Suicidal Ideation

Understanding, Treatment & Support

Suicidal thoughts can feel overwhelming and isolating, but you do not have to face them alone. Carley Counseling Services is here to provide compassionate and comprehensive care to those experiencing suicidal ideation. Whether you or a loved one is struggling with persistent thoughts of self-harm or hopelessness, help is available. Therapy can offer a safe space to explore these feelings and develop healthier coping strategies.

What is Suicidal Ideation?

Suicidal ideation refers to thoughts, plans, or even preoccupations with suicide. These thoughts can range from fleeting, passive musings to active and detailed plans for self-harm. While not everyone who experiences suicidal ideation will attempt suicide, it is crucial to take these thoughts seriously and seek professional help. Suicidal ideation often occurs alongside other mental health challenges, such as depression, anxiety, trauma, or personality disorders.

Types of Suicidal Ideation

Passive Suicidal Ideation
In passive suicidal ideation, individuals may fantasize about death or wish they could die but do not have any active plans to harm themselves.
Active Suicidal Ideation
In active suicidal ideation, individuals may have specific thoughts, plans, or intentions to end their life.

Both forms of suicidal ideation require immediate attention and care. Regardless of whether the thoughts are passive or active, they indicate deep emotional pain and distress that should be addressed in therapy.

Symptoms of Suicidal Ideation

It’s important to note that individuals may experience these symptoms in varying degrees, and the presence of any of them should prompt a discussion with a mental health professional. While the experience of suicidal thoughts varies from person to person, some common symptoms include:
Internal Family Systems (IFS)

Persistent Thoughts of Death

Thinking about death, dying, or the afterlife frequently or obsessively.

Eye Movement Desensitization & Reprocessing

Hopelessness

Feeling trapped in overwhelming situations or like nothing will ever improve.

Dialectical Behavioral Therapy

Withdrawal

Pulling away from loved ones, avoiding social interactions, and losing interest in previously enjoyed activities.

Substance Abuse

Increased Substance Use

Using drugs or alcohol more frequently to numb emotional pain.

Eye Movement Desensitization & Reprocessing

Mood Swings

Experiencing intense shifts in mood, from depression and hopelessness to anger or irritability.

Dialectical Behavioral Therapy

Preoccupation with Suicide

Thinking about methods or making plans for suicide, even if the plans are not immediately acted on.

The Impact of Suicidal Ideation

Suicidal ideation can create a sense of overwhelming isolation and emotional pain. It often interferes with daily life, making it difficult to concentrate, maintain relationships, or find meaning in life. Without intervention, these thoughts can intensify, potentially leading to attempts at self-harm. However, with appropriate support and therapy, individuals can gain relief from these thoughts and begin their healing journey.

Treatment for Suicidal Ideation

Carley Counseling Services offers evidence-based therapies to help individuals navigate the challenges of suicidal ideation. Treatment is tailored to the individual’s needs, focusing on creating a safe space for exploration, emotional expression, and healing.

Psychotherapy (Talk Therapy)

Therapy provides a vital outlet for those experiencing suicidal thoughts. Several therapeutic modalities can be effective in treating suicidal ideation, including:
Internal Family Systems (IFS)

IFS (Internal Family Systems)

IFS helps individuals explore the different “parts” of themselves, including those that may feel hopeless or overwhelmed. By accessing the core Self, individuals can develop healthier ways to manage pain and emotional distress.
Eye Movement Desensitization & Reprocessing

EMDR

EMDR can be especially helpful for individuals whose suicidal thoughts are linked to past trauma. EMDR allows individuals to process distressing memories and experiences, reducing the emotional charge they carry.
Dialectical Behavioral Therapy

DBT

DBT is highly effective for individuals experiencing intense emotions and impulsivity, often associated with suicidal ideation. It focuses on teaching skills for emotional regulation, distress tolerance, and interpersonal effectiveness.
Cognitive Behavioral Therapy

CBT

CBT helps individuals identify and challenge the negative thought patterns that contribute to suicidal ideation. By reframing these thoughts, clients can find healthier ways to cope with distress.
Acceptance & Commitment Therapy

ACT

ACT encourages individuals to accept difficult emotions without judgment while focusing on living a life that aligns with their values. This approach can help reduce the intensity of suicidal thoughts and promote a sense of purpose.

Safety Planning

Safety planning is a crucial aspect of treating suicidal ideation. A safety plan is a personalized, actionable plan that outlines steps to take when suicidal thoughts intensify. It includes identifying triggers, coping strategies, and people to reach out to for support. A safety plan can be a life-saving tool, providing structure and support during moments of crisis.

Medication Management

For some individuals, medications such as antidepressants or mood stabilizers may be necessary to help manage the underlying conditions that contribute to suicidal thoughts, such as depression or anxiety. Collaboration with a psychiatrist ensures that medication is safely and effectively integrated into the treatment plan, when appropriate.

Lifestyle Changes and Self-Care

Making positive lifestyle changes can be an essential part of managing suicidal ideation. Incorporating self-care strategies can help promote emotional stability and well-being. Here are a few lifestyle changes that can support mental health:
Internal Family Systems (IFS)

Regular Sleep Patterns

Prioritize restful sleep to maintain mental and emotional balance.

Dialectical Behavioral Therapy

Physical Activity

Engage in regular exercise, which has been shown to improve mood and reduce stress.
Family Support

Support Network

Lean on friends, family, or a support group for emotional support during tough times.

Family Support

Mindfulness & Relaxation

Practice mindfulness or relaxation techniques to stay present and manage overwhelming emotions.
Substance Abuse

Limit Substance Use

Reduce or avoid drugs and alcohol, which can exacerbate negative thoughts and feelings.

Education and Empowerment

At Carley Counseling Services, providing education about suicidal ideation is a critical part of the treatment process. Understanding what triggers these thoughts and how to manage them empowers individuals to take control of their mental health. Education can also extend to loved ones, helping them understand how to provide effective support during difficult times.

Take the First Step Toward Hope and Healing

Suicidal ideation can feel like a never-ending cycle of darkness, but with professional support, individuals can find light and hope. Therapy can offer a safe space to explore painful feelings and develop the tools necessary to manage them.
Carley Counseling Services is here to help you or a loved one navigate the challenges of suicidal ideation. If you are struggling with thoughts of self-harm or suicide, don’t hesitate to reach out for help. Together, we can work towards healing, hope, and a life filled with purpose.
Contact Carley Counseling Services today to schedule an appointment and take the first step toward reclaiming your life.