, "commit" doesn't have connotations of wrongdoing,
               | unless it's a matter of a bad commit that breaks the
               | build. "Death by suicide" doesn't name an act; it's a
               | verdict.
        
             | anonymouskimmer wrote:
             | Suicide literally just means killing oneself:
             | https://www.etymonline.com/word/suicide
             | 
             | The connotations of sin and criminality are in the eye of
             | the beholder.
             | 
             | > What I'm talking about is the state not actively
             | interfering to make it hard for someone to decide for
             | themself how and when they die.
             | 
             | But it does by regulating it. By deciding which suicides,
             | or requests for euthanasia[1] are legitimate, and which
             | aren't. If there were no barriers or gatekeeping in place a
             | large chunk of the populace would kill themselves as
             | teenagers.
             | 
             | [1]- incidentally, the word "euthanasia" strikes terror and
             | horror in me. I much prefer suicide, as the grammatical
             | locus of control is on the person killing themself, not
             | some amorphous other.
        
               | denton-scratch wrote:
               | Suicide remains a sin in the eyes of the Catholic Church
               | (the largest Christian denomination); and attempting it
               | was a crime, at least in the UK (where I live) until
               | 1961.
               | 
               | People still speak of "committing" suicide, like
               | committing murder. I can't think of any other legal act
               | that you can "commit".
               | 
               | [Edit] Wrong! Adultery, for example, is legal, and is
               | something you commit. So I suppose that in general, you
               | can "commit" it if it's a sin, or more generally
               | something you shouldn't do.
        
               | anonymouskimmer wrote:
               | Sure. People also use the phrase "committing a traffic
               | infraction".
               | 
               | "Committing to each other in marriage"
               | 
               | "Committing to a college"
               | 
               | "Committing money to a cause"
               | 
               | "Committing to God by accepting Jesus as your lord and
               | savior" :D
               | 
               | I totally understand that there's baggage to this word
               | (suicide). Given the totality of the ending of life I
               | feel that highlighting all of these connotations with the
               | word "suicide" is a good thing to do, as a minor, first-
               | line form of gatekeeping. Nature is red in tooth and
               | claw. While there are many situations in which it is okay
               | to look at life-and-death with rose-colored glasses, when
               | push comes to shove it is important to view the world
               | without blinders.
        
               | pseudalopex wrote:
               | Commit and commit to have different meanings. You do not
               | say people committed marriage.
        
               | robotresearcher wrote:
               | You can be in a committed marriage.
        
               | anonymouskimmer wrote:
               | This is a good point.
               | 
               | "During his life he committed many good deeds." It is a
               | much rarer usage, and typically less specific. Possibly
               | grammatically incorrect as you'd generally substitute
               | "performed" for "committed" in such a case.
        
       | stefantalpalaru wrote:
       | [dead]
        
       | Petrichor-Dusk wrote:
       | I feel like this is pretty obvious - then again I suppose some
       | people cannot relate to those who have fallen into the state of
       | mind that makes one end their life.
       | 
       | To whoever reads this I guarantee that someone in your life
       | (perhaps you) is suffering greatly, sometimes it may be hidden or
       | on full display.
       | 
       | I've had chronic pain my whole life and have dealt with
       | depression and many other issues so I think I am qualified to
       | talk about this.
       | 
       | One thing I didn't like about this article is how they point out
       | self harm in adolescent girls. This is such an overused
       | stereotype. People of all ages and genders self harm--and I have
       | plenty of experience with it.
       | 
       | There are many reasons why one might end their life, but often
       | people are thrown into situations that definitely intice the idea
       | of suicide. Some can be worse than others and are truly
       | inescapable.
       | 
       | For example in my case it was mainly not being cisgender and
       | having childhood trauma. A lot of people sadly don't have any
       | empathy for trans and gender non-conforming people. You cannot
       | choose fundamental parts of yourself; most wouldn't be willing to
       | choose to be rejected by society anyway. Some trans people don't
       | have a lot of dysphoria but it can hit others pretty hard.
       | 
       | For me it's this constant weight on my shoulders, and no matter
       | how much I try to get rid of it it won't go away. Looking in the
       | mirror and seeing someone else look back is depressing and gets
       | old real soon. But even if you move past those issues society
       | seems to do their best to make people who are already suffering
       | suffer more. The constant hate, high murder and violence rates.
       | In some cases your very existance is deemed as a crime that
       | deserves death. It is hard to trust anyone when nearly everyone
       | around you rejects the idea of you.
       | 
       | For a long time the only thing I wanted was to stop suffering--in
       | other words die.
       | 
       | Hormone therapy made me feel better, but the thing that helped me
       | the most was psychedlics. They've made me overall less depressed,
       | and now my current ideology is that I am going to die eventually,
       | so I may as well try to actually live before then. I ended up
       | writing more than I intended to :) so I'll leave it as that.
       | 
       | TL;DR: Some of my thoughts and experiences. PS. Don't do
       | psychedelics (or any drug) without proper research and
       | preparation. Make sure to test them as well!
        
       | daevout wrote:
       | That might be true for the subset of suicides the author has
       | studied, but there are about as many reasons humans commit
       | suicide as there are reasons they commit homicide, which is to
       | say, infinite varieties.
       | 
       | There's religious (Heavean's Gate, that recent kenyan cult),
       | protest (self-immolating monks), media spectacle (Yukio Mishima),
       | honor (seppuku, the samurai ritual mishima was immitating), shame
       | (pompei), escape (L pills) fiancial ruin (1929 brokers), and fads
       | (90s school shooters). Then there's suicide as a way of life
       | (downtown SF, opioid epidemic).
       | 
       | The idea that this is all caused by "suffering" that could be
       | prevented through increasingly sophiaticated treatmant plans or
       | perhaps extended social welfare programs is a peculiar modern
       | secular idea. I wonder if people who believe this sincerely are
       | staving off their own suicide this way.
        
       | burningoof wrote:
       | This is dark, but it's interesting to me that the people who jump
       | from a burning building and the people who end themselves on
       | their own time are performing the same calculus.
       | 
       | Nobody wants to die, but when your life starts to look like a
       | burning building, sometimes the window doesn't seem so bad.
        
         | NotYourLawyer wrote:
         | That's not the same calculus at all. The burning building is
         | "I'm gonna be dead in 5 minutes no matter what I do. Might as
         | well make it quick instead of excruciating."
        
         | paulcole wrote:
         | > sometimes the window doesn't seem so bad.
         | 
         | No, the window still seems awful but it's the choice you make.
         | 
         | From David Foster Wallace:
         | 
         | "The so-called 'psychotically depressed' person who tries to
         | kill herself doesn't do so out of quote 'hopelessness' or any
         | abstract conviction that life's assets and debits do not
         | square. And surely not because death seems suddenly appealing.
         | The person in whom Its invisible agony reaches a certain
         | unendurable level will kill herself the same way a trapped
         | person will eventually jump from the window of a burning high-
         | rise. Make no mistake about people who leap from burning
         | windows. Their terror of falling from a great height is still
         | just as great as it would be for you or me standing
         | speculatively at the same window just checking out the view;
         | i.e. the fear of falling remains a constant. The variable here
         | is the other terror, the fire's flames: when the flames get
         | close enough, falling to death becomes the slightly less
         | terrible of two terrors. It's not desiring the fall; it's
         | terror of the flames. And yet nobody down on the sidewalk,
         | looking up and yelling 'Don't!' and 'Hang on!', can understand
         | the jump. Not really. You'd have to have personally been
         | trapped and felt flames to really understand a terror way
         | beyond falling."
        
           | burningoof wrote:
           | Yeah, I mean bad by comparison. The point is that no human
           | wants to jump out a window, ever.
           | 
           | It's also worth pointing out that depression can warp your
           | sense of reality and make you believe you're in a burning
           | building when you're not, so to speak.
           | 
           | I love your quote and it likely inspired my comment
           | subconsciously
        
           | giantg2 wrote:
           | "looking up and yelling 'Don't!' and 'Hang on!"
           | 
           | Are there people who actually yell this? It seems pretty
           | obvious why they're jumping.
        
             | moffkalast wrote:
             | "Do a flip!" might make them laugh enough to reconsider.
        
               | shrimp_emoji wrote:
               | Bite my shiny metal ass
        
             | dazc wrote:
             | It could be considered a natural instinct to do this?
             | 
             | I once encountered a guy who was thinking of jumping off a
             | bridge and I said a lot of stupid but well meaning things
             | in an attempt to dissuade him.
             | 
             | It got to the point where I realized everything I was
             | saying was just making him more determined to do it.
             | Luckily, I managed to flag down a passing ambulance and the
             | paramedics onboard turned out to be a lot more skilled in
             | the art of persuasion than I was.
        
               | Accacin wrote:
               | At least you tried my friend, that's a lot more than some
               | would choose to do :)
        
         | cmehdy wrote:
         | I have generalized anxiety disorder along with the lifelong
         | depression. My life has felt like a permanent "emergency mode"
         | from the inside, and with how my body processes things. The
         | funny consequence is that I've been at multiple points a
         | helpful anchor for healthier people in actual emergency
         | situations, from panic attacks to much scarier things. When the
         | house is on fire I'm feeling most at peace as the world and my
         | brain align (and I have a mental "muscle memory" to use), and I
         | guide people fairly well right back to the gates of "being OK",
         | but I let them pass through and stay behind.
         | 
         | This has helped in life or death situations a few times
         | (including an actual building fire), as well as in professional
         | work. Then the situation gets fixed and the world goes on as I
         | return to illness. I'm glad there's at least some upsides to
         | this whole thing.
        
       | sgjohnson wrote:
       | I don't think that this is universally true.
       | 
       | Sure, most of them want to stop suffering or are looking for a
       | permanent solution to a temporary problem.
       | 
       | But I don't have a shred of doubt that it's possible to make a
       | conscious good faith choice to stop living.
        
       | unobatbayar wrote:
       | This is why daily full-body sunlight exposure of 15-20 minutes
       | without sunglasses and sunscreen is important.
        
         | goodpoint wrote:
         | To kill yourself by getting skin cancer?
        
           | mtlmtlmtlmtl wrote:
           | Honestly, I just find it hard to care about skin cancer all
           | that much. I gotta die from something at some point, and I
           | feel like covering my skin in nasty oils and stuff on every
           | nice summer day is too much a price for me just to die from
           | "not skin cancer". Because now every nice day is a little bit
           | less nice.
           | 
           | Ofc I'm a bit lucky because I can at least tan somewhat, so
           | if I just taper up my sun exposure in the spring I don't
           | really get burned.
        
             | codr7 wrote:
             | [flagged]
        
               | goodpoint wrote:
               | [flagged]
        
               | dragonwriter wrote:
               | > Fact: There was no such thing as skin cancer before we
               | started rubbing toxic crap like aluminum into our skin to
               | "avoid it".
               | 
               | Recognizable descriptions of malignant melanoma date back
               | to at least Hippocrates.
        
               | codr7 wrote:
               | [flagged]
        
             | goodpoint wrote:
             | Stop spreading misinformation. This is HN not reddit.
        
             | dale_glass wrote:
             | There are better and worse ways of dying though. Getting
             | cancer while you're still young enough to have fun and
             | enjoy life and spending a lot of time in pain and going
             | from one doctor to another isn't really how I want to go.
        
               | mtlmtlmtlmtl wrote:
               | You say that as if there's a choice when really there
               | isn't. It's fundamentally out of my control what kills
               | me. Hell, the cancer could be growing already, or the
               | clot or aneurism. And the amount of crap you get exposed
               | to just drinking the water and breathing the air these
               | days, not to mention the food you eat. You could try to
               | minimise carcinogens but in the end it's basically a lost
               | battle unless you completely isolate yourself from
               | society and the outside world.
               | 
               | Also, if I do get terminal cancer I'm not doing those
               | cycles of pointless chemo and radiation. I'll simply live
               | on until the cancer becomes too unbearable, at which
               | point I'll accept my fate and die.
        
           | Geee wrote:
           | Avoiding sunlight is way more deadly than skin cancer, to a
           | limit. You should get sun, but not too much.
        
           | pookah wrote:
           | [dead]
        
           | Gigachad wrote:
           | 15 minutes in the sun is low risk.
        
             | goodpoint wrote:
             | Care to provide some scientific evidence?
        
             | plonk wrote:
             | Probably not at UV index 6+. Get your sun in the morning or
             | late afternoon before the sun becomes too violent.
        
             | Accacin wrote:
             | You've obviously not met a British person at the beach.
        
           | bigDinosaur wrote:
           | Not a particularly high risk so long as you get suspicious
           | skin changes checked out. Melanoma has an incredibly good
           | prognosis so long as it's caught early, and unlike most
           | cancers you have a very good chance of catching it early with
           | adequate vigilance.
        
             | goodpoint wrote:
             | That's a whole lot of "if".
        
       | Fricken wrote:
       | Suffering and being alive are synonymous
        
         | attemptone wrote:
         | Keeping in line with the style of that comment: No, they're
         | not.
        
           | Fricken wrote:
           | Life is suffering. It's one of the 4 Noble truths of
           | Buddhism. Ancient knowledge.
        
             | vaidhy wrote:
             | That is a misreading of what was said. Others have
             | commented on it before. Life is unsatisfactory is closer to
             | what Buddha said. He took great pains to separate physical
             | needs from spiritual suffering. His eight fold path as a
             | way to achieve nirvana is a solution for one of those
             | problems. It does not put food on the table.
        
             | jdietrich wrote:
             | The first noble truth posits that dukkha (suffering) is a
             | characteristic of existence _in the realm of rebirth_. The
             | second, third and fourth noble truths posit that escape
             | from dukkha (and therefore escape from the cycle of death
             | and rebirth) is possible.  "Life is suffering" is a shallow
             | misinterpretation of Buddhist theology; Buddhists believe
             | that all suffering has an identifiable cause and a known
             | remedy.
        
               | Fricken wrote:
               | All the big religions offer up some sort of escape plan
               | as part of the sales pitch.
               | 
               | I don't believe one can avoid suffering. You can however
               | choose your suffering. You can suffer in the service of
               | something greater. Or you can suffer meaninglessly, but
               | you'll suffer one way or the other.
        
             | bowsamic wrote:
             | Just because the Buddha said it, doesn't mean it's right.
             | My life is many things as well as suffering. It is no more
             | suffering than it is joy or peace. Why emphasise suffering
             | specifically?
        
             | attemptone wrote:
             | Another mystical text calls life the ultimate rohrschach
             | test. You're not making (logical) arguments but rather
             | you're showing your hand.
        
             | [deleted]
        
             | jebarker wrote:
             | That's not knowledge and they're truths only in name, it's
             | philosophy.
        
               | Fricken wrote:
               | Casual observation bears out the same truths. What living
               | thing doesn't suffer?
        
               | [deleted]
        
               | downvotetruth wrote:
               | https://medlineplus.gov/genetics/condition/channelopathy-
               | ass...
        
               | jebarker wrote:
               | I haven't experienced the consciousness of all living
               | things, so I can't make blanket statements.
        
               | brazzy wrote:
               | Nearly all living things do not suffer constantly, which
               | disproves your original statement.
        
             | stefantalpalaru wrote:
             | [dead]
        
             | lawn wrote:
             | Ancient belief, not "knowledge" or "truth".
        
       | Xunjin wrote:
       | As someone who attempted more than one time, I found interesting
       | that's not a common knowledge. Maybe that's why in my country,
       | Brazil, it's a "common excuses" from "average people" that a
       | person died by suicide is a "coward".
       | 
       | PS: This is anecdotal experience I had talking with people about
       | this matter.
        
         | marcodiego wrote:
         | The way people in Brazil see suicide is ridiculous:
         | https://suicidio.com.br/
        
       | [deleted]
        
       | timcavel wrote:
       | [dead]
        
       | kar5pt wrote:
       | This seems...kind of obvious? No one just wants to die for
       | death's sake. That wouldn't make a ton of sense. People kill
       | themselves because they view it as the best of a set of bad
       | options.
        
       | pmoriarty wrote:
       | speak for yourself
        
       | pookah wrote:
       | [dead]
        
       | giantg2 wrote:
       | Wow, they completely left out one reason/demographic. For some
       | people it's not about the suffering, but about their impact. The
       | people who I know who committed suicide were diagnosed with
       | alzhiemers or other dementia. They specifically wrote that they
       | did not want to be a burden on their family. There's relatively
       | little suffering due to the altered mental state (you don't
       | really see people who want to commit suicide with these diseases
       | once they progress, except in brief moments of clarity).
        
       | totorovirus wrote:
       | Lol what a discovery :) I considered committing suicide because
       | it felt like there was no way out of this mess. Suicide is more
       | like an escape from pain rather than quitting your life.
        
       | antongribok wrote:
       | This fits the saying very well:
       | 
       | Suicide is a permanent solution to a temporary problem.
        
         | thr-nrg wrote:
         | [flagged]
        
         | burningoof wrote:
         | For those suffering, it isn't always clear that the problem is
         | temporary.
         | 
         | The problems pile up until the person feels they are
         | insurmountable, permanent. It consumes their entire existence.
         | 
         | In their eyes it's a fair trade: permanent solution to a
         | permanent problem.
         | 
         | The trick is convincing them the issue is temporary, which
         | basically amounts to solving the underlying problems.
        
         | aetherane wrote:
         | Sometimes the problem isn't actually temporary though
        
       | Throw20may23 wrote:
       | << Anon for $reasons >>.
       | 
       | As someone that has attempted suicide in the past (some with a
       | lot of motivation to get right, obviously failed since I am not a
       | ghost-writer <pun intended>) it kinda shocked me that this wasn't
       | a more commonly held 'water is wet' as the reason for people to
       | try to end their suffering.
       | 
       | Sure, there are some who feign their attempts for various reasons
       | but there are those that find a way of acheiving the (at the
       | time) welcoming bliss of quiet and silent oblivion, whatever that
       | helds or may not hold.
       | 
       | To this day, I reserve the right to decide when, how or even if I
       | ever again attempt suicide. That is my right.
       | 
       | I have also seen the impact that suicides have on the ones that
       | knew and perhaps cared about the dead person so I am aware of the
       | suffering that would echo out from my decision.
       | 
       | As a parent, I am also aware that the chances of a child
       | attempting suicide following a parent doing it sky-rocket so -
       | ouch.
       | 
       | But ask yourself this before judging.... just how bad would the
       | pain in your life have to be that despite all of the above things
       | it can still be an actual option because the suffering is so
       | unbearable... Walk a mile in a mans Shoes as they say, YMMV.
       | 
       | Please note: I am not currently suicidal and am doing really well
       | as per last shrink so High-Five etc. Just wanted to add my 0.02c
       | to the thread.
        
         | temp0826 wrote:
         | >> Sure, there are some who feign their attempts for various
         | reasons but there are those that find a way of acheiving the
         | (at the time) welcoming bliss of quiet and silent oblivion,
         | whatever that helds or may not hold.
         | 
         | It makes me profoundly sad that more people aren't aware of
         | 5-MeO-DMT and the symbolic death (and the total bliss) you have
         | during the experience.
        
       | wahnfrieden wrote:
       | 1/3 of Canadians support assisted suiciding homeless people or
       | people who will lose their home. Canada finds death the most
       | appropriate solution to suffering. Doctors and administrative
       | staff are making the recommendation directly based on financial
       | circumstance. It's a program the govt spends money on ad
       | marketing and growth. Sounds more like a failure of the 'state
       | and capital' flavor society to me than something to respect
       | (which I have none for either, regardless of whether one of their
       | policies at a point in time is a net utilitarian improvement or
       | not).
        
         | bluescrn wrote:
         | Is that more or less compassionate than leaving them to die on
         | the streets?
        
           | midnightblue wrote:
           | How about not letting them die on the streets? I thought
           | Canada was a society.
        
       | ufo wrote:
       | Some psychologists say that suffering is a necessary component,
       | but not the only one. Also important are a feeling of being
       | burdensome to others, and overcomming the natural instinct to not
       | harm oneself.
       | 
       | Many people who die by suicide wrongly believe that the world
       | would be better without them. This not only feeds the suffering,
       | but also puts them in a position to overcome the natural
       | instincts against self harm. These instincts are also why
       | repeated suicide attempts or access to more lethal methods of
       | suicide increase the risk.
       | 
       | https://en.m.wikipedia.org/wiki/Interpersonal_theory_of_suic...
        
       | j3s wrote:
       | SUFFERING IS A PART OF LIVING.
       | 
       | as someone who has lost many friends and family members to
       | suicide, articles like this feel so naive.
       | 
       | at their funerals, there's always a person saying "let's remember
       | them how they lived, not how they suffered"
       | 
       | no. their suffering was a big part of their lived experience, and
       | i will remember it forever. people who want to commit suicide do
       | want to stop living. sometimes it's because there is so much
       | suffering in their life they can't take it - sometimes it's
       | something else.
       | 
       | thousands of years ago, people knew that life _is_ suffering.
       | it's so disgusting to me to pretend that life and suffering
       | aren't intertwined.
       | 
       | some people can't take it, and that's fine. we didn't ask to be
       | here. but when those people go, let's not falsify our memories of
       | them because we don't personally like the idea of suffering.
       | 
       | so infantalizing.
        
         | Centigonal wrote:
         | Edit: I re-read your comment, and I think I was responding to
         | what I thought you said, not what you were actually saying, so
         | I'm rewriting my response.
         | 
         | You're right that suffering is an essential and inevitable part
         | of life. We shouldn't erase the suffering that informs people's
         | identities just because it makes us uncomfortable.
         | 
         | The amount of suffering in life varies from person to person
         | and moment to moment, and can be influenced to some degree. For
         | some (but not all) suicidal people, it is possible to make
         | changes (different life situation, therapy, better connections,
         | removal of stressors) to reduce suffering to a bearable level
         | so that they want to keep on living and are no longer suicidal.
        
       | comeondude wrote:
       | As somebody who have been in and out mental hospitals, this is
       | very familiar.
       | 
       | At one point in my early twenties, I was literally thinking about
       | killing myself every single waking second.
       | 
       | Finally I decided to throw in the towel, and got around to
       | planning my end.
       | 
       | Sat there, ran through various scenarios in my head. All the way
       | up to putting the gun in my mouth and pulling the trigger.
       | 
       | My imagination always terminated in blackness. Nothingness.
       | 
       | Then I realized I didn't want to die, but didn't want to live
       | this way. And promised myself that I would do everything in my
       | power to heal.
       | 
       | It took me about 15 years to get where I am now. Stable and
       | mostly at peace with myself, but it was an arduous and painful
       | journey - with many terrifying moments where I couldn't see a way
       | out.
       | 
       | I'm incredibly grateful that I managed to figure it out and I
       | wouldn't wish that agony on anybody.
        
         | JacKTrocinskI wrote:
         | I'm really glad to hear you made it through such a challenging
         | time in your life. Your strength and determination are
         | incredibly inspiring. I'm curious to know more about your
         | healing process. Did you work on identifying and addressing the
         | root causes of your pain, perhaps through therapy or
         | counseling? Sometimes, personal issues can stem from our
         | familial relationships. Did you find that to be the case in
         | your journey? I'm interested to learn more about how you
         | managed to overcome your struggles and achieve the peace you
         | have today.
        
           | comeondude wrote:
           | Thank you.
           | 
           | It was a long winding journey. Generational trauma is
           | definitely a real thing.
           | 
           | I tried a lot of things, from therapy to drugs to sex clubs,
           | was grasping at straws, trying to understand what was
           | happening.
           | 
           | It was a complicated and personal journey, but my biggest
           | breakthrough occurred when I surrendered to the healing
           | powers of my body and spirit.
           | 
           | I had to just stop and do nothing, and just allow all the
           | hurt, shame, and fear come up to be processed. My ego fought
           | like hell to keep them suppressed.
           | 
           | My mind was a storm of self-abuse, thoughtforms that told me
           | that I was worthless and to be destroyed. I had to learn how
           | to accept them and return to my heart (my emotional center)
           | and just practice sitting with my feelings. Over time these
           | thoughts dissipated, and I saw that they were driven by
           | unrecognized emotional energy and signals from my body.
           | 
           | I was fortunate that I managed to create a situation that
           | allowed me to lie fallow for a long time to heal.
           | 
           | There were many layers, but the crux of my issues was being
           | severed from my authentic self. This happened because I grew
           | up in a household with a lot of emotional abuse and coercive
           | control, to the point where I suppressed myself and created a
           | persona to survive.
           | 
           | If you read accounts of cult-abuse survivors, it's like their
           | real self is always trying to break through but they have
           | been trained or mislead into ignoring themselves.
           | 
           | My experience was very similar.
           | 
           | I could write more about this, but pivotal points were
           | recognizing that I had agency, learning how to trust my body
           | and emotions over my ego, and understanding that at our core,
           | we are love.
           | 
           | Had to learn how to love myself unconditionally basically; a
           | constant practice.
        
             | comeondude wrote:
             | And a big part of the self-love journey was learning how to
             | truly take care of myself. How to eat properly, how to
             | rest, cutting out toxic people from my life, becoming clear
             | with my boundaries, forgiving myself, accepting my pace of
             | progress, and so on.
             | 
             | Once I recognized the pain in my heart, I just kept
             | returning to it, and over time that guided me towards the
             | truth.
        
         | ethanbond wrote:
         | Thank you for sharing and I'm glad you made it/are making it
         | every day.
        
         | dgb23 wrote:
         | This is the type of achievement I find incredibly awesome and
         | inspiring.
         | 
         | It's overcoming oppressive challenges and build up not just
         | from nothing, but in a way from a negative, draining state.
        
         | s1artibartfast wrote:
         | Thanks for sharing your harrowing journey.
         | 
         | The part that resonates with me is the need to see a third
         | alternative between death and the status quo. It is easy to
         | feel trapped and without agency, and this leads to a downward
         | spiral. In my experience and opinion, the key to finding a way
         | out is reclaiming agency and belief that you have the power to
         | change. Willpower is a tricky thing. If you think you have it
         | you do, and if you don't think you have it you don't. It is
         | largely a mystery to me how people go from one to the other.
         | 
         | In my case, one thing that helped is realizing I had choices
         | and wasn't as trapped as I _felt_. I could leave my family, and
         | my job if I wanted. I could always quit it all and live in a
         | shack somewhere reading books. Just knowing I had the power of
         | choice and wasn 't trapped gave me the strength to make
         | progress.
         | 
         | I now think trained helplessness and philosophies that view
         | humans _only_ as a product of their environment are extremely
         | dangerous.
        
       | blooalien wrote:
       | Wish I could say this headline didn't hit home. Not gonna commit
       | suicide, but I sure do _fantasize_ about dying every waking
       | moment. Living in constant pain for over a decade 'll do that to
       | ya... Rather be non-existent than exist in a state of such misery
       | as to make _living_ genuinely impossible.
        
         | GordonS wrote:
         | Hey, fellow chronic pain guy here, though "only" 8 years and
         | counting so far! I have CFS and Small Fibre Neuropathy, which
         | pain-wise means I have constant neuropathic and muscular pain
         | in my limbs.
         | 
         | Unless someone has lived with chronic pain, they won't be able
         | to understand what it does to your mental health. Living in
         | constant pain is hard - _fucking_ hard. I 've really struggled,
         | and if I didn't have a family, without a doubt I'd be dead by
         | now. Even with my family, I spent a lot of time fantasising
         | about suicide, and one time I almost did it without l even
         | thinking about it. It also turned me into a pretty horrible
         | person, who slowly pushed away many friends, and made life
         | difficult for my family.
         | 
         | Thankfully, I'm finally coming to terms with it, and I now have
         | meds that actually help. I use an opioid and ketamine. The
         | opioid helps a little with the pain, as does the ketamine - but
         | really, the ketamine improves my mood, a lot.
         | 
         | For the past couple of years I've also been using cannabis -
         | this has made a _huge_ difference to my mental health, general
         | well-being, and family life! Having the ability to be
         | essentially pain free every evening after hitting a nice heavy
         | indica is... amazing, in a way that only someone who 'd been in
         | constant pain for _years_ could understand.
         | 
         | If you have access to legalised cannabis wherever you are, I
         | can't recommend it highly enough. Christ, even if it's not
         | legal, it's worth thinking about.
        
           | Mezzie wrote:
           | > Unless someone has lived with chronic pain, they won't be
           | able to understand what it does to your mental health. Living
           | in constant pain is hard - fucking hard.
           | 
           | And specifically chronic pain that will _never_ get better
           | and can only get worse. A lot of the platitudes and reasoning
           | we use to get people to not commit suicide don 't apply. It
           | can get better? Bitch, I have _Multiple Sclerosis_. Yes,
           | hopefully science can do something about it, but right now it
           | 's an _incurable, progressive_ illness.
           | 
           | I primarily stay alive from a combination of spite and the
           | ability to be a living cautionary/memento mori tale: I did
           | everything 'right' and this still happened. It can happen to
           | you. Work as hard as you like, make all the right choices...
           | you can still fail. Have some grace or be eaten alive when
           | you fall.
        
       | Energiesustaine wrote:
       | [flagged]
        
       | candiddevmike wrote:
       | Related, is it difficult all over the US to find mental health
       | resources? Wait times for counselors and therapists are months+.
       | Additionally, insurance seems to not cover mental health stuff
       | well if at all, if you're lucky to get an appointment it seems
       | you're paying out of pocket.
        
         | kayodelycaon wrote:
         | Yes. Last time, it took me 5 months to replace a psychiatrist.
         | I had to wait almost a month to get on waiting list.
         | 
         | There is no online sign up. It's all by phone. Most of the time
         | , you call and it goes to voice mail. You leave a message and
         | never get called back.
         | 
         | The few times I have gotten a person, most of them said they
         | weren't taking new patients.
         | 
         | If you miss more than one appointment without calling the day
         | before, some places drop you.
         | 
         | Living in the US, sometimes it feels like I'm not worth keeping
         | around unless someone else can profit from my existence.
        
           | ChuckNorris89 wrote:
           | I mean, your experience in the US is exactly like mine in
           | European public care system looking for a psychiatrist or
           | other more niche doctor: Multi month long waiting lists,
           | doctors who are full and don't take any new patients, needing
           | to go private out of pocket. Even the good private ones are
           | booked weeks into the future.
        
             | vaidhy wrote:
             | But it is the private health care in US. There is no other
             | option unlike you who can choose to go private. And I would
             | guess that your out of pocket payment will not cause you to
             | go to bankruptcy.
        
         | fancyfish wrote:
         | Yes, many (if not most?) providers stopped taking insurance for
         | various reasons. The rates provided by insurers are a fraction
         | of the rates they can get charging out of pocket. And insurers
         | try to shorten therapy sessions, or ask why a patient still
         | needs therapy, etc.
         | 
         | I don't know why mental health specifically has these issues
         | out of all the medical professions though.
        
       | vrglvrglvrgl wrote:
       | [dead]
        
       | effingwewt wrote:
       | Crazy this showed up today.
       | 
       | I do this 'existential calculus' quite often. I also sometimes
       | wonder what the point is when it just gets worse every year.
       | 
       | My therapist told me it's because I'm a _survivor_ , it's what I
       | _do_. But what 's the point of surviving? At what point do I get
       | to _live_ , much less be happy?
       | 
       | She pointed out it would be throwing away all my battle scars,
       | all the effort I'd put in to get this far. Just think about how
       | much better I'd feel when it _did_ get better and I came out the
       | other side.
       | 
       | I pointed out it sounded like sunk cost fallacy to me.
       | 
       | He next question was whether I was an organ donor. I've not
       | spoken to anyone since.
       | 
       | I was thinking about Chris Cornell and Chester Bennington
       | yesterday. If they couldn't get past their pain, what hope have
       | I?
       | 
       | It's a day to day struggle, but also one I know I'm going to lose
       | one day. I completely see why people turn to hard drugs, I
       | consider opioids daily almost. The only reason I don't try them
       | is I feel I'd rather skip the addiction and _even worse_ pain and
       | just fast-forward to the end. Again, the existential calculus.
        
         | harlanji wrote:
         | > He next question was whether I was an organ donor.
         | 
         | That's dark. I've been homeless for 5 years (including working
         | full time and having never been an addict). I'm very healthy so
         | for a while I felt like I could be targeted by black marketeers
         | like organ harvesters.
         | 
         | > I completely see why people turn to hard drugs, I consider
         | opioids daily almost.
         | 
         | I joke that if I were to give up and become an addict at least
         | someone would help me because it'd be their job. I've always
         | been a hard worker and hate being unemployed, I'm obviously not
         | waiting around for handouts. The situation is just that
         | impossible to solve, "no man is an island" except the homeless
         | and similarly beat down people I guess including the ones who
         | turn to suicide. It was humbling to ask for help for the first
         | time in my life and be preyed upon or abandoned at best.
         | 
         | Never imagined myself here. Will never consider suicide, but
         | the math and pressure to get rid of myself from my relatives
         | and former friends is obvious. I always thought I had a support
         | system but indeed what "they" say is true: everyone is in it
         | for themselves. I constantly look for ways to be valuable to
         | others, but on a desert island and sometimes literally starving
         | there are few opportunities.
         | 
         | Helping others is the key, while not being exploited by
         | predators.
        
           | tpoacher wrote:
           | My apologies if this is an inappropriate question (if you
           | feel this is the case, please feel free to tell me so and to
           | bugger off etc).
           | 
           | Mind if I ask the "how" question? Was there a particular
           | 'event' or chain of events that led to your being homeless?
           | 
           | For context, I am researching / hoping to research "hospital
           | admissions" as a precipitating event of (first) homelessness,
           | so I am interested in people's lived experience with that
           | topic (as well as practical pointers on how I could
           | materialize this research in more practical terms).
           | 
           | > I joke that if I were to give up and become an addict at
           | least someone would help me because it'd be their job. I've
           | always been a hard worker and hate being unemployed.
           | 
           | I could totally see how that might be the case. This has
           | "Shirky Principle" written all over it, doesn't it? It's
           | weird how the system is wired like that... In fact, that's
           | partly my motivation for this research, actually; the idea is
           | that, if a first (and otherwise avoidable) episode of
           | homelessness could be detected and avoided prior to
           | discharge, that would be much more beneficial than allowing
           | people into that mess in the first place and then having to
           | prioritise who "deserves" the most help after the fact.
        
           | effingwewt wrote:
           | I'm glad you're still chugging along. Until you need real
           | help you've no idea who your real friends are, I've found.
           | Which is why I feel like I've no true friends left.
           | 
           | From experience I know how hard it is being down and out
           | _and_ without a support system, so I really hope you 're able
           | to find a solution.
           | 
           | I know every single homeless resource I ever tried didn't
           | work. They just passed my name from non-profit to non-profit,
           | set up interviews only to be passed again. Literally not one
           | of them was ever of any help.
           | 
           | Wish I could offer a hand, but I've nothing anymore.
           | 
           | Really hope you make it out, it's something I'd wish on no
           | one.
        
         | benj111 wrote:
         | Do you count yourself as suicidal? This rings true to me, I
         | wouldn't describe myself as suicidal though.
        
       | cat_plus_plus wrote:
       | Technically correct, practically a useless distinction? It's not
       | like "stop suffering, keep living" solutions grow on a tree. One
       | has to contend with:
       | 
       | - Irreversible or hard to reverse brain damage/dysfunction. It
       | doesn't matter if the cause is traumatic experiences, innate
       | conditions or substance abuse, effects are equally hard to remedy
       | 
       | - Irreversible or hard to reverse physical health problems
       | 
       | - Low social capital at late stage in life. If someone wants to
       | have loving friends and family at 50 starting from being lonely
       | and estranged, are they really going to have same results as
       | someone who has been building these up from childhood?
       | 
       | - Financial constraints and difficulty of learning new marketable
       | skills in adulthood
       | 
       | - Clash between reality of surrounding society and expectations
       | that are a deeply ingrained part of one's character
       | 
       | The solutions proposed seem to be drugs (either sanctioned ones
       | like SSRIs or increasingly street ones like ecstasy and
       | mushrooms) and talk therapy premised on one having a Freudian
       | complex in one's head rather than experiencing genuine hardship.
       | I am not saying any of these are totally useless. Even having a
       | few drinks gives one a holiday from endless gloom and can spur
       | one to form social connections or reach conclusions that are
       | still meaningful while sober. But on the whole, I am not sold on
       | treating people like houseplants who are considered diseased if
       | not perfectly happy just sitting around with basic needs provided
       | for. I would rather see more effort to improve human lives in
       | more fundamental ways. And, as a last resort, acceptance that for
       | some it was really not worth it at the end rather than labeling
       | them insane to assuage our own discomfort and avoid questions of
       | our own responsibilities
        
         | smcg wrote:
         | It's not a useless distinction. People downplay other's
         | suicidal ideations all the time because they underestimate
         | other people's pain or are unsympathetic to it. Those people
         | need to know that this is everyone's problem.
        
           | cat_plus_plus wrote:
           | That would be nice, but "A Man named Otto" is fiction, not a
           | documentary. It's even more far fetched to suppose that
           | entire society is going to change than to expect that any
           | single person will pull themselves out of the abyss by their
           | own shoestrings or using magic potions cooked up by Pfizer.
           | People want all kind of things like life without suffering or
           | drinking without hangovers, but they also come to realize
           | that reality has limited options.
        
         | [deleted]
        
       | harimau777 wrote:
       | I've heard someone describe suicidal ideation as like being
       | halfway through a multiplayer game where you are getting stomped:
       | It's not that you want to rage quit, it's just that the outcome
       | feels inevitable so you wish you could skip to the end. Or like
       | turning off a ball game early when your team is down by an
       | insurmountable points at the end of the third quarter.
       | 
       | For at least some people, it may not be that they want to die,
       | rather it may be that they predict 30+ more years of an
       | unsatisfying life and wish that they could just skip to the end.
        
         | hasbot wrote:
         | My religious sister is anxious to move on to Heaven. She's not
         | suicidal but at 60 tired/bored of her dull life. Since Heaven
         | is the end goal she doesn't have much motivation in enhancing
         | her life.
        
         | guerrilla wrote:
         | > For at least some people, it may not be that they want to
         | die, rather it may be that they predict 30+ more years of an
         | unsatisfying life and wish that they could just skip to the
         | end.
         | 
         | This is exactly it. It's surprising that people can't see this
         | as obvious.
        
         | colmvp wrote:
         | Exactly.
         | 
         | Sometimes you play a game, and you realize, shit I invested
         | points in these attributes but upon reading strategy guides, I
         | realize I fucked up the distribution and there's no way to
         | reset my character. What is the solution? Abandon the
         | character.
        
       | mahathu wrote:
       | No shit..
        
       | Madmallard wrote:
       | I don't really buy that it is like... strictly that desire. I
       | think something is different in their physiology or psychology. I
       | know people who were so sick they're barely staying alive and
       | their lives are absolute miserable nonsense and they even
       | verbally express not wanting to deal with it but they still just
       | have self-care habits that keep themselves stable. Maybe it is
       | something like that's a precursor to losing those habits but I
       | don't know I've seen the behavior for multiple years.
        
       | Andy_G11 wrote:
       | Shawshank Redemption has a great line: 'Get busy living, or get
       | busy dying.' Act - even taking a walk can make a difference.
        
       | ChrisMarshallNY wrote:
       | This is something that I have had some personal experience with.
       | I've known quite a few suicides, and survivors of the suicides of
       | others.
       | 
       | Very much a "walk a mile in a man's shoes" kind of thing.
       | Everyone has opinions on the matter, until it hits them. Then,
       | they have personal experience (not just an opinion).
       | 
       | It sucks. In some cases, I can see why someone would want to end
       | it all. In others, like this one[0], I find it doubly tragic, as
       | there are proven alternative solutions (I personally know _many_
       | people that were once far worse off than that gentleman, and are
       | now doing quite well).
       | 
       | When we are in a singularity of pain, it seems like the suffering
       | will never stop, and we can convince ourselves there's no escape.
       | In some cases, we're right, but other times, not so much.
       | 
       | It's a permanent "solution" to what is often a temporary problem.
       | 
       | [0] https://www.independent.co.uk/news/world/europe/man-
       | holland-...
        
         | louwrentius wrote:
         | And often there is no other solution and I'm very happy that
         | people in my country have a choice about this. I would not want
         | to see others suffer so that I won't suffer their loss.
        
           | coldtea wrote:
           | > _I would not want to see others suffer so that I won't
           | suffer their loss._
           | 
           | The world being what it is, it's increasingly the opposite:
           | others left or encouraged even to commit suicide (assisted or
           | otherwise) so people dont have to help and support them.
           | 
           | In Canada it's increasingly becoming a trend for poor people
           | to commit assisted suicide, not because they have some
           | incurable disease and pain, but because they can't get by and
           | are depressed by it.
        
             | louwrentius wrote:
             | The Canada example is not about suicide at all but about
             | the impact of a society without a safety net. The issue
             | isn't the suicides, it's almost a logical response to a
             | situation that is objectively terrible without a
             | possibility or getting better.
        
               | coldtea wrote:
               | It's connected though, when assisted suicide there, is
               | not just legal, but increasingly accepted, nornalized, or
               | even encouraged as an invididual solution to not having a
               | safety net.
               | 
               | So, the cause of the problem isn't the suicides - but
               | they are offered (and used) as a way-out of it. This
               | eases the burden on the state to do something to solve
               | the root problem (why improve their condition, when they
               | just off themselves and they wont be bothering us with
               | their need for help anymore?).
        
               | louwrentius wrote:
               | To be frank, I don't buy those stories about people being
               | nudged to commit suicide. In NL we have euthanasia for
               | decades and the system works well. I think those scare
               | stories originate from politically / religiously tainted
               | sources.
        
               | anonymouskimmer wrote:
               | https://www.ctvnews.ca/health/woman-with-chemical-
               | sensitivit...
               | 
               | > Woman with chemical sensitivities chose medically-
               | assisted death after failed bid to get better housing
               | 
               | https://www.liveaction.org/news/euthanasia-unjust-social-
               | con...
               | 
               | > a recent poll found that 27 percent of Canadians polled
               | strongly or moderately agree that euthanasia is
               | acceptable for suffering caused by "poverty" and 28
               | percent strongly or moderately agree that killing by
               | doctors is acceptable for suffering caused by
               | homelessness.
               | 
               | > And in the context of medical issues, the authors claim
               | that this includes killing patients _who would not want
               | to die if they could access proper treatment_ (emphasis
               | theirs)
               | 
               | > So, socialized medicine fails, and a splendid answer to
               | the problem for patients in need is euthanasia. Do you
               | see now why I call euthanasia/assisted suicide
               | "abandonment?"
        
               | mthoms wrote:
               | While this case is indeed controversial and worthy of
               | examining... I'm sceptical of "liveaction.org" as a
               | source because it describes itself thusly: "Live Action
               | News is pro-life news and commentary from a pro-life
               | perspective."
               | 
               | Nothing wrong with that of course, but I'd hardly
               | consider it an authoritative source.
        
               | anonymouskimmer wrote:
               | This was a commentary piece which quoted (to comment on)
               | other sources.
               | 
               | Almost everyone talking about this topic is at least
               | biased, and generally (what's-the-word for "motivated to
               | convince others as to their point-of-view"?).
        
               | mthoms wrote:
               | Upon closer inspection, it's an exact reprint of from an
               | article from "National Review" which is a famously
               | conservative organization.
               | 
               | >This was a commentary piece which quoted (to comment on)
               | other sources.
               | 
               | Understood. I just thought I'd point out the potential
               | for bias because it isn't obvious at a quick read. One of
               | the great things about HN (IMHO) is that people tend to
               | discuss things from a more scientific perspective than a
               | religious or ideological one.
               | 
               | More to the point, there is no link to this study cited
               | in the very first paragraph. As a Canadian I've never
               | heard of this study so was interested to take a look.
               | Googling a bit found the results and further discussion
               | on why the National Review interpretation of it is pretty
               | dishonest.
               | 
               | Sorry, but this is a terrible source for HN.
        
               | coldtea wrote:
               | > _Upon closer inspection, it 's an exact reprint of from
               | an article from "National Review" which is a famously
               | conservative organization._
               | 
               | Conservative? It must be wrong then! Everybody knows that
               | only liberal sources can have correct viewpoints!
               | 
               | > More to the point, there is no link to this study cited
               | in the very first paragraph. As a Canadian I've never
               | heard of this study so was interested to take a look.
               | Googling a bit found the results and further discussion
               | on why the National Review interpretation of it is pretty
               | dishonest.
               | 
               | Here is the study:
               | 
               | https://researchco.ca/wp-
               | content/uploads/2023/05/Tables_MAiD...
               | 
               | The relevant question:
               | 
               | "At this point, only an adult with a grievous and
               | irremediable medical condition can seek medical
               | assistance in dying in Canada. Do you agree or disagree
               | with allowing adults in Canada to seek medical assistance
               | in dying because of the following reasons?"
               | 
               | (a) Poverty Agreeing 27% (Strongly agree 11% + Moderately
               | agree 16%)
               | 
               | (b) Homelessness Agreeing 28% (Strongly agree 11% +
               | Moderately agree 17%)
               | 
               | > _found the results and further discussion on why the
               | National Review interpretation of it is pretty
               | dishonest._
               | 
               | Dishomest "interpretation", eh? Let's focus on the
               | shocking raw results then, with the number agreeing with
               | those two cases being above 1%?
               | 
               | (Sure, one might expect a 1% of hardcore scum being OK
               | with the poor getting assistance to off themselves to
               | solve their poverty/homelessness in any society. Maybe
               | 2%. But not even Thacher would expect an above 5%
               | agreement on that).
        
               | anonymouskimmer wrote:
               | This particular issue is difficult to discuss from a
               | scientific perspective, because basically the only non-
               | opinion (i.e. ideological) questions that can be asked
               | are: whether making assisted suicide legal increases or
               | decreases total suicides, and what are the economic
               | impacts of assisted suicide legalization. Everything else
               | about assisted suicide is ideological or ideological
               | driven (at minimum, the balance between antipathies of
               | death compared to pain).
               | 
               | Everyone talking about this is biased. Some lie or
               | exaggerate, and this is important to point out, but every
               | source of information cherry-picks what they choose to
               | highlight.
        
               | robotresearcher wrote:
               | What's the basis of this strong claim?
               | 
               | Some people are opposed to suicide under any
               | circumstances because it is proscribed by their religion.
               | They have been told by an authority that it's wrong. They
               | hold a strong bias against it.
               | 
               | For people without that view, why would they be biased?
               | Are they not free to come to their own conclusion? Having
               | an opinion does not preclude a good faith argument. And
               | holding an opinion contrary to someone's dogma does not
               | make an opinion dogmatic.
        
               | anonymouskimmer wrote:
               | > For people without that view, why would they be biased?
               | 
               | - Fear of pain
               | 
               | - Fear of old age, or aging in general
               | 
               | - Fear of debility
               | 
               | - Fear of loss of autonomy
               | 
               | - Desire for liberty to do what they want without input
               | from others who may be affected by their decisions
               | 
               | Most people don't opine on issues unless they feel
               | strongly about them. A strong feeling is a bias. There
               | are few scientific parameters on the issues of
               | suicide/euthanasia/MAiD, but it's fraught with
               | ideological parameters, and basically all of the
               | discussion about it comes down to ideology-based claims
               | (with the few fact-based claims used as singular
               | arguments to support a position).
               | 
               | I'm an atheist who values life in large part because I
               | don't believe in an afterlife. I find pain unpleasant,
               | but don't particularly fear it (at this point in my
               | life). I fear the social pressures that government
               | sanctioning and assistance with suicide brings. I fear
               | the decisions that would be made about me, if I'm
               | incapacitated, by people with different moral standards,
               | in a societal framework that encourages them to make
               | those calls for me. I fear the repercussions of
               | "me"-centric (egocentric) social policies, given the
               | power differentials between various individuals. These
               | are my biases.
        
         | 2-718-281-828 wrote:
         | people seek alcohol in pathological amounts to numb a pain they
         | carry around. you don't know what pain that was for him and
         | what caused it. not everybody stumbles into alcoholism out of
         | habit, partying too much or work related stress.
        
           | fuzzfactor wrote:
           | I'm no doctor but I know they seldom have actual
           | pharmaceutical _cures_ , however they can often provide
           | worthwhile _treatments_ which are very effective and truly
           | make life more worth living.
           | 
           | Not always through medication.
           | 
           | Sometimes things work out for the best without doctors
           | involved, also with medication or not.
           | 
           | I just have a lifetime of working (as carefully as possible
           | to minimize harmful exposure) with _very_ toxic materials.
           | 
           | Beverage Grade alcohol is just one of them.
           | 
           | People widely accept that alcohol is truly a substance that
           | can be abused, but it has never been scientifically sound to
           | classify it as a "drug".
           | 
           | It is simply a toxic solvent like many others, it's primary
           | effect is not to kill pain, more so just to kill, usually
           | germs but depending on the amount applied, all life forms
           | eventually.
           | 
           | Most will agree that one of the additional characteristics of
           | a solvent is to accomplish dilution of some kind or another.
           | Maybe not unlike weakening a strong pigment with paint
           | thinner, solvents in the bloodstream seem to weaken an
           | otherwise strong mental state. Sometimes also not so strong
           | to begin with. I think it's also well known people like it
           | anyway, some choose alcohol, others paint thinner, sometimes
           | depending on availability sometimes not. Ideally whether
           | painting or not the solvent dissipates and things end up as
           | intended.
           | 
           | Toxic materials will always have dangers which sometimes
           | accumulate more than others, and need to be carefully
           | balanced against non-toxic approaches.
           | 
           | As we have seen, the overwhelming number of toxic choices can
           | seem so encompassing and exclusive to alternatives.
        
         | cppenjoyer wrote:
         | [flagged]
        
         | vanviegen wrote:
         | > In others, like this one[0], I find it doubly tragic, as
         | there are proven alternative solutions
         | 
         | "eight years of help and 21 stints in rehab" sounds like they
         | tried pretty hard to find a better solution. Not everyone can
         | be cured.
        
           | throwawayadvsec wrote:
           | The first step would be to understand that rehab is not the
           | solution to any kind of problem.
           | 
           | Rehab is about making a lot of money, not healing people,
           | they benefit from relapsing, they have zero incentive to help
           | people.
        
             | pixl97 wrote:
             | Commenting under you on the entire subthread here....
             | 
             | I think this is a two part problem. If you talk to a
             | particular therapist/counselor it would be very rare to
             | find one that doesn't want to see you get better. In
             | general the people at this level are empathetic and do
             | care.
             | 
             | But above that there is a 'rehab system'. You start moving
             | away from the people that want to see other people get
             | better towards that people that want to see the system make
             | as much as much money as possible no matter the cost.
             | 
             | We talk about systems like this all the time here on HN
             | with the term 'Molochs'. Systems where the individual
             | optimum would be X, where X is things people actually like
             | and think are good. Instead the system optimizes towards Y,
             | where Y is far worse outcome for individuals, and
             | individuals are seemingly powerless to stop the system from
             | optimizing on Y.
             | 
             | https://slatestarcodex.com/2014/07/30/meditations-on-
             | moloch/
        
             | denton-scratch wrote:
             | Rehab helps about a quarter of the people it treats -
             | provided you accept that they'll probably need multiple
             | rounds of treatment. It's wicked to encourage the belief
             | that a single round of rehab, followed by lots of
             | willpower, is likely to solve problems.
        
               | Retric wrote:
               | Single rounds of rehab do sometimes work, and longer
               | sessions have better changes. Willpower is part of it,
               | but often completely changing one's social circle is
               | critical.
        
             | d0gsg0w00f wrote:
             | Cleaning houses is about making money too. Eventually
             | you're going to be ready to keep the house clean after they
             | leave.
        
             | s1artibartfast wrote:
             | This is a typical overly cynical and overly online take. I
             | think it would be dispelled by talking to or being friends
             | with a single person that works in rehab
        
               | currymj wrote:
               | there are certain places where a lot of dubious,
               | predatory drug rehab facilities have popped up in the
               | last decade, since health insurance now has to pay for
               | it, yet it's not quite regulated like other healthcare.
               | if you see a lot of these it can make you very cynical.
        
               | s1artibartfast wrote:
               | I'm sure bad things happen, but to embrace all or nothing
               | cynicism is to reject reality.
               | 
               | It is pathological in it's own right to paint the world
               | with such broad and biased brushstrokes.
        
             | vlunkr wrote:
             | You could apply this to countless professions.
             | 
             | Plumbing is about making a lot of money, they benefit from
             | you pipes leaking again.
             | 
             | We just have to hope that human beings actually care about
             | their work.
        
           | ChrisMarshallNY wrote:
           | Like I said, I personally know folks that have been clean for
           | decades, and went through worse. I'll be hanging out with a
           | bunch, tonight.
           | 
           | Addiction is a very strange problem. Lots of folks have
           | _opinions_ on it, but I have _experience_ with it.
           | 
           | And that's about all I'll say on the matter.
        
             | deelly wrote:
             | I don't want to be arrogant or looks like moron, but how
             | can you know that people that you know "went through
             | worse"? How can you measure it? I`m really curious, because
             | all my life I live with understanding that there no way to
             | measure other people feeling, emotions, suffering.
        
               | s1artibartfast wrote:
               | I think the point is that the critical differences are on
               | the inside, not on the outside.
               | 
               | People can go through worse experiences on the outside
               | and recover and overcome.
               | 
               | This points to the somewhat obvious reality that how
               | people handle and respond to their environmental
               | conditions is a critical factor in outcomes.
               | 
               | Sometimes you have to fix the internal root of feelings,
               | emotions, and suffering. You can believe the difference
               | IS the person, without being overly judgmental. In fact,
               | realizing that person themselves needs to be changed is
               | often a key part of recovery.
        
               | cat_plus_plus wrote:
               | Sure, it's possible for someone who went to war and ended
               | up killing a family of civilians to recover, overcome and
               | lead happy and fulfilled lives henceforth. Does it mean
               | that another soldier struggling with constant guilt and
               | nightmares is defective and in the need of fixing? Our
               | justice system imposes death penalty for murder. What if
               | someone is truly convinced, on rational bases, that they
               | have committed a murder, but in the circumstances where
               | justice doesn't act? Are they acting insane by taking a
               | matter in their own hands?
               | 
               | Now let's take another person who NEEDS to be surrounded
               | by love and belonging and ends up estranged from family
               | and devoid of friends, living alone in an apartment at
               | the age of 50? Are you suggesting that this person needs
               | to be fixed to not intensely crave those things? Or that
               | efforts to build these up at their age are likely to be
               | successful in today's society? Just what physical,
               | emotional and financial resources is anyone else willing
               | to contribute towards this person's well-being, other
               | than pumping them full of numbing drugs?
        
               | ChrisMarshallNY wrote:
               | _> Or that efforts to build these up at their age are
               | likely to be successful in today 's society?_
               | 
               | I've seen that happen -literally- hundreds, if not
               | thousands, of times.
               | 
               | It's usually difficult. Like, _really_ difficult, but
               | sometimes, it 's well worth the effort. We can often help
               | each other through the rough bits.
               | 
               | I've known a few folks that have done pretty awful things
               | (not getting into detail), and have recovered. Many, work
               | hard to help others to recover.
               | 
               | Love, charity, empathy, and generosity are very powerful.
               | 
               | There was a book written by Richard Adams ( _Watership
               | Down_ ), called _Shardik_ [0]. It's about redemption.
               | Sort of like the Ashoka myth[1]. Not a unique trope.
               | 
               | It's never too late to recover. In many cases, we may not
               | climb "as high" as we once were, but are much happier. In
               | other cases, it's the opposite.
               | 
               | I know a chap that wanted to put the park bench he slept
               | on, in the garden of his mansion. He couldn't find it,
               | though, as the city had replaced them, by that time.
               | 
               | [0] https://en.wikipedia.org/wiki/Shardik
               | 
               | [1] https://en.wikipedia.org/wiki/Ashoka
        
               | cat_plus_plus wrote:
               | Oh sure, I know people have rebuilt their lives in 50s.
               | But there is luck and anecdotes and there is prevailing
               | reality. When something is difficult, it requires
               | physical and emotional stamina to overcome. At some
               | point, one may be unable to handle hundreds of rejections
               | after trying to make a single casual friend in a space of
               | years. Not lazy, or insufficiently motivated, just not
               | able to, period. And that assumes, for example, enough
               | financial independence and free time from work to try in
               | the first place. I am not ready to declare people who
               | give up defective or put all the responsibility at their
               | feet, rather than society in general or plain bad luck.
        
               | ChrisMarshallNY wrote:
               | Well, I can only speak for myself, and for those in my
               | peer group, but we _regularly_ help each other to rebuild
               | our lives.
               | 
               | It takes a community. It's not usually something we can
               | do, on our own.
               | 
               | Long story, and not one for press, radio, and film.
        
               | s1artibartfast wrote:
               | My point is pretty simple. It is that the critical
               | differences are on the inside, not on the outside.
               | 
               | I wasn't taking a position on what people should do with
               | this information, but I think that understanding the fact
               | is important if you want to change _anything_ , or simply
               | understand how the world works.
               | 
               | In the context of depression, I think it is up to the
               | individual if they want to change. In your example, the
               | relevant question is if the lonely 50 year old wants to
               | change. As long as they aren't hurting me, I am fine with
               | them choosing either option. What, if anything, I am
               | willing to do the help, would depend on if or how much I
               | care for the individual.
               | 
               | What do you think about your questions? It seems like you
               | have on opinion you aren't stating.
        
               | cat_plus_plus wrote:
               | My opinion is that in the end I don't think really
               | wanting a change is enough for most people in sad social
               | circumstances. They simply do not have the stamina, the
               | skills or the opportunities to get out of the rut.
               | 
               | For example, I have a much more modest desire to have a
               | shared hobby with is common and not expensive or
               | difficult to pursue and a group of friends (casual to
               | start with) to go and do that in free time. I have been
               | at it for a year, taking classes, asking classmates and
               | coworkers to join me. Not. A. Single. Luck.
               | 
               | Now, I have family, successful career, financial freedom,
               | enough health to be active, no serious character flaws
               | that would tax friendships. Are you telling me a fat and
               | bitter guy who have been living alone long enough to be
               | rusty in social graces is going to suddenly have willing
               | friend material, let alone romantic prospects?
               | 
               | Personally I am not going to judge him or say he should
               | have just tried harder. You?
        
               | s1artibartfast wrote:
               | >My opinion is that in the end I don't think really
               | wanting a change is enough for most people in sad social
               | circumstances. They simply do not have the stamina, the
               | skills or the opportunities to get out of the rut.
               | 
               | I would agree that it often isn't enough by itself. My
               | thinking is more along the the lines that it is a
               | _necessary_ prerequisite, but not always _sufficient_ by
               | itself. Nothing in this life is guaranteed.
               | 
               | Im not interested in judging some random stranger. Maybe
               | they should have tried harder, maybe they should have
               | tried something else. Maybe it would have worked, maybe
               | it wouldn't. However, I know if they dont _try_ , then
               | they have no chance.
               | 
               | My advice to a friend or someone I cared for would be
               | different. You can't let your happiness be contingent of
               | factors outside your control. If you can't make yourself
               | happy, you are extremely unlikely to find someone or
               | something else to do it for you. If you don't like who
               | you are, then you need to start there because you cant
               | run from yourself. The bad news is that it is your
               | problem to fix, and the good news is that it is your
               | problem to fix. Success is not guaranteed, but these are
               | baseline facts you need to accept if you want to have a
               | chance at change.
               | 
               | You cant force someone to be your friend, let alone a
               | romantic partner.
        
               | nazgulsenpai wrote:
               | I think you've really hit the nail on the head here. I
               | think substance abuse is often treated as the underlying
               | root problem when its just a symptom of a much deeper
               | trauma or mental health problem. The lifestyle changes
               | (often) required to deal with the underlying problem
               | can't be forced on the person once the stint in rehab
               | ends. They are usually right back to their old situation
               | with their old friends in their old routines, or they
               | stop taking their medicines or any number of things that
               | lead to relapse.
        
               | lazyasciiart wrote:
               | This is pretty well known. The surviving brother in that
               | story even says that his brother was using alcohol to
               | deal with anxiety and depression.
        
               | [deleted]
        
             | omginternets wrote:
             | I'd appreciate it if you didn't dismiss everybody's
             | opinions on the matter for lack of direct experience.
             | You're setting things up to avoid debate.
        
               | ChrisMarshallNY wrote:
               | _" War talk by men who have been in a war is always
               | interesting; whereas moon talk by a poet who has not been
               | in the moon is likely to be dull."
               | 
               | - Mark Twain_
        
               | anonymouskimmer wrote:
               | There's enough wiseacring as is.
        
             | kstenerud wrote:
             | AKA the "man up" argument. You know people who survived
             | worse, thereby somehow invalidating the people who didn't
             | make it when they were suffering less. Because you have
             | _experience_ with it and can therefore judge others.
        
               | s1artibartfast wrote:
               | Nobody is saying it's easy or that people are invalid
               | here.
        
               | kstenerud wrote:
               | ChrisMarshallNY is sitting in judgment of the fellow in
               | Holland who made use of the euthanasia laws there.
               | 
               | Specifically:
               | 
               | "I find it doubly tragic, as there are proven alternative
               | solutions" (judgment)
               | 
               | "I personally know many people that were once far worse
               | off than that gentleman, and are now doing quite well"
               | (justification that invalidates the man's suffering)
               | 
               | "Lots of folks have opinions on it, but I have
               | _experience_ with it. " (Pushing his opinion above
               | others, to hammer the judgment home)
               | 
               | He doesn't know Mark Langedijk's mind and soul, and yet
               | he feels comfortable desecrating the man's legacy.
        
               | fuzzfactor wrote:
               | From what I've seen, I have no doubt Chris means well.
               | 
               | People everywhere have all different things worth living
               | for, and of course there are ups & downs that vary across
               | time and relationships.
               | 
               | Regardless whether someone has the capacity to be helpful
               | or harmful, almost always some judgement needs to be made
               | or absolutely neither one will be forthcoming.
               | 
               | And there is always going to be someone else to disagree.
               | 
               | Whether either one is correct I wonder who is supposed to
               | be the judge of that?
               | 
               | I see not a word of desecration.
               | 
               | Looking at the story of this particular dying Dutchman,
               | seems to me the only thing within reach beforehand were
               | quite temporary solutions not capable of overcoming
               | relatively longer term problems.
        
               | s1artibartfast wrote:
               | I don't find that to be overly invalidating or
               | judgmental.
               | 
               | There is a difference between saying you think someone
               | is/was wrong, and denying their humanity.
        
               | Retric wrote:
               | It's the definition of judgmental to say someone is wrong
               | like that. You're judging their actions as wrong.
        
               | s1artibartfast wrote:
               | Note that I said overly judgmental. Judgment itself is
               | part of the human condition. You can judge an action or
               | choice without demeaning or dehumanizing the person. You
               | can even do it from a place of empathy understanding and
               | compassion.
               | 
               | The idea of that people shouldn't or can't judge any
               | choice or action another makes is absurd at face value.
        
               | Retric wrote:
               | Except you very rarely have enough information to make
               | informed judgements. It's inherently dehumanizing to
               | assume the limited information you get from say a news
               | article is all that's relevant because it treats them as
               | cardboard cutouts of actual people.
               | 
               | It's easy to see a pregnant teen and think poor thoughts
               | about them without considering if perhaps they are older
               | than you assume and married or they got rapped etc. Read
               | about a convict and perhaps they did something horrible
               | or perhaps they're wrongly convicted, you simply didn't
               | know.
        
               | ChrisMarshallNY wrote:
               | You have a point, but I would submit that "desecrating
               | the man's legacy" is a bit ... shall we say ... _over-
               | the-top_ ... rhetoric?
               | 
               | I assume that you have known many, _many_ folks like him
               | (and like me), and are comfortable being _extremely_ and
               | _overtly_ judgmental.
               | 
               | Too bad. I looked at your GH profile, and I suspect that
               | we'd find a lot in common.
        
               | lazyasciiart wrote:
               | Hacker News civility makes it more acceptable to use an
               | over the top phrase like that, where normally I suspect
               | he would have jumped to straightforward ones like "being
               | a dick".
        
               | ChrisMarshallNY wrote:
               | Well, like I have said, before, I always find it
               | fascinating, when folks in a professional venue, initiate
               | relationships with an attack.
               | 
               | Not exactly sure the advantages it brings, but never a
               | dull moment, eh?
        
               | slibhb wrote:
               | The idea that any posts in this thread "invalidate's this
               | man's suffering" is hyperbole.
               | 
               | Anyway, what's wrong with judgement? Despite some
               | people's insistence on it being taboo, there's nothing
               | wrong with judging other people's behavior.
        
             | jackvalentine wrote:
             | Are you discounting the person who chose euthanasia's
             | experience with it by saying that though?
        
               | ChrisMarshallNY wrote:
               | Nope.
        
               | [deleted]
        
               | [deleted]
        
             | cesaref wrote:
             | I've always found it interesting that addictive behaviour
             | is often seen as a virtue by our society if it's about the
             | 'right sort of thing' (as far as society is concerned).
             | 
             | We end up considering people as 'dedicated' or 'committed'
             | to some cause or other. If they are a workaholic, or pious,
             | or a sports superstar, or a concert pianist, chances are
             | there is an addictive personality that just happens to have
             | gotten attached to a socially acceptable pursuit.
             | 
             | Meanwhile, the same people with a slight twist of fate end
             | up in rehab.
        
               | phonescreen_man wrote:
               | No such thing as an addictive personality- it was
               | invented by the pharmaceutical companies (the term) to
               | play down the addictive effects of their drugs, doctors
               | were told only people with addictive personalities will
               | get hooked on the opioids
        
               | qwytw wrote:
               | I can't say much about 'personalities' but it has been
               | quite consistently demonstrated that some people are
               | genetically predisposed and more likely to become
               | addicted to certain substances than others regardless of
               | social factors or even (pre-addiction) consumption
               | patterns.
        
               | dale_glass wrote:
               | That's just utilitarianism?
               | 
               | There's a bunch of things where the morality of what
               | you're doing will change depending on a small detail,
               | with the main action being essentially the same.
               | 
               | Eg, if you dedicate yourself to exterminating rats with
               | dedication and professionalism you'll be a hero, do the
               | same thing using the same tools and attitude to cats and
               | dogs and you'll be a monster.
               | 
               | Which is exactly how it should be IMO. We build the world
               | we live in by enacting change in it. Praising actions in
               | a context devoid of its consequences is a good way to end
               | up in a world where everyone basically hacks the reward
               | algorithm without any concerns about the results of that.
        
               | s1artibartfast wrote:
               | Addiction is defined by the negative impact on the
               | addict, not the behavior itself.
               | 
               | It is a semantics game. Drive, Focus, and motivation are
               | just that unless they are maladaptive and detrimental to
               | the individual.
               | 
               | These behaviors only become addiction when they run
               | counter to the goals and desires of the individual.
        
               | ajmurmann wrote:
               | Worth pointing out. I know of a person who was a
               | workaholic and then died pretty young from also having
               | been a secret alcoholic for much of their life.
        
               | naasking wrote:
               | There's a constructive/destructive dimension to all
               | behaviours, even addiction. Constructive addictions have
               | probably created a lot of great art, innovations and
               | achievements, where destructive addictions ruin the lives
               | of a person and those around them. Not that addiction in
               | any form is necessarily healthy, but it seems obvious
               | that constructive ones are more healthy than destructive
               | ones, for all involved.
        
             | hotpotamus wrote:
             | I personally know people who have been dirty for decades. A
             | friend of mine "inherited" the stewardship of one such
             | person and he was a miserable bastard until he died of
             | cancer and the only people who knew him regretted that it
             | didn't progress faster. He was a drag on the few people
             | willing to associate with him (neither his mother or
             | daughter among them) both emotionally and financially. I
             | myself helped clean up the disgusting mass of cigarette tar
             | filled beer cans he left in my friend's house after he
             | passed.
             | 
             | So your mileage may vary I suppose. And that's about all
             | I'll say on the matter.
        
           | mschuster91 wrote:
           | > "eight years of help and 21 stints in rehab" sounds like
           | they tried pretty hard to find a better solution.
           | 
           | First step towards that would be to ditch Anonymous
           | Alcoholics and other religious cult-based "rehabs".
        
             | zozbot234 wrote:
             | AA and other twelve-steps programs are not inherently
             | "religious-based". They only ask you to believe in some
             | power higher than yourself that you can tap into as a
             | source of inner sternness and restraint. You can call that
             | a spiritual outlook if you like, but it's a very mild one
             | and quite far from any organized or established religion.
             | And it actually works quite well as far as helping people
             | to stop drinking and stay off alcohol for the long term.
        
               | mschuster91 wrote:
               | There have been many that linked it to being cultist
               | (e.g. [1]).
               | 
               | > And it actually works quite well as far as helping
               | people to stop drinking and stay off alcohol for the long
               | term.
               | 
               | In any case, _that_ is my biggest issue with AA and a lot
               | of other  "abstinence" programs (particularly those
               | mandated by courts): they all but mandate that complete
               | and utter sobriety is the only acceptable way instead of
               | helping people to _moderate_ their consumption or to find
               | out and fix _why_ they are consuming substances. Someone
               | who 's in hurt because their partner died or cheated upon
               | them or they lost their job or home (these four causes
               | are behind a lot of addiction careers) doesn't need a
               | sobriety program run by questionably or barely qualified
               | random joes, they need professional counseling.
               | 
               | [1] https://www.skeptic.org.uk/2023/03/from-the-archives-
               | exposin...
        
               | baggsie wrote:
               | I just wrote a long reply detailing why moderation isnt
               | an option for people like me, but as usual the best
               | explanation of my relationship with alcohol comes from
               | the Westwing:
               | 
               | > I'm an alcoholic. I don't have one drink. [pauses] I
               | don't understand people who have one drink. I don't
               | understand people who leave half a glass of wine on the
               | table. I don't understand people who say they've had
               | enough. How can you have enough of feeling like this? How
               | can you not want to feel like this longer? [pauses,
               | sighs] My brain works differently.
        
               | scruple wrote:
               | I spent decades of my life trying to pursue moderation.
               | It doesn't work (for me). The Sinclair Method worked. I
               | tried AA but the white knuckle approach wasn't right for
               | me. I know people who have absolutely gotten sober using
               | AA, others who use both, and others still who use
               | different medications.
               | 
               | In my experience, moderation was the worst possible
               | solution. It was like perpetually kicking the problem
               | down the road to be dealt with on another day. Relapse
               | was frequent and always right around the corner, and with
               | relapse came shame, guilt, and other feelings of failure.
        
               | qwytw wrote:
               | > sobriety is the only acceptable way instead of helping
               | people to moderate their consumption
               | 
               | That only works for some people and not others (likely
               | due to genetic factors amongst other reasons). Which can
               | be quite hard to grasp for people who are actually able
               | (or believe that they are...) to 'moderate their
               | consumption'.
        
             | scruple wrote:
             | Have you been to an AA meeting?
        
             | mthoms wrote:
             | I'm a staunch atheist and was also very cynical about this
             | too. That is, until I attended several of these meetings in
             | support of a friend.
             | 
             | The intensity of the religious aspect probably varies
             | depending on where you live but what I observed was pretty
             | minor and wasn't at all offensive.
             | 
             | The two people I know who have been helped by AA are happy
             | and healthy now.
        
         | elemos wrote:
         | Not everyone's experience of pain is the same. We should keep
         | that in mind and have empathy.
        
           | 2-718-281-828 wrote:
           | exactly. the alcohol is usually just secondary and self-
           | medication to deal with pain and that pain is very individual
           | and personal.
        
         | probably_wrong wrote:
         | Sidenote: You might want to describe that link, as The
         | Independent redirects based on location and/or device language.
         | All I get is the front page.
        
           | cjrp wrote:
           | Headline is "Man in the Netherlands euthanised due to his
           | alcohol addiction"
        
             | hyperdimension wrote:
             | Just to be clear, in case anyone doesn't read the article:
             | the man chose by himself to be euthanized, not the
             | alternate reading I first thought.
        
           | nicolaslegland wrote:
           | https://archive.is/TKUXU https://web.archive.org/web/20161130
           | 080200/https://www.indep...
        
           | ChrisMarshallNY wrote:
           | It's about a chap in Holland that was a recidivist alcoholic,
           | who took advantage of the Dutch Euthanasia laws, to end his
           | life.
           | 
           | There's really no way to put a positive spin on it. It sucks,
           | no matter what opinions we hold on the matter.
           | 
           | The laws aren't the issue. If someone really wants to end
           | things; they will. I have seen it many times, and alternative
           | means can be absolutely devastating to the survivors.
        
             | bizbizbizbiz wrote:
             | In the article, the family of the patient cited that his
             | alcoholism was secondary to his depression - a symptom of
             | the bigger thing he was suffering from. The article goes to
             | lengths though (see: title) to put the focus on "an
             | alcoholic was euthanized."
             | 
             | The brother's relevant quote:
             | 
             | > "My brother suffered from depression and anxiety and
             | tried to 'cure' it with alcohol. He's from a normal family,
             | he did not want this to happen. He did not take an easy way
             | out. Just a humane one.
             | 
             | > "If that's troubling for Mrs Bruce that's a pity. I am
             | just glad my brother did not have to jump in front of a
             | train or live a few more years in agony before dying of his
             | abuse.
             | 
             | I can't tell you for sure what is fact, but I'm inclined to
             | take the more rational explanation of the family over the
             | irrational "this was an alcoholic choosing death over
             | rehab."
        
             | petesergeant wrote:
             | > who took advantage of the Dutch Euthanasia laws, to end
             | his life ... it sucks, no matter what opinions we hold on
             | the matter
             | 
             | His brother disagrees with you, explicitly answering an
             | anti-euthanasia protester with: "I am just glad my brother
             | did not have to jump in front of a train or live a few more
             | years in agony before dying of his abuse"
        
               | anonymouskimmer wrote:
               | He could have ODed on opium from the dark web. He could
               | have networked with other suicidal people to find a
               | humane way to kill himself (or be killed).
               | 
               | I hate that people steelman governmental oversight and
               | approval of suicide by strawmanning the other options.
               | 
               | In countries which legalize euthanasia it becomes easier
               | to do it for more reasons.
               | 
               | Just keep it illegal, but don't prosecute people who try
               | to do it. When a person reaches a point where they really
               | want to die, they can figure out a way.
        
               | vaidhy wrote:
               | I would think my right to live also includes my right to
               | die with dignity.
        
               | anonymouskimmer wrote:
               | Sure. But just as you don't have a right to material
               | support from the state in order to live, you don't have a
               | right to material support from the state in order to die.
               | Unless you happen to live in a country in which you do
               | have such a right. Regardless, these rights are limited.
               | I'm in favor of increasing the first right such that
               | suicides are minimized, and reducing the second right to
               | not prosecuting you for attempting suicide.
        
               | 8note wrote:
               | My right means the government can't hinder me. Making it
               | illegal, regardless of whether it's prosecuted or not is
               | stamping on my rights. The government has no ability to
               | make it illegal
        
               | fuzzfactor wrote:
               | Well thought.
               | 
               | When considering rights conferred by authorities or
               | society, there is often litte relationship between what's
               | available at any one time, to what is beneficial to any
               | one individual, who most often has no significant input
               | about ways their particular needs may be better
               | addressed.
        
               | Jochim wrote:
               | I took GP to be mean that it's sad that the man felt the
               | need to end his life. His final sentence seems to support
               | that sentiment.
        
         | manxman wrote:
         | [flagged]
        
         | plandis wrote:
         | > I personally know many people that were once far worse off
         | than that gentleman, and are now doing quite well
         | 
         | This sounds extremely callous unless you were the dead man's
         | therapist or close personal friend. Surely you're not going to
         | infer you understand the situation from news articles.
         | 
         | > proven alternate solutions
         | 
         | Plenty of people seek help and yet still die of alcoholism
         | despite trying to fix the addiction. There is no 100%
         | guaranteed solution, and unless you are intimately familiar
         | with the dead man's life I really don't understand how you can
         | assume he didn't try to get clean.
        
           | naasking wrote:
           | > Surely you're not going to infer you understand the
           | situation from news articles.
           | 
           | Surely you're not presuming you understand the horrors that
           | the OP has himself witnessed or been privy to? For all you
           | know the OP could have been working with addicts for 50 years
           | and literally seen it all. Maybe be a bit more charitable.
        
             | ChrisMarshallNY wrote:
             | _> 50 years_
             | 
             | 42, actually.
        
         | wonderwonder wrote:
         | Trying not to judge this guy but to put your parents through
         | that seems unimaginable to me. Could not comprehend gathering
         | my family around to watch me kill myself.
        
       | rcpt wrote:
       | "The so-called 'psychotically depressed' person who tries to kill
       | herself doesn't do so out of quote 'hopelessness' or any abstract
       | conviction that life's assets and debits do not square. And
       | surely not because death seems suddenly appealing. The person in
       | whom Its invisible agony reaches a certain unendurable level will
       | kill herself the same way a trapped person will eventually jump
       | from the window of a burning high-rise. Make no mistake about
       | people who leap from burning windows. Their terror of falling
       | from a great height is still just as great as it would be for you
       | or me standing speculatively at the same window just checking out
       | the view; i.e. the fear of falling remains a constant. The
       | variable here is the other terror, the fire's flames: when the
       | flames get close enough, falling to death becomes the slightly
       | less terrible of two terrors. It's not desiring the fall; it's
       | terror of the flames. And yet nobody down on the sidewalk,
       | looking up and yelling 'Don't!' and 'Hang on!', can understand
       | the jump. Not really. You'd have to have personally been trapped
       | and felt flames to really understand a terror way beyond
       | falling."
       | 
       | -David Foster Wallace
        
         | roncesvalles wrote:
         | While some people really do have to make a choice between fire
         | and falling, many who think they're in that situation may
         | actually be hallucinating of the fire. They don't have to fall;
         | they can be helped.
        
         | joewferrara wrote:
         | This is pretty good considering the fact that David Foster
         | Wallace took his own life in the end. I read the whole quote
         | before I saw at the end it's from him.
        
           | chris_st wrote:
           | Takes one to know one, as we used to say...
        
             | fuzzfactor wrote:
             | It also might be revealing to read the account of the guy
             | that jumped off the Golden Gate Bridge and survived.
        
         | spacedcowboy wrote:
         | This is where my wife was, a week or so ago.
         | 
         | She was initially admitted to hospital for low Sodium
         | (hyponatremia) with no obvious symptoms - we actually went for
         | something else which was benign. They corrected the low Sodium,
         | but they corrected it quickly - possibly too quickly [1]. The
         | next day she started to become non-responsive, and the day
         | after was completely non-responsive - didn't react to pain
         | stimuli, dropping her hand over her face just made her hand hit
         | her face, couldn't open her eyes etc.
         | 
         | They gave her anti-depressant drugs and she seemed to snap out
         | of it. They kept her in for another couple of days (which the
         | insurance are now arguing over, but that's another tragedy) and
         | then discharged her.
         | 
         | A few days later she stopped being able to walk, she's in
         | constant pain, her legs are tremoring all the time now, her
         | chest is constricted and she's frequently hyperventilating for
         | hours at a time in order to breathe. She gets told she's
         | "anxious", and it's in her head by her PCP. We visit ER several
         | times because she can't breathe properly, and every time she's
         | put on an IV, they maybe give her some sedation (Ativan) and
         | then discharge her a few hours later once she's calmed down due
         | to the drugs.
         | 
         | After 6 weeks of constant pain, next to no sleep, and being
         | told she's fine (when she clearly isn't "fine") she starts
         | talking about how she needs to find peace, and she can't take
         | this any more. She's been building up to it, but I didn't take
         | it seriously enough. Mea culpa. We don't have a gun in the
         | house, she phones friends, asking them if they have a gun, and
         | she'd "take care of everything".
         | 
         | One friend of hers calls it in. Police, Fire-brigade (EMT) and
         | eventually an ambulance appear outside the house as she's
         | sectioned on a 3-day hold. They actually released her the next
         | day, and now she's terrified of "going back". I'm not saying
         | the officials did anything wrong - they didn't - they were
         | courteous but implacable, but they were just doing an
         | unpleasant job. On the plus side, she's not mentioned anything
         | about taking her life since.
         | 
         | A doctor mentions that there is such a thing as Osmotic
         | Demylination Syndrome [2], which can happen when hyponatremia
         | is "fixed" too rapidly. It would explain all the symptoms we're
         | seeing, including the non-responsiveness. Apparently there's an
         | MRI test to see if this has happened. Our next (7th ? I lose
         | track) visit to ER, I get them to do this MRI. She doesn't have
         | it, from what we can see on the data. I ask for the data to
         | send to the neurologist.
         | 
         |  _Finally_ , 8 weeks since this all started, the various
         | specialist referrals start to kick in: Endocrinologist,
         | Cardiologist, Neurologist, Gastroenterologist, Psychiatrist...
         | Her PCP hasn't been much help other than to give referrals, and
         | in fact seems to be out of her depth - the last visit to the
         | PCP we were told that the PCP refused to prescribe any more
         | Ativan. That would be reasonable (these aren't drugs to take
         | lightly) if she were to be weaned off them, but no - cold
         | turkey it has to be. I ask the PCP to talk to the neurologist,
         | who seems a bit more human, and the prescription is passed to
         | the neurologist to fulfil.
         | 
         | I won't go into me finding a lump on my balls, and the
         | subsequent worry over cancer (it was just a cyst), or the
         | maybe-heart-attack last weekend that has _me_ seeing the same
         | cardiologist as my wife  'STAT'. This isn't about me. But if
         | I'm out of the picture, well, there's just me, her and our son,
         | the rest of family is 6000 miles away....
         | 
         | So here I am, still trying to sound positive to an intelligent
         | woman who knows just how far she's fallen. Still trying to
         | sound upbeat when she's literally crying in pain (oh yeah, the
         | pain-specialist appointment is still to happen) throughout the
         | night, and OTC pain-killers don't have any effect. Still trying
         | to make it sound like we're making progress even though I can't
         | see it myself. Still trying to answer "why won't someone help
         | me ?" without sounding trite and jaded.
         | 
         | Hopelessness is an insidious poison for the mind. I don't feel
         | the same way, but I can understand how she'd ask about the
         | gun...
         | 
         | 1: https://imgur.com/jtGTdn3
         | 
         | 2: https://medlineplus.gov/ency/article/000775.htm
        
           | renewedrebecca wrote:
           | I'm so sorry your wife (and you) are going through this. When
           | the medical system fails, it fails hard. I don't know what to
           | say except that I hope you all get to the bottom of this
           | quickly and she gets the help she needs.
        
           | Centigonal wrote:
           | It sounds like you're going through a real-life nightmare!
           | 
           | This whole story sounds insane (assuming you're not leaving
           | out essential details), with multiple overlapping failures. I
           | am not a medical professional, so take this all with a grain
           | of salt (no pun intended).
           | 
           | First off, idiopathic hyponatremia in non-elderly, non-
           | pregnant, otherwise healthy people is unusual - why was your
           | wife hyponatremic to begin with? This is worth investigating.
           | 
           | It's amazing to me that it took weeks for you to be told
           | about the risks involved in raising sodium too quickly.
           | 
           | It's ludicrous that a doctor would prescribe daily Ativan for
           | treatment of generalized anxiety in 2023 (Ativan and related
           | benzodiazepine drugs are extremely habit forming, wreck your
           | memory, and don't show evidence of improving anxiety
           | endpoints in the long term. Great for infrequent occasional
           | use, e.g. panic attacks though).
           | 
           | It's even more ludicrous that they would want her to quit
           | cold-turkey if she's been taking Ativan daily for longer than
           | a few weeks. Benzodiazepine withdrawal is unpleasant and
           | dangerous. That said, not being on daily Ativan for anxiety
           | is a good thing. If you want to read up on withdrawing from
           | benzos safely, the Ashton Manual is a popular (although
           | older) source a lot of medical and recreational users have
           | used to get clean[1].
           | 
           | As for the psychological aspects of this ordeal: The only way
           | out is through - you just have to keep going and keep
           | advocating for yourselves. If you haven't already, I highly
           | recommend getting set up with regular therapy for both of
           | yourselves. Falling down happens to us all- getting back up
           | is an difficult but essential part of life, and having a
           | third party there to remind you of your forward progress and
           | push/encourage you when you need it is very valuable.
           | 
           | [1] https://www.benzoinfo.com/wp-
           | content/uploads/2022/07/Ashton-...
        
             | spacedcowboy wrote:
             | Thanks for the info :)
             | 
             | Regarding leaving stuff out. I'm really not. My only
             | concern here is getting my wife well, and she absolutely
             | had none of these symptoms previously, or any hint of them,
             | and whilst I haven't described every individual visit to ER
             | in detail, they all follow the same pattern as recounted.
             | We've just had the first round of specialists, and I don't
             | have a very high opinion of her PCP, but now that we have
             | the specialists, I'm more hopeful that something might get
             | done.
             | 
             | None of the doctors involved told us about the dangers of
             | raising Sodium quickly. The neurologist agreed that it
             | might be and put my wife on Prednisone/something-to-help-
             | her-stomach after our first visit. It was actually my boss'
             | wife (she's a doctor) that mentioned ODS to him and hence
             | to us. FWIW, work has been outstandingly supportive over
             | the last couple of months, the only real shining light.
             | 
             | The MRI doesn't seem to support ODS though, but I
             | personally think it's too much of a coincidence that she
             | responded so poorly, and then symptoms very similar to it
             | emerged later. It might not be ODS, but _something_
             | happened. She had none of these symptoms before going in.
             | 
             | As for why she had hyponatremia, she had diarrhoea the week
             | previously, and the hospital put it down to that. We had no
             | idea her sodium was low - as I said we went in for
             | something unrelated (that turned out to be benign).
             | 
             | The PCP put her on Ativan, right up until she said "I don't
             | feel comfortable prescribing this any more, so I'm not
             | going to". Cue the argument about withdrawal and the PCP
             | saying she'd talk to the neurologist and see if the
             | neurologist would take over. I get the feeling the PCP is
             | very much a "fair weather" doctor - fine for when things
             | are fine...
             | 
             | The neurologist has changed away from Ativan to another
             | benzo, but has also prescribed mirtazapine as a more long-
             | term solution. We have another visit with her scheduled at
             | the end of the month.
        
           | hn92726819 wrote:
           | > They actually released her the next day, and now she's
           | terrified of "going back". I'm not saying the officials did
           | anything wrong - they didn't - they were courteous but
           | implacable, but they were just doing an unpleasant job.
           | 
           | I do not know your experience obviously, but this reads like
           | more weight is put on how they handled it and less on your
           | wife's experience. I'm glad they didn't handle it poorly
           | (which is already too common), but being held against your
           | will can be a seriously traumatizing experience. Regardless
           | of if they did the "right" or "wrong" thing, the fear of
           | losing your rights again can be severe and cause even more
           | damage in the long term. I just want to make sure her likely
           | terrible experience isn't overlooked because the medics
           | followed their instructions.
           | 
           | In my personal experience, I had a traumatic experience after
           | talking about suicide as well. I didn't talk to anyone about
           | it for many years afterwords because of that experience and
           | the fear of it happening again. Arguably, I'm worse off
           | because of that, since I have felt significantly better after
           | eventually opening up and (luckily) not having a second
           | traumatizing experience. But I recognize that even though
           | everyone followed their orders properly, it can be terrifying
           | to the individual.
           | 
           | > On the plus side, she's not mentioned anything about taking
           | her life since.
           | 
           | Again, I don't know your personal experience, but I would
           | strongly suggest you talk to her about this. Not mentioning
           | it does not mean not thinking about it, _especially_ if there
           | 's been a traumatizing experience in the past related to
           | openly discussing suicide. She might be on edge discussing
           | this topic with _anyone_ , including you, because of the
           | experience she had. I know what helped me is knowing I had
           | someone that I could talk to without risk of being "turned
           | in," which I suspect you wouldn't want to subject her to
           | again. You can fact check me on this: talking about it won't
           | "plant the idea" back in her head or anything.
           | 
           | You sound like you care a lot about her. Someone like you is
           | the reason I'm here still, so you're doing something right :)
        
             | spacedcowboy wrote:
             | It did come up - it's hard to avoid an elephant in a room,
             | despite the saying... I'm not going to go into details, but
             | we did and do talk.
             | 
             | I also don't want to give the impression that my concern is
             | more for the process than my wife - while writing, I didn't
             | want to be seen to be blaming them for enforcing the 3-day
             | hold. Once someone's called it in, and the police making
             | the house-call decide it's plausible, they don't deviate.
             | They were kind, but firm, is all I was trying to say.
        
           | s1artibartfast wrote:
           | What a terrible experience you are going through. I hope it
           | makes a turn for the better, and soon. I'm curious what you
           | mean by one of your closing comments:
           | 
           | >Still trying to answer "why won't someone help me ?" without
           | sounding trite and jaded
           | 
           | Not looking to debate, but genuinely curious.
        
             | spacedcowboy wrote:
             | Because I agree with her that she's not getting the help
             | she needs, but I don't know where else to go.
             | 
             | - Her PCP seems useless - basically a glorified project
             | manager for other expert opinions, and the time taken to
             | get appointments with these experts is straining.
             | 
             | - Going to urgent care, or doing an 'online Dr visit' just
             | gets the advice to go to ER instead, because of the
             | breathing.
             | 
             | - Going to ER (which we have, several times) just gets her
             | admitted to the ER beds, put on an IV for fluids, maybe a
             | chest X-Ray taken, and then discharged after a few hours
             | with a recommendation to go see her PCP.
             | 
             | - the neurologist has been the best of them so far, but
             | she's 30 miles away and we get to see her once per month.
             | I'm grateful for the help we've had from the neurologist,
             | but it's not much use at 3am when she can't breath, again,
             | is in pain, again, and feels like her chest has a bar
             | pressing down across it, again. Going to ER because of this
             | is covered above.
             | 
             | No-one wants to take ownership, everyone (with the
             | exception so far of our neurologist) wants to try and get
             | someone else to "manage this case". It doesn't leave one
             | with the warm fuzzies, especially given the last couple of
             | months.
             | 
             | It has actually reached the point where I've considered -
             | not seriously yet, but it's still there - selling up,
             | leaving the US and going back home to the UK. Myself and my
             | son are citizens by right, I have enough cash/equivalents
             | that getting a spousal visa wouldn't be an issue, and we'd
             | pay the NHS surcharge for a few years - still a lot less
             | than my insurance here. We could even be closer to family
             | for better support. The largest factor against, in fact, is
             | the logistics of simply getting her there, taking a plane
             | seems like a poor option atm, and she gets very seasick
             | even on cruise liners. Once there, having bought a house
             | with the proceeds of the sale of this one, retirement would
             | be pretty easy on me, and maybe a health service more
             | focussed on making people better, over making money, might
             | be better for her.
        
               | ianburrell wrote:
               | Can you find a new PCP? One that may not be a good family
               | doctor but can coordinate care.
               | 
               | You are probably already doing it, but I have heard that
               | it is really important to have advocate when patient
               | can't organize themselves. If you can, go to
               | appointments, take notes, and ask lots of questions. Push
               | on uncertainty until get tests and answers. Try and solve
               | separate problems, like Ativan dependency, so can focus
               | on the big one and she feels better. One question I had
               | is what does the treatment for raising sodium too quickly
               | look like and is it worth doing even if the MRI was
               | negative.
               | 
               | Also, I vaguely remember reading about group of doctors
               | that solve medical mysteries. I found an article,
               | https://www.nytimes.com/2019/01/07/health/patients-
               | medical-m..., but not sure one I read.
        
               | spacedcowboy wrote:
               | I'm in the process of looking for a new PCP - although
               | now we actually do have access to the specialists that I
               | think we needed to, and our interaction is more or less
               | just "send a non-urgent message" on the web-platform, and
               | get a referral back the next working day.
               | 
               | I am at _every single one_ of these appointments - I was
               | in a better position to recall how things went down, and
               | I am very much her advocate. She 's had many many tests -
               | which have ruled out a lot of truly terrifying things,
               | but there is still no affirmative diagnosis of what it is
               | she has. The last discharge from ER listed her as having
               | "restless leg syndrome" - which is obviously not a
               | diagnosis. The tremors in her legs are a symptom, not a
               | cause, and they only started after the sodium levels were
               | raised.
               | 
               | The treatment was the prednisone that the neurologist put
               | her on prior to getting the MRI data, but prednisone has
               | its own side-effects, so we were told to stop taking it
               | once the MRI data was obtained.
               | 
               | The "Undiagnosed diseases network" is a great find -
               | thank you. I have just enrolled her case in "Teladoc"
               | which can give 'expert medical opinions' using her
               | release notes and visit documentation. I'm hopeful they
               | might find something, but the UDN looks like 'House' for
               | real. I'll definitely look into it :)
        
               | s1artibartfast wrote:
               | Thanks, I see now. For some reason I thought you were
               | talking about non-medical help for yourself. I guess you
               | are in some sense looking for non-medical help navigating
               | the medical system itself.
               | 
               | I'm guessing any advice I offer you would have already
               | thought of, but maybe you can pay over the counter for a
               | medical consultant in the UK or anywhere for that matter
        
         | Liquix wrote:
         | Authors who end up taking their own lives often pen some of the
         | most haunting and poignant passages on death:
         | 
         | "It was useless to try to do anything. One could only watch the
         | extraordinary efforts made by those tiny legs against an
         | oncoming doom which could, had it chosen, have submerged an
         | entire city, not merely a city, but masses of human beings;
         | nothing, I knew had any chance against death."
         | 
         | - Virginia Woolf, _Death of a Moth_
        
       | benj111 wrote:
       | Urgh how depressing. I thought I was at least a significant
       | psychological leap away from suicide. Turns out i basically lack
       | conviction.
        
       | hackeraccount wrote:
       | David Foster Wallace's description of a person in a burning
       | building struck me deeply. That said most people killing
       | themselves are not in fact in a burning building; they just think
       | they are.
       | 
       | I've never considered suicide but I remember being deeply unhappy
       | as a teenager. it's not that looking back on it I can't see why
       | but at the time I didn't know why. I'd consider my circumstances
       | and realize that whatever problems I had were both trivial and
       | fixable but still feel utterly miserable. The thing that
       | frightened me was the idea that I would lose that perspective.
       | 
       | Now though, now I'm an old man. I know that at some point the
       | odds are good that I'm going to be in that burning building for
       | real and I don't know what I'll do.
        
       | rrgok wrote:
       | It is amazing how everyone arguments about suicide is trying to
       | rationalize in one way or he the other the cause of suicide: what
       | led to it? why? Is right? Honestly: who cares?
       | 
       | My stance is this: there need not to be any reason to die other
       | than wanting it.
       | 
       | I've never asked for this life. So let me go, without much fuss,
       | when I want to go. I don't need to motivate my decision, nor I
       | need find meaning for myself to end it. Whether it is to escape
       | pain or happiness it doesn't matter. Maybe I'm happy about the
       | life I lived up until now, and I'm happy to go. It is nobody's
       | concern but mine. And please, make laws and facilities to make it
       | happen painlessly and reliably for all people who are able to
       | decide it for the themselves at whatever age they wish to go.
        
       | thr-nrg wrote:
       | I fully intend to kill myself eventually. The idea that I should
       | prolong my life past the point where I get dementia, a
       | degenerative disease, or just plain old age where I can't stand
       | up or whipe my ass is repugnant enough that I can't understand
       | people who want me to suffer until doctors finally stop being
       | able to put me back together. Much better to die cheaply with a
       | wonderful cocktail of opiates while watching a sunset some on
       | some tropical island.
        
         | martindbp wrote:
         | Much easier said than done. I doubt you'll feel the same way
         | when that old age approaches, just like teenagers who think
         | life is practically over by 40.
        
           | Joeboy wrote:
           | "Hope I die before I get old" - Pete Townshend, 1945--
        
             | crossroadsguy wrote:
             | Such edgy quotes aid in the mystic and aura building which
             | eventually help with the sales.
        
           | hasbot wrote:
           | Not at all. My grandmother was diagnosed with breast cancer
           | in her 60's and eventually died of it. Near the end she was
           | hoping to die.
        
           | Madmallard wrote:
           | The people I know that are really old or the people I have
           | known rather generally weren't too thrilled with living at
           | that point. When your quality of life is really poor, living
           | seems like more trouble than it's worth. I wonder if some of
           | those people have a lot of agency over just letting their
           | body stop working.
        
           | c7DJTLrn wrote:
           | >just like teenagers who think life is practically over by 40
           | 
           | Sorry but... it kind of is, no? You've probably got a family
           | weighing you down so you can't travel anymore. You don't have
           | the freedom to start new exciting ventures. You can't quit
           | your sucky job because it supports your family. You go to
           | parties that end at 9pm and your social gatherings consist of
           | talking about traffic and grocery prices. You're probably
           | married to someone you love and respect, but the flame isn't
           | the same as what you once had.
           | 
           | Just my perspective as a 22 year old.
        
             | JoelSanchez wrote:
             | my mom is 48 years old, she loves her job, no one depends
             | on her, has a different boyfriend every month, goes to the
             | same parties I go to (which end at 6am) and we even share
             | some friends (im 29). definitely not over
        
             | anonymouskimmer wrote:
             | > You can't quit your sucky job because it supports your
             | family.
             | 
             | My jobs have gotten less suckier as I've gotten older. And
             | with experience (and, rarely, more savings) I have more
             | options. Yes, I could quit if I want.
        
             | harimau777 wrote:
             | I see it almost the exact opposite. I'm in my early 30s
             | without a wife or kids and I feel like my life is basically
             | over because of it.
        
             | omgmajk wrote:
             | You sound like you're 13, not 22. I'm 38 and nothing what
             | you said is true for me nor any of my friends.
        
             | hummingly wrote:
             | That is a depressing view on aging. At some point kids
             | becomes adults and can support themselves and if they were
             | taught any form of responsibility, they will support their
             | parents. These days my parents hang out with their friends
             | or go once in a while on vacation which they pay or my
             | sibling and I. To me it sounds like someone enduring a life
             | style they dislike but accepted because they believe this
             | is how life should be.
             | 
             | Maybe it is a culturally thing but as a kid I had to
             | complain to my parents to get home and by then it was 1 am.
        
             | rockbruno wrote:
             | This sounds exactly what a 13 year old would say about life
             | being over at 20. Or a 22 saying life is over a 40. Or a 40
             | saying life is over at 50. Or a 50 saying life is over at
             | 60. See a pattern?
        
             | s_c_r wrote:
             | I'm 37, married with two kids. Flying to Scotland for a
             | week next Monday.
             | 
             | Life is what you make it. I'm happier than I was at 22, no
             | question.
        
             | giraffe_lady wrote:
             | lmao
        
             | argiopetech wrote:
             | If you've done it right, by 40 you have children. If you've
             | raised them right, they're fun to be with. Even if you
             | haven't, they require enough out of you that you want to go
             | to bed by 9. Social gatherings are about spending time with
             | other families and letting your children play. Your partner
             | is a collaborative team member in a complex dance, and
             | while the passion for that person is not as fiery as the
             | lust-fueled early days before you realized they were a real
             | person with flaws, it's no less significant in magnitude.
             | 
             | Travel with a family takes more planning, but millions take
             | significant road/flight/cruise trips every year. Budgeting
             | (of money and, if applicable, vacation time) is key.
             | 
             | Changing jobs or starting ventures is similar. It's easier
             | to get a job if you already have one, it's easier to
             | survive a job change if you have savings. Planning remains
             | key. It's not as low-risk as it would be for a
             | bachelor(ette), but you have the time, stability, and
             | mindset to start slow and minimize that risk as you go.
             | 
             | As your kids grow you have more time to pursue your
             | interests. Eventually, if all goes well, you get the joy of
             | grandchildren (all the fun of having children, but you can
             | give them back). Retirement, if you've planned well and
             | have your health, is a return to childhood (less money,
             | more fun, most of your playmates are children [at least
             | relative to your age]).
             | 
             | There are another 40 years after 40. Plan accordingly.
        
               | sgjohnson wrote:
               | > If you've done it right, by 40 you have children.
               | 
               | It's also perfectly okay to not have children.
        
               | argiopetech wrote:
               | It's a valid life choice, of course, and you're free to
               | make it. I'd not call it "perfect", though (and neither
               | is choosing to have kids). It's all a matter of which
               | trade-offs you prefer.
               | 
               | I like children, desire to pass my genes to the future,
               | value the ability to raise my children to have an impact
               | on the world somewhat in line with my perception of it
               | (commensurate on their natural predilection to agree with
               | me and act on that agreement), and want somebody to look
               | after me and my affairs in my old age. I'm willing to
               | accept the cost (in time, money, stress, reduced
               | flexibility...) and responsibility in return. If you make
               | the decision not to have kids, I hope you can say the
               | same for your trade-offs.
        
               | rrgok wrote:
               | I'm sorry, maybe other people said the same thing. I
               | didn't read the whole thread yet. I'm gonna pick you and
               | the line "desire to pass my genes to the future". I'm
               | gonna ask you some genuine questions about it, so please
               | if you can I would appreciate your point of view.
               | 
               | What is this desire, how does it feel? I've never felt
               | it.
               | 
               | Is it a thought process or do you feel it in your body?
               | (like hunger, sexual attraction...).
               | 
               | Do you feel pain in your body (chest pain, knot in the
               | throat..) if you think you cannot fulfill that desire?
               | 
               | How do you feel if you think about the fact that when you
               | are dead, it just doesn't matter if you passed your gene
               | or not? Isn't that desire just a rationalization/mental
               | process vanishing in oblivion?
               | 
               | Where does that desire goes if you scale-up the total
               | human species life-span? Would you feel happy that you
               | will have grand-grand-grand children that you will never
               | meet?
               | 
               | I've never felt the desire to pass my genes to anybody. I
               | have sexual desire, does that mean I want to pass my
               | genes? But I feel like, sexual desire is like taking a
               | piss: I just release some build-up in my body. I cannot
               | rationalize my peeing in: I have to pee, because that
               | ensure my survival hence the succession of me gene. I
               | feel the same of orgasm. It feels that thought process is
               | forced and conditioned by society.
        
             | best_one_there wrote:
             | [dead]
        
             | sambapa wrote:
             | *as a depressed 22 year old
        
             | zajio1am wrote:
             | Note that most of these issues are related to 'have a
             | family', not to 'be over 40'.
        
             | chalcolithic wrote:
             | find a spouse that dreads the problems you've listed and
             | you'll be amazed by how easily they can be solved
        
             | agensaequivocum wrote:
             | No raise children in your early 20s. When you're forty
             | they'll be adults.
        
             | [deleted]
        
             | JohnBooty wrote:
             | I'm in my 40s and felt the same way as you (more or less)
             | at 22.
             | 
             | Many people do wind up as you describe. On the other hand
             | you write as if it is inevitable rather than a specific
             | choice.                   You've probably got a family
             | weighing you down so          you can't travel anymore. You
             | don't have the freedom          to start new exciting
             | ventures.
             | 
             | Yes, you probably do have to choose between "family" and
             | the other stuff unless you have some unusually favorable
             | circumstances. Either lots of money, or extended family
             | members (grandparents) with whom you can leave the kids
             | while you travel, etc.
             | 
             | Depends on your definition of "travel" though. Flying to
             | another country on a whim? Probably not. Packing the kids
             | and tents up and going camping? Heck yes.
             | You go to parties that end at 9pm and your social
             | gatherings          consist of talking about traffic and
             | grocery prices.
             | 
             | Oh hell no. I'm over 40 and still making great friends.
             | Friends with whom I share interests, not just banal
             | conversations. It's different than when you're young, it
             | takes a little more work. You're not just dumped into a
             | school with hundreds of people your age. But it's better.
             | You can choose your social circles and meet other
             | enthusiasts relevant to your interests.
             | You're probably married to someone you love and respect,
             | but the flame isn't the same as what you once had.
             | 
             | It's certainly true: those giddy early months of a
             | relationship change into something else eventually. Can be
             | better or worse depending on your perspective.
             | 
             | Again, you can just not get married! Or do some kind of
             | poly/open/whatever relationship if that's your thing. Or be
             | asexual. Or be so undesirable that nobody wants to nestle
             | down with you and saddle you with a family. Or just find
             | some sort of ethical way of getting what you need from sex
             | workers. (That last one may be tricky)
        
               | Delk wrote:
               | > Again, you can just not get married! Or do some kind of
               | poly/open/whatever relationship if that's your thing. Or
               | be asexual. Or be so undesirable that nobody wants to
               | nestle down with you and saddle you with a family. Or
               | just find some sort of ethical way of getting what you
               | need from sex workers. (That last one may be tricky)
               | 
               | IMO any of those can be tricky. Relationships in general
               | are, at any part of the spectrum, including a lack of
               | them.
               | 
               | Poly/open/casual/whatever isn't easy unless your partner
               | (or potential partners) also wants to be in one of those.
               | Leaving an existing relationship for one of those
               | probably isn't easy (unless it's meaningless), and can be
               | anything but if one is already married with kids. Non-
               | exclusive relationships may also need to deal with
               | potential feelings of jealousy etc. in a different way
               | than exclusive ones, and again, it's not down to just
               | oneself.
               | 
               | One probably doesn't really _choose_ to be asexual
               | either, and I 'd wager that trying to make such a choice
               | is generally unhealthy. And if you actually are asexual
               | but want an otherwise romantic relationship, finding one
               | (where both are satisfied) is probably harder than it
               | would be more conventionally.
               | 
               | Most people (or all of us?) have mutually conflicting
               | desires and needs for their relationships. That makes
               | relationships tricky in general. It's probably even more
               | so for someone who's less comfortable socially or with
               | themselves than you would seem to be.
               | 
               | I don't think it's always even _possible_ ,
               | psychologically or emotionally, for everyone to solve
               | those conflicting needs and desires in a satisfying way.
               | 
               | It sounds quite cynical to see marriage or long-term
               | relationships largely as a burden, and seeing the
               | possibilities can be an antidote for that for some
               | people. But trying to make it out as everything being
               | possible and choices that you can just make feels a bit
               | like it can trivialize the difficulty of actually doing
               | it.
        
             | inconceivable wrote:
             | i'm 40 and i live like a rich 16 year old with no adult
             | supervision. peter pan syndrome is always an option.
             | 
             | anyway, here's your real problem. you might want to figure
             | out which older people in your life are poisoning your mind
             | with their bullshit. having a family, or not, can be great
             | and is always your choice. miserable people end up that way
             | because they're living someone else's dream, not their own.
             | 
             | https://en.wikipedia.org/wiki/Psychological_projection
             | 
             | Psychological projection is a defence mechanism of alterity
             | concerning "inside" content mistaken to be coming from the
             | "outside"
        
             | tmtvl wrote:
             | > _Sorry but... it kind of is, no?_
             | 
             | No.
             | 
             | > _You 've probably got a family weighing you down so you
             | can't travel anymore._
             | 
             | Well...
             | 
             | 1: Having a family is a choice people make, not everyone
             | over the age of 40 has a family.
             | 
             | 2: Just because someone can't travel doesn't mean per life
             | is over.
             | 
             | 3: It is (in many cases) entirely possible for someone over
             | 40 to travel with per family.
             | 
             | 4: People making the choice to have a family probably
             | wouldn't call it "weighing down".
             | 
             | > _You don 't have the freedom to start new exciting
             | ventures._
             | 
             | Define "exciting ventures" and explain why it isn't
             | possible. There are many things that can be done as a
             | person over the age of 40, even WITH a family.
             | 
             | > _You can 't quit your sucky job because it supports your
             | family._
             | 
             | Not everyone over the age of 40 has a "sucky" job and if
             | one has a job which is unpleasant there may very well still
             | be the possibility of changing careers.
             | 
             | > _You go to parties that end at 9pm and your social
             | gatherings consist of talking about traffic and grocery
             | prices._
             | 
             | Speaking from experience? It's entirely possible to engage
             | the services of a babysitter and go spend time with friends
             | until the night is well past the point of being young. Also
             | "traffic and grocery prices"? Where do you even get that?
             | People over the age of 40 can be (and usually are)
             | interested in other things like, say, sports, cinema, even
             | the dreaded "celebrity gossip".
             | 
             | > _You 're probably married to someone you love and
             | respect, but the flame isn't the same as what you once
             | had._
             | 
             | If a couple can't quite manage to Take Hold of the Flame,
             | there is always the possibility of ending the marriage,
             | which may once again open the door to those "new exciting
             | ventures" you mentioned. And regardless even if the
             | relationship isn't what it once was that doesn't mean life
             | is over.
             | 
             | Just my perspective as a 33 year old.
        
             | cshimmin wrote:
             | This hilariously proves OPs point. If satire, bravo, if
             | not, well, we were all teenagers (or 22yos, in this case)
             | once.
             | 
             | In any case: most new startup founders are over the age of
             | forty. Assuming that's what a 22yo on hn considers an
             | "exciting new venture".
        
             | dbrueck wrote:
             | Hehe, for fun you should bookmark your comment and refer
             | back to it every 5 years.
             | 
             | If you're open to it, here are a few ideas to noodle on:
             | 
             | - A lot of what you find fun/interesting changes over time.
             | The partying of the 20s was fun, in its way, but now seems
             | mostly pretty silly, superficial, and (sorry for saying
             | this) childish and dumb. I'm not saying it _is_ , just that
             | your notion of fun changes, and if now I had the power to
             | do absolutely anything I wanted, "partying" would not be
             | even in my top 100 list because there are so many things
             | that are more fun and fulfilling. Ask a 3 year old how
             | they'd love to spend their time.
             | 
             | - Many details of life are outside your control, but you
             | still have a _huge_ influence on things. If you end up in
             | your 40s in a marriage where the flame has gone out, that
             | 's mostly on you and your partner - it definitely doesn't
             | need to be that way. Just because it seems common for
             | people to get married and stop courting/dating each other
             | doesn't mean you have to. Ditto for things like a job. In
             | both cases, there's an element of settling in and coasting
             | that's easy to do but doesn't necessarily produce the long
             | term results you really want. Gotta begin with the end in
             | mind and course correct over time, but also have to avoid
             | obsessing over the imperfections and less-than-ideals of
             | life, because there will always be plenty of those.
             | 
             | - The number of kids you have is a pretty private choice,
             | but if approach it with either cynicism or idealism then
             | you'll likely be disappointed. It's a roller coaster, it's
             | hard, kids will absolutely drive you crazy sometimes. But
             | it can also be a source of joy and purpose to a degree that
             | might be incomprehensible to you right now. I'm trying to
             | be careful here because it is a sensitive topic, but
             | compared to being single, it's hard to really explain how
             | much depth and substance having a family has added to my
             | life. In retrospect it feels like life didn't really begin
             | until then. Lots of cool stuff and adventures before then,
             | of course, but... yeah.
             | 
             | - Your kids eventually go away. I mean, it's obvious,
             | right, and yet I didn't really appreciate it until it
             | happened. That stage of life where kids are at home is
             | actually relatively short. It's so temporary. You'll always
             | be a parent, but suddenly you find yourself on the other
             | side of it with a whole lot more time for hobbies and
             | travel and whatever else and yet you don't really feel all
             | that old yet.
        
             | laratied wrote:
             | You will get a ton of denial about this but you aren't
             | wrong.
             | 
             | On the other hand it is really easy to not get married and
             | not have kids. Then the equation is quite different. 40s
             | and 50s isn't all that different than 22. I would even say
             | better in most ways.
             | 
             | Your vision of marriage is even kind of romantic still. The
             | married guys I know it is more like depression because of
             | separation and knowing the wife is fucking a Tinder guy
             | while your kid is sleeping in the next room. They even know
             | her date outfit because she posts the picture on social
             | media.
             | 
             | I have two friends right now that this is their exact life.
             | One of them I thought was the absolute perfect couple at
             | 30. Women know their value and aren't going to waste their
             | life with the flame having gone out.
        
               | colineartheta wrote:
               | This reads comically incel-ish. "Women know their value",
               | like a self-respecting man doesn't? Why aren't your male
               | friends doing the same thing, then? Life doesn't end at
               | 40, for either sex. With/without a family,
               | married/divorced, the choice to develop and grow as a
               | human is always your own.
        
               | Der_Einzige wrote:
               | The average man on HN has had far less sex than the
               | average man. This is simply the fate of nerdy computer
               | touchers and is why we get "incel content" here. In
               | coding, you trade your sexual market value for actual
               | money. It's a sad dynamic, and I think a little bit of
               | "life imitating art" given that the "nerd jock" dynamics
               | seem to be uniquely an American thing.
        
               | [deleted]
        
             | teolandon wrote:
             | Don't have kids, keep meeting new people.
        
             | badosu wrote:
             | 'family weighing you down' if that's how you'd see family
             | at 40 sure
        
               | martindbp wrote:
               | That's what I keep telling my boy when he wants to cuddle
               | up and read a bedtime story: "stop weighing me down,
               | daddy has more important things to do, like vapid parties
               | and brunch"...
        
             | wahnfrieden wrote:
             | closer to 40 than 30 now and the fix is to not work.
        
             | bregma wrote:
             | I'm in my 60s. The only downsides I see are a bit of
             | stiffness in the morning and putting up with know-it-all
             | 22-year-olds.
        
               | c7DJTLrn wrote:
               | Sorry for how my comment may have come off. I genuinely
               | don't know what happy 40 year olds live like because I
               | had a dysfunctional household. My impressions are based
               | on what I hear from people around me like colleagues as
               | well as social media. And it's usually miserable stuff.
        
             | BeFlatXIII wrote:
             | Sounds like the problem is that you went and tied yourself
             | down with a spouse and children when they weren't at the
             | top of your life goals.
        
             | mk67 wrote:
             | Nobody forces you to live like that. I'm 39 and not one
             | point hits the mark for me. :D
             | 
             | While true that it's harder to get social connections it's
             | far from impossible; in the end you just need to go out and
             | meet new people doing things alone sometimes. On the other
             | hand I have much more money, thus can actually travel
             | when/how I want, compared to my 20s, and could probably
             | quit my job in the next decade, if I want to.
             | 
             | Overall it's different to some degree, but in sum I'd say I
             | enjoy life much more than in my 20s nowadays. Doubt that
             | changes until I start to get sick(er) in my 50s/60s.
        
             | martindbp wrote:
             | Believe it or not, traveling and partying gets old. Most of
             | us have an evolutionary desire to have kids. You may not,
             | but it can take time to manifest. Look out for feelings of
             | hollowness, boredom or depression. Parenting may be hard,
             | but I've never felt hollow or bored or that life has no
             | meaning.
        
               | fzeroracer wrote:
               | This is possibly one of the worst sentiments to look for
               | if you intend on having kids. I've seen families before
               | where they had children solely to fill in that feeling of
               | boredom or hollowness and when children don't fix it,
               | they abandon them or become nasty parents.
        
               | stocknoob wrote:
               | You probably didn't mean it this way, but that reasoning
               | emphasizes bringing beings into this world to avoid your
               | own bad emotions, and not so they can experience their
               | own good ones.
        
               | martindbp wrote:
               | Giving kids a happy childhood and setting them up for
               | happiness and contentment is of course implied. Either
               | way, I think the vast majority of people who are alive
               | want to remain alive, so I never understood the sentiment
               | that it's selfish to bring someone into the world. It's
               | only selfish if you benefit while someone else suffers.
               | Bringing kids into the world is a win-win, at least in
               | the developed world where birthrates are plummeting way
               | below replacement rate. In this case it's a win-win-win
               | (third being society).
               | 
               | What might be considered selfish is to not have kids when
               | we are way below replacement rate, while expecting to be
               | taken care of by other's kids in old age. Unless we reach
               | AGI and humanoid robots soon, the food, housing, services
               | and healthcare has to be provided by younger people.
        
               | BizarreByte wrote:
               | > I think the vast majority of people who are alive want
               | to remain alive
               | 
               | I don't want to die because it's scary and likely
               | painful, but I definitely would have preferred I wasn't
               | here to begin with.
        
               | badpun wrote:
               | > Either way, I think the vast majority of people who are
               | alive want to remain alive, so I never understood the
               | sentiment that it's selfish to bring someone into the
               | world.
               | 
               | It's not "remaining". If you had decided to not have
               | kids, the kids wouldn't be there in the first place, so
               | they wouldn't (couldn't) feel any regret about.
        
         | laratied wrote:
         | Same here. I fear the random nature of a heart attack even
         | more.
         | 
         | My ideal is almost to take enough water into the woods to
         | starve in the woods. To really stare my death in the face and
         | experience it slowly.
         | 
         | Clinging to life in a nursing home is a fate worse than death
         | to me.
         | 
         | I am sure this all depends on having kids or not. Being child
         | free gives many more options.
        
           | TheCleric wrote:
           | This is something I have thought about, but recently have
           | paid attention to stories that seem to be along these lines,
           | such as Gordon Kaye in Great Smokies National Park.
           | 
           | While this may seem like a simple way, it seems like it
           | wastes hundreds of people's time that could be spent helping
           | people who are actually wanting help.
        
             | anonymouskimmer wrote:
             | > While this may seem like a simple way, it seems like it
             | wastes hundreds of people's time
             | 
             | You could just leave a note or email.
             | 
             | > that could be spent helping people who are actually
             | wanting help.
             | 
             | How many of those people were going to help others
             | otherwise?
        
               | lazyasciiart wrote:
               | I don't know the Gordon Kaye story, but "those people"
               | that get involved for search and rescue operations are
               | usually professionals who would, in fact, spend that time
               | working to help other people instead.
        
               | anonymouskimmer wrote:
               | In some cases I believe you're right, tradeoffs do
               | happen. In other cases they are just on call. This is why
               | private rescues are so expensive. You aren't just paying
               | for the professionals and the equipment, you're paying
               | for them to _sit around_ until called.
        
           | becquerel wrote:
           | It is incredibly difficult and miserable to starve to death.
           | Experiencing death slowly - isn't living enough for that?
        
             | twelve40 wrote:
             | i obviously haven't experienced what you described, since
             | i'm breathing and typing right now, but weeks of going with
             | no food were really pretty calming. The only downside was
             | the weakness and mental fog that affects productivity but
             | if you don't have to work at that point... Of course, all
             | of this is super-individual.
        
         | hasbot wrote:
         | Same here. Having seen what two of my grandparents went through
         | before their eventual demise makes me want to avoid doing the
         | same.
        
         | theowaway44 wrote:
         | As I'm getting older (mid 40s), I have a different view now
         | than before. I've seen people die in real life, and it was
         | horrific. Even in hospital beds with morphine drips.
         | 
         | I don't want to die in agony, or slowly suffocating as many do.
         | I'll end it before it goes too far.
         | 
         | I think more people should actually go to hospitals and see how
         | real people die, instead of the comforting movie version where
         | the family is gathered around while the old person slowly falls
         | to sleep. That's unfortunately not that common.
         | 
         | If I get cancer, I'll hang on for a while until there's not
         | much hope left, and then go to a place with assisted suicide.
        
           | thr-nrg wrote:
           | That's what the opiates are for.
        
             | elemos wrote:
             | Opiates only help so much, unless you're talking about
             | using them to overdose.
        
               | Madmallard wrote:
               | Assuredly he is
        
           | crossroadsguy wrote:
           | I mean you need to be a citizen of a country where that is
           | possible, right?
        
             | sgjohnson wrote:
             | Oh yeah, because someone buying opiates to die a peaceful
             | death would definitely care about purchasing illegal
             | narcotics.
             | 
             | I'm pretty sure it's possible in every single country in
             | the world, perhaps except North Korea, but I doubt it. It
             | might just be more difficult.
        
             | anonymouskimmer wrote:
             | No. Switzerland allows suicide 'tourism'.
        
               | cppenjoyer wrote:
               | [flagged]
        
           | Accacin wrote:
           | And even in the "comforting" movie version, it's still
           | different in real life where they start gasping for breath. I
           | at least thought the person was in pain or suffering somehow.
           | (I did ask the Dr. that came to give us the death certificate
           | and apparently it's because either the brain has shut down or
           | and the body is still trying to perform it's duty or vice-
           | versa and there's no pain or suffering just a part of passing
           | away).
        
           | tomatocracy wrote:
           | I'm a similar age to you, and I've had up close experience of
           | a few deaths too. One of my grandmothers literally went to
           | sleep one evening and never woke up. (She'd been getting
           | weaker over time so had been living with us, with my parents
           | staying in the same room as her so we know she didn't suffer
           | anything). My other grandmother had cancer in her 90s and
           | opted against having chemo. She died peacefully, in hospital,
           | with family around her - pretty close to the "movie version".
           | She didn't need euthanasia, just a medical team who cared
           | enough about her wishes to have a good death not to browbeat
           | her or the family into having treatment she didn't want.
        
           | kashunstva wrote:
           | As helpful as it can be in some respects to project oneself
           | into a future time and circumstance, humans are often bad a
           | predicting how they would decide on serious matters until
           | they actually find themselves in that situation. This is
           | particularly true in cases where quality of life is at issue.
        
             | beebmam wrote:
             | Usually it's the family that makes decisions at that point
             | in a hospital for a patient, and they often make
             | horrendous, selfish decisions and prolong the patient's
             | enormous suffering before death.
             | 
             | Give people comfort care asap if they have a terminal
             | illness, at the very least.
        
               | clsec wrote:
               | My mother told me over and over to pull the plug should
               | she ever end up on life support. When I found out she was
               | on life support after a heart attack I immediately
               | assumed that it would be her brother's choice to pull the
               | plug or not. Nope, that horrendous decision belongs to
               | the kids, namely me. It was the hardest thing I've ever
               | had to do but I understood and respected her wishes.
        
         | swayvil wrote:
         | I for one would like to enter that mystery with clear eyes and
         | calm heart. No soul-grinding suffering for me, thanks. I've
         | seen it. Crawling on the floor in your own filth, hissing and
         | snapping at the nurses.
         | 
         | I hear that starvation is good.
        
         | acover wrote:
         | Lots of degenerative diseases aren't so bad - for example
         | osteoporosis. I get what you mean though, bad degenerative
         | diseases.
        
         | pokstad wrote:
         | Not to mention the feeling of sucking resources away from those
         | who need it to stop the inevitable. I hope I can be brave
         | enough to say no to treatments when I am near, but it's cheap
         | talk.
        
         | agensaequivocum wrote:
         | Please don't.
         | 
         | > I answer that, It is altogether unlawful to kill oneself, for
         | three reasons. First, because everything naturally loves
         | itself, the result being that everything naturally keeps itself
         | in being, and resists corruptions so far as it can. Wherefore
         | suicide is contrary to the inclination of nature, and to
         | charity whereby every man should love himself. Hence suicide is
         | always a mortal sin, as being contrary to the natural law and
         | to charity. Secondly, because every part, as such, belongs to
         | the whole. Now every man is part of the community, and so, as
         | such, he belongs to the community. Hence by killing himself he
         | injures the community, as the Philosopher declares (Ethic. v,
         | 11). Thirdly, because life is God's gift to man, and is subject
         | to His power, Who kills and makes to live. Hence whoever takes
         | his own life, sins against God, even as he who kills another's
         | slave, sins against that slave's master, and as he who usurps
         | to himself judgment of a matter not entrusted to him. For it
         | belongs to God alone to pronounce sentence of death and life,
         | according to Deuteronomy 32:39, "I will kill and I will make to
         | live."
         | 
         | ~ St. Thomas Aquinas Summa Theologiae Secunda Secundae Partis.
         | Q. 64 Art. 5
         | 
         | https://www.newadvent.org/summa/3064.htm#article5
        
         | anonymouskimmer wrote:
         | > or just plain old age where I can't stand up or whipe my ass
         | 
         | I hope you fully intend to continue exercising, and taking
         | precautions against accidents, as the first line of defense
         | against such a possibility.
         | 
         | > I can't understand people who want me to suffer until doctors
         | finally stop being able to put me back together.
         | 
         | I just don't want the state being the entity that approves or
         | disapproves of your suicide. If you're going to have an
         | assisted suicide I want it to be, at most, through a
         | clandestine network of people who want to kill themselves. Not
         | through a government process.
        
         | parpfish wrote:
         | I've often thought the same thing, but I also wonder if my
         | future-suicide is just a line of mental gymnastics I put myself
         | through to pretend that I have complete control over my
         | mortality.
        
       | drewcoo wrote:
       | A health care system that often ignores quality of life should be
       | considered a public health problem, not suicides themselves.
       | 
       | Sometimes the suicides are justified because of diminishing
       | quality of life. That's the whole point of assisted suicide.
       | 
       | The author is a click-bait-y pop psychologist whose other
       | articles don't seem very thoughtful, so I should not have
       | expected much of this.
       | 
       | https://english.elpais.com/author/daniel-mediavilla-gonzalez...
        
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