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17 July 2011

Migraine and Suicide

I just read an article written by a fellow migraineur about how suicide can be and has been a product of migraine attacks. We know that migraine can be comorbid with anxiety, depression and bipolar disorder which can overload an already emotionally stressed individual with migraine. It pans out to be a catch 22 of sorts. For example, the following statistics show how there can be a higher rate of suicide among migraine sufferers:

  • Suicide is the 11th leading cause of death in the United States based on national statistics in 2007, with an annual rate of approximately 11.5 per 100,000
  • Migraine disease on the other hand, is the 12th most disabling disorder in the United States and affects more than 37 million people
  • Americans who have Migraine with aura are three times more likely to attempt suicide compared to those with no migraine, whether or not major depression is also present 
 Suicide can seem like an only way out when one is experiencing constant debilitating pain with no successful treatment.  It's very common for those of us whose life consists of these daily migraine attacks to feel like we're at a loss.  We feel beat up, chewed up and spit out by this disease.  Hopelessness often can creep into our daily thoughts.  Although we may have supporters, many do not.  And since we suffer from an invisible illness - we look like healthy, normal people to everyone else - it makes dealing with it that much harder.  We begin to feel transparent.  I often feel that way.  Migraine to me is an unrecognizable burden that I carry, which makes the depression and anxiety ever more prevalent.  Lately, I find myself up at night in pain and in tears feeling like there is no way that I can go through another day like this.  I feel tired.  I feel worn out.  I feel used up.  It does become a challenge sometimes to push through those feelings, but it gets hard when I feel bombarded by every emotion a human being is capable of feeling.


Seven years ago I attempted suicide.  It was a very difficult time in my life and migraine was a big part of it.  I remember feeling like everyone else would be better off without me in their life.  I also wanted the pain to end; the emotional and physical pain that I was experiencing.  I wound up in the ICU for two days heavily sedated and feeling worse than before I was admitted.  The guilt tore at my conscious every minute of the day.  It took a lot of counseling and being on an antidepressant to help get me back on track.  Yet, even though I know what the cost of suicide can be, that doesn't stop the thought of it going through my mind on those tough days and nights.  I've been riding the constant emotional roller coaster of pain for 25 years and have been given false hope time and time again.  I don't want to put my body or mind through anymore unsuccessful treatments.  It's daunting to feel as if there will never be a long-term treatment for me.

Still, I go on.  I continue to go to counseling and take Wellbutrin for my depression and Celexa for my anxiety.  I've found some great people like me who share my story and that helps to get me out of the darkness of isolation that migraine can subject someone to.  Suicide is a very real possibility and more people should talk about it.  Having those feelings are nothing to be ashamed about.  It's when you don't speak about it that it becomes a very dangerous reality.  I'm sure that there are many people out there who have attempted unsuccessfully to commit suicide but are ashamed to talk about it.  Just know that you aren't alone.  Anyone with a chronic illness is susceptible to this.  Know this...we see you and we understand you.  Stay strong and fight and keep your eye on the light at the end of your tunnel, no matter how small it may be.


Take care.


Sources:


Shapiro, Robert E., MD, PhD. "Headache Disorders in the United States." Alliance for Headache Disorders Advocacy. 2007.

American Association of Suicidology. Suicide in the U.S.A. Based on Current (2007) Statistics 

Migraine and Suicide - Migraine

10 comments :

  1. Jaime - I am SO thrilled to hear other people picking up this topic and using it to spread awareness! This was exactly my hope when I wrote the posts I did on my blog. So many people don't approach a dialogue about this, or it's glossed over and completely ignored. Pain patients just slip through the cracks more often than not. I hope we can continue seeing a trend of opening up about this. Thank you again!

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  2. You're very welcome Heather. I'm very grateful to you for your posts about this subject. It's very hard to talk about for many people because depression is still a very taboo subject in this country and having to deal with that on top of living with an invisible chronic illness makes it even harder to discuss. I'm just glad that I might help someone with my story. Yes, it's a painful subject but one that shouldn't be kept in the dark.

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  3. Hi Jamie!

    I found you through Heather. I also just wrote a post on Migraine and Suicide! I think this is fantastic that you're talking about this subject. How brave of you to share your experience. I'm sure that it will help others who have been in the same situation.

    I'm looking forward to reading more of your posts and getting to know you better. :)

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  4. Thank you Kelly! It's nice to know that I'm not alone when it comes to this subject and that there are people like you and Heather speaking about it. I just read your post and what you wrote is right on the money. I'll be more than willing to write about all the different episodes that I experience as they come and go and I'll keep on reading up on yours as well.

    I'm looking forward to getting to know you better as well. Take care :)

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  5. Thanks for sharing something few would have the courage to. Hiding from these normal abnormal thoughts put us more at risk. It is awful to hurt all the time...and to think of escape is a rational response to an abnormal situation. Anyone who believes they could not be driven to suicide just has not experienced severe pain that won't go away

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  6. It's my pleasure to share my story. It's such a hard topic to discuss, especially since society sees someone who has attempted or were successful as weak. It is the complete opposite. For people like you and me, chronic pain and illness wears down even the strongest mind and the depression and guilt our ailments leave us with can manifest into thoughts of suicide. We all, at one point, were very capable people. Now we live limited and disabled lives and rely on our spouses, significant others, friends and family to get even the simplest task accomplished. My hope is that more people share their stories, feelings, and experiences about it.

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    Replies
    1. You are so right. Short story...I would be a singer/ in a band, if well. I go play pretend and do weekly karaoke with my mom. I have to deflect the "oh,why don't you do something with your voice" or "try out for Idol,etc"...I WISH. Usually come up with a joke but it is ALL I can do to go try to enjoy time with mom doing our hobby. When I cannot handle even that anymore it will be a lot closer to the original topic!

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  7. There are so many layers to this disease and the average person couldn't possibly understand how much we have to deflect. It's like the waves constantly beating against the shore. It erodes it slowly until there is only a thin perimeter left. Deflecting is erosion of our minds, bodies and souls.

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    Replies
    1. Nailed it...and so lyrically(: It is overwhelming and just when I think I couldn't possibly handle one more layer of pain...it comes...actually laughable. Osteoarthritis and Autoimmune Arthritis now complicated by adverse reaction to Levaquin...yelling with spasms of pain. I started with a psychiatrist yesterday...she said I should write a book with all I've been through.Also said I should go to Mayo clinic with my extensive diagnosis list. She told me I need to quit talking about suicide,since it is something we say to blow off steam but I told her it is a likely outcome once my mother is gone. I will not be contracted in some nursing home and under-medicated for pain and unable to escape,if I can help it! My pain MD said he won't increase meds and as tolerance develops and pain returns to 8-10 or more,all the time...it is just not endurable.

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  8. What kind of psychiatrist would say something like that? She shouldn't be counseling anyone if she really believes that speaking of suicide is just blowing off steam. Talk of killing yourself shouldn't be taken lightly at all, whether or not she feels it's not culpable. I'm sorry that you have to suffer in such a way. It really sucks when doctors won't increase pain medication when it shows that it will help the patient. So many fear that chronic pain patients are addicts and because of the few that are the majority wind up living in unnecessary pain. It's so frustrating and angering. In those very painful moments I feel sometimes that I shouldn't have called my husband that night and told him what I did. I'd rather be dead than feel the severe pain that I always do on a weekly basis. It's unimaginable to the average person. I wish nothing but the best for you and I'm here whenever you need someone who relates to talk to. :)

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