Tips for Coping With Depression and Suicidal Thoughts

寻求专业帮助

If you are not currently receivingtreatment for your depression，这一步骤可能涉及与您的家庭医生或精神科医生进行预约，以进行评估和治疗。如果你已经在治疗，但正在挣扎，你的医生将能够通过与您合作来帮助您进行治疗计划或通过帮助您成为改变入住医院直到危机通过。

Psychotherapy，也称为“谈话疗法”是您的医生可能向您的抑郁症推荐的一线治疗，单独或与抗抑郁药结合。在比较两者的研究中，心理治疗似乎在帮助缓解症状时似乎工作以及抗抑郁药，虽然如果您感到自杀，需要快速缓解，但单独的心理治疗可能不是您最佳选择。

与抗抑郁药的组合治疗可能是一个更好的选择，因为两种治疗结合得比单独治疗更好的结果。药物可能提供更快的症状缓解与治疗组合而不是单独治疗，而心理疗法可以为您提供应对当前抑郁症所需的工具，并有助于防止未来的抑郁症。

如果药物适合您，请咨询医生

抗抑郁药通常是您的医生将尝试的第一种医疗。如果您已经尝试过抗抑郁药而无需成功，这并不一定意味着您应该放弃。有时它是尝试不同的抗抑郁药或寻找抗抑郁药的正确组合的问题。

虽然这些数字似乎很低，但重要的是要记住改变药物或增加额外的药物可以提高恢复率。不要过早放弃治疗。

打电话自杀热线

自杀hotlines andchat roomsare also important resources. They are free and can connect you with a counselor who will help you talk about your feelings in a safe environment.

避免酒精和毒品

虽然它可能很诱人用药物或酒精来隐藏疼痛，但这实际上是一个坏主意。酒精可以加强你的悲伤和绝望的感受。

此外，酒精和药物可能降低你的抑制作用，让你更有可能对你的感受行事。

Work on Problem Solving

如果你的抑郁症与生活中的情况有关，那么花一些时间可能会有所帮助problem-solving。

如果您的问题感觉特别大或困难，请侧重于您可以采取的“婴儿步骤”，这将在解决方案的方向上引导您。

作为中国哲学家，老子曾经说过，“千里之行始于一步。”

让您的环境安全

让您的空间安全可能涉及从您的家中删除物品，以便您可能会觉得伤害自己，例如药丸或枪支。如果从家中删除这些物品是不可行的，请通过别的地方删除自己的情况，或者要求朋友或家人帮助您。

Go Through Your Reasons for Living

当你感觉不好时，很容易忘记你生活中仍然存在的所有积极的事情。你的生活中有人会受到伤害吗？

一个心爱的宠物，需要你的护理？也许你还有你还没有完成的目标？无论您的原因是什么，需要一些时间思考他们并承认，也许你的生活意味着比你想象的更多。

寻求人类联系人

虽然你的第一次倾向可能是在家里隔离自己并避免与其他人接触，但这只是恰恰相反：出去散步;去逛街;寻求人类联系。

它将有助于让您分散您的思想，并且通过在您无法轻易采取行动的情况下，它可以帮助您让您损害自己。

Talk to Someone You Trust

Often it can be a big help just having someone to whom you can express your feelings. This person could be anyone you trust, such as a friend, relative, clergy, or therapist.

分散自己的注意力

Often, coping with your suicidal feelings can be a matter of waiting until the medication kicks in or your circumstances change. While you are waiting, however, it can help for you to find ways to distract yourself from the情感痛苦。

与自己达成协议，只要有一段时间（只要看电影，电话朋友或者也许去上班），你就不会专注于你的暗示。当你在一起的这些缩短的分心时，足够的时间最终会让你开始感觉更好。

提醒自己过去的经历

Have you been through other episodes of depression? Think back to what steps you took that helped you then and repeat them. Most importantly, remind yourself that the painful feelings eventually passed.

考虑其他治疗方案

If you are in immediate danger of hurting yourself, you haven't responded well to antidepressants, or there are medical reasons why antidepressants are not a good idea for you, your doctor may opt to prescribe less common treatments.

Electroconvulsive therapy(ECT)，这涉及将电脉冲应用于头皮以诱导癫痫发作，迅速工作，并将为患者的约80％提供救济。虽然程序可能具有不良的副作用，如记忆损失，但如果您需要快速感觉，它可能是一个很好的选择。

经颅磁刺激（TMS）involves stimulating a particular area of the brain with magnetic pulses but is less invasive than ECT and has fewer side effects. Like ECT, it's targeted toward individuals who have not responded well to antidepressants.

研究人员还发现，具有维护TMS的人也不太可能复发抑郁症状。

Because the patients recruited for these studies were individuals who were considered non-responders to antidepressant therapy, the results are believed to represent a percentage of patients above and beyond those who have already responded to antidepressants who could, if they don't give up prematurely, achieve complete remission of symptoms.

迷走神经刺激（VNS）, which has sometimes been referred to as "a pacemaker for the brain," is a more invasive procedure than ECT or TMS. It involves having a pulse generator surgically implanted under the skin of the chest.

One study found that those treated with VNS experienced significant improvements in overall well-being, even in cases where symptoms of depression were reduced by less than 50%.