What goes through your mind before you jump in front of a moving train?

Recently some friends of mine lost another close friend to suicide. By all accounts, he was a warm, smart, handsome guy with many friends who loved him. Although he had been through very rough times recently, no one had any idea that he had been feeling that low. His friends struggled to understand what he had been thinking and how he had reached that point without anyone knowing. I know that many of my friends and family had the same questions after my suicide attempt, so I’m going to try to explain my state of mind when I jumped in front of that train. Hopefully it will give you some insight into the minds of the people in your life who struggle with depression. Here goes.

Done. By the time you start planning your suicide, you are just done with the seemingly continuous upward battle towards a happiness that feels more and more elusive the longer you chase it. I felt that I had done everything I could think of to fix the constant ache inside myself and nothing was working. I had run out of options and could not think of anything more to do except to just end it once and for all.

The struggle every single day just to survive and not be discovered a fraud or not to lose a grip on everything was exhausting. I couldn’t face the prospect of going through this for the rest of my life, endlessly hoping for that one day when everything would fall into place and I could live – not fight, just live – a day that might or might not ever come. I couldn’t keep wearing the mask of being “fine, thanks”. I was weary and drained. I just wanted to go to sleep and never wake up – to have some relief, some rest, and to no longer worry that at any moment I was going to screw up.

Over the years, I had never reached out for help, because I thought it was my own problem, that no one else – friend or therapist – would be able to say something that would fix it all. People often confided in me and I enjoyed listening to and supporting them. Every time I thought of revealing my own struggle to anyone, however, I decided against it, because I knew that they had problems of their own and I didn’t want to burden them with mine as well – especially if there was nothing that they could about it. It was my responsibility to figure it out myself. I never considered that if I had given anyone the choice, they would have been honoured and pleased to support me.

What-goes-through-your-mind-before-you-jump-in-front-of-a-train

By the time I was planning my suicide, I had reached the conclusion that removing myself would be better for everyone – my parents wouldn’t have to take care of me if I returned to Cape Town from London without a job, my friends wouldn’t have to keep making the effort of trying to connect with me through my impervious walls that deflected any attempts at sincere and meaningful conversation.

Towards the end, just before my suicide attempt, whenever I considered talking to a friend or asking for help, I also wondered how I could justify to them that I had never come to them with this before. How could I have let it get this bad before trusting them to support me? Would they even believe that it was so bad that I was genuinely contemplating suicide, given that I had never spoken of my depression to anyone before? I didn’t want to seem like a drama queen who was only looking for attention.

None of these thoughts may seem rational to you, but that does not mean that they are not completely reasonable to someone with depression. Such mental illnesses distort your view of yourself and your relation to the world.

I remember a few months before my suicide attempt, a close friend of mine actually opened up to me about a breakdown that he’d had a few years earlier. He had even been on medication for depression for a while. Listening to him in that moment, I thought, “Yes! That is how I feel. I get it!” I wanted to confess all to him, but then decided not to, because I thought to myself that if I spoke to him then, just after he had bared his soul to me, he would not believe me. He would think that I was making light of his struggle by turning the attention on to myself and being patronising about something I actually knew nothing about. That made it difficult to talk to him then – but it was much harder trying to explain it to him a few months later, when he came to see me after I had lost both my legs in my suicide attempt and he asked me, “I told you my story; why didn’t you tell me yours?

Now that my depression has been diagnosed, I have been on medication and had monthly therapy sessions for two years. I still have some of the anxiety and self-esteem issues that I did before and they still affect the way I live my life to some extent, if I don’t remind myself that worrying about things beyond my control is futile. These issues no longer overwhelm me, however, and I feel capable of living a good life. Perhaps the biggest advantage to me is being able to acknowledge my depression as a real illness that I can control. It is not my own failure, flaw or weakness, just a condition that I must manage. I can recognise which of my fears and insecurities are unfounded and so disable them.

Humbling and scary as it is to admit my mental disorder, it is also liberating and rewarding to live an honest and frank reality with the people in my life. That I got this chance to start again makes me one of the blessed few. Suicide is not a choice, it is the conclusion to an illness that is left untreated. We need to make it okay for anyone to ask for help before that chance is taken away from them.

5 facts about depression among men in South Africa

At least 20% of South Africans will suffer from a mental illness, like depression, at some point in their lives. The stigma surrounding depression and other mental illnesses has caused many patients, especially men, to feel ashamed and hide their struggle, because they view it as a weakness. It is estimated that 70% of sufferers remain undiagnosed, untreated and unsupported. This can have fatal consequences, as they do not then receive the healthcare that they need.

Here are some of the facts about depression in men:

1) Active discrimination is the most damaging aspect of stigma, along with the misuse of power, labelling and stereotyping. Many men blame and judge themselves for falling short of societal norms on masculinity, resulting in self-stigmatisation that makes them reluctant to seek professional help.

The South African Depression and Anxiety Group

This and more information can be found at SADAG.org

2) Depression causes one to feel out of control and unable to cope with life situations. Many men feel that this undermines their masculinity and they turn to suicide as a way of regaining control. They are a threat not only to themselves, but also to those around them, particularly their family members, who they believe will not be provided for without them.

3) Men often don’t want to deal with the symptoms of depression and instead turn to alcohol, recreational drugs, and risky behaviours, such as reckless driving and unprotected sex.

4) Attempting to suppress their emotions and avoid the underlying psychological issues, some men immerse themselves in escapist behaviour, like overworking, excessive exercise or extreme sports.

5) There are many symptoms of depression that are common to both men and women, such as sadness, hopelessness, helplessness, irritability, exhaustion and lethargy, insomnia or oversleeping, and a change in eating patterns.

If you suspect that a loved one is suffering from depression, probe them a little deeper to help them open up. The earlier a diagnosis is made, the more effectively depression can be treated.

4 reasons to focus on men’s health in South Africa

Day 9 mo

Movember day 9 mo

1) The average life expectancy for South African men is almost four years less than for women.

2) 1 in 6 South African men will be diagnosed with cancer during their lives.

3) Men are five times more likely to commit suicide than women, but are half as likely to seek help for their depression.

4) About 40% of men in South Africa were reported as being overweight or obese in 2013.

The Movember Foundation has published tips and guidelines to help men look after their health and identify danger signs. Please share them and make a donation so that we can work together to keep our men healthy.