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I write every day about living with bipolar disorder, also known as manic depression. I've written and published more than 1.3 million words

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nick@manicgrant.com

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Habit

4 min read

This is a story about routine...

Laptops

Despite the chaotic - and often traumatic - backdrop to my life, during the past 5 years... I have still managed to write on a very regular basis. I've written from a hospital bed on multiple occasions. I've written from a psychiatric ward on multiple occasions. I've written when I've been dreadfully sick - both physically and mentally - and I've documented the path I've taken, from near-bankruptcy and destitution, to stability.

It might not look very healthy, but it is - my writing is a healthy habit.

I skipped writing over the weekend because I was busy. That's OK. I'm allowing myself to skip the occasional day when I'm busy. I'm not going to force myself to write every single day, without fail.

I have decided that I need to get into the habit of writing fewer than 700 words - it's a limit which forces me to be a bit more focussed on what I want to say, and discourages me from aimlessly rambling. Given that I mostly just write my stream-of-consciousness, it makes sense to create an artificial limit, because my thoughts are unending.

As I have repeated oftentimes before - ad nauseam - I am aiming to try to be more forward-looking, and to not dwell in bitterness and regret from the past; to not wallow in my life's misfortunes and my shitty childhood.

I can tell you for certain that I WILL NOT be writing any kind of "things I'm grateful for" vomit-worthy rubbish. Of course I have things I'm grateful for, and I have a great deal of perspective - I know I'm fortunate in many ways - so I don't need or want to have to write down all those things; it's pretty boring.

I'm glad that my skin isn't all peeled off and dipped in salt and acid. I'm grateful my eyes haven't been gouged out by rusty spoons. I'm grateful that my penis hasn't been cut off and stuffed in my mouth...

No.

I spend a significant proportion of my day reading the news, and whenever I see starving African children - etc - then I think "poor starving African children. We should improve the living conditions for human beings". I do not think "I'm glad I'm not a starving African child" because that's just sociopathic. Obviously it's better not to be a starving African child, but I'm afraid I'm cursed with enough empathy to think "we should improve things" as opposed to "I'm so grateful other people's lives are so shitty".

My routine consists of lying in bed reading the news, a shower, feeding the cat, reading the news, catching up on anything I missed at work, reading the news, work, meetings, reading the news, work, lunch, reading the news, work, meetings, work, reading the news, writing, dinner, reading the news, speaking to friends on the phone, watching documentaries about human suffering, social media, sleep... repeat.

As you can see, I read a lot of news.

I do not watch any TV.

I'm certain that I would be happier if I replaced some of that news reading with socialising, but my routine is predictable and somewhat in my control. The only thing I can't control is the human suffering which I see in the news, but I do care and I do what I can - from the confines of my routine - to improve the lives of humanity. Mostly, I do a lot of thinking about the suffering of humanity, but don't mistake me for somebody who doesn't care and doesn't do anything. The emotional labour is exhausting; the mental labour is exhausting. This shouldn't be underestimated.

Of course I want to change my routine. I want to exercise more. I want to socialise more. I want more excitement; variety. However, the routine gives me a great deal of stability, and the stability gives me health and wealth. Stability is very important to me, having had so many years of chaos and trauma.

My routine is important.

 

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Death Cult

5 min read

This is a story about suicidal people...

Pageviews

I received an email, approximately a month ago, telling me that something I wrote back in February was getting a lot of readers, via Google searches. I dismissed that event, because the email said I was getting a small amount of visitors to my website. It turns out that I was getting a huge amount.

When I finally dug into the stats, they shocked me.

  • Hypercapnic alarm response - 1st
  • Can you drink yourself sober - 4th
  • How do you suffocate yourself - 5th
  • Easiest way to kill yourself - 6th
  • What is the easiest way to kill yourself - 7th
  • Most reliable way to commit suicide - 7th
  • Easiest way to commit suicide - 10th
  • Quickest way to kill yourself - 14th

That's just a selection of the things people are searching for on Google, along with the position where my website is ranked in the search results.

I wondered why I was getting many more emails from suicidal people. Now I know - I'm on the first page of Google for most of the things which people search for when they're feeling suicidal.

Obviously, this feels like a big responsibility.

I immediately went back to what I wrote and checked it, to ensure that it didn't encourage, endorse or otherwise prompt or promote anything remotely approaching a suggestion that suicide might be a good idea. Of course, I acknowledge that suicide is a choice which is forced upon people, who are suffering unbearably horrible circumstances, but I want there to be zero suicides; I desperately want for society to take suicide prevention seriously.

The problem is not the suicidal people.

They don't need to fix things.

The problem is their circumstances.

They can't change their circumstances.

If they could, they would.

I don't think suicide is ever the answer; the solution... however it does offer relief from interminable unbearable suffering, so I understand why people consider it, and I understand why some people choose it. I wish there were alternative choices, but society does not wish to offer any, oftentimes.

Having spent time on numerous psychiatric wards, attempted suicide and suffered from persistent suicidal thoughts, for many years, I have been well aware of the mental health epidemic and the growth of suicide to be the number one cause of death in men under the age of 50, and the fastest-growing cause of death in girls and young women. I was well aware of what was going on in society, and the statistics, but I wasn't fully plugged in to that raging torrent of human misery. Now, the world's suicidal people are beating a path to my door, desperate to know how to end their suffering and pain. It's a heavy burden.

Although I've already asked myself this question many times, I have to consider whether it's responsible to talk so freely and openly about suicide methods, and to be empathetic and understanding of people's struggles, and the desire to end their lives. Aren't I supposed to treat the subject as taboo and immediately condemn anybody who's feeling suicidal as "taking the easy way out" etc.? Of course I'm not going to do that, because that's what the whole of this dreadfully shitty society is doing, which has resulted in the vast numbers of deaths of despair we see today.

Another thing I have to ask myself is what I have in common with cult leaders and others like them, who have presided over the suicide of their devoted followers, and other unwilling people swept into their death cults. I have to ask myself whether narcissism is playing a part, and whether I am leading people astray. I have to suspect myself as being a bad, dangerous person, who might cause harm.

I think. A lot.

Of the people who've contacted me over the years, while in a suicidal state, most are alive. A few are dead, including a very close friend. Am I to blame?

I think about stuff all the time. I can't switch my brain off.

I'm never going to reach any fixed and immutable conclusions. The whole point of this entire endeavour was to have an open dialogue. Only through discussion can any progress be made. Only through discourse can any thorough examination of things occur. Only by grasping the nettle, is it possible to help people who are thinking about suicide - taboos and knee-jerk reactions aren't going to help anybody.

It's very alarming to see - first hand - the vast number of people trawling the internet in a suicidally distressed state. It's daunting to be in a position of influence. It's a big responsibility to say and do the right thing. However, I hope that what I write is helping, not making things worse. I like to think it is, but I'm always open to input.

 

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Something to Take the Edge Off

5 min read

This is a story about crutches...

Office chair

Trawling through my photos from the past three and a half months, I found very few which would be suitable to accompany what I wanted to write today. The photos on my phone are mostly of my cat(s) and not much else. However, this photo does - rather cryptically - allude to what I am now writing about.

When I started the lockdown, I decided that I wasn't going to bother with a desk or an office chair at home; that I would muddle by with my laptop on my lap. I decided - wrongly - that it wouldn't be worth the effort of setting up a proper office at home.

As I already wrote a few days ago, I started the lockdown drinking copiously. Every day after work, I would pour myself a large glass of wine. I would estimate that my alcohol consumption was somewhere in the region of 8 to 10 bottles of wine per week.

As I already wrote a few days ago, I started the lockdown physically dependent on medication. Every night I took sleeping pills. Every day I took tranquillising sedatives.

Then, it became obvious that there would be dire consequences to my physical health.

I didn't want to finish lockdown as a fat alcoholic pill-popper with a hunched back.

Because I delayed setting up my home office, I didn't have a lot of choice for a desk and an office chair, hence why the ugly garish monstrosity - pictured above - has become part of my home office. The desk is super ugly too. However, it's good to have a more professional set-up instead of reclining on my sofa.

The health improvements to my life don't feel like they're paying dividends. I still feel overweight, unfit and I still crave alcohol. Ostensibly, I feel much the same as I did when I was guzzling booze, popping pills and spending 16 hours a day reclining on my sofa. However, we must acknowledge that there is a very significant difference between an alcoholic pill addict, and somebody who drinks in moderation at the weekends, and is entirely medication free. That I have stabilised myself and found almost liveable and almost bearable sustainable routine without my crutches, is not an achievement which should be underestimated.

The backdrop to the past four months has been the global pandemic which has claimed hundreds of thousands of lives, and threatens the livelihoods and living standards of hundreds of millions, if not billions of people. If there was ever a time to feel insecure about money, work and housing, it would be now.

I wouldn't describe myself as a particularly anxious person, but the past 5 years of my life have been spent with the threat of destitution hanging over me. I've been forced to generate vast amounts of money each year in order to protect my credit rating and employability, as well as to simply pay rent, bills and service debts. The amount of money needed to escape my predicament was so vast that I was forced into high-risk high-stress situations, which were potentially high-reward. Eventually, perseverance paid off. There was no other choice: a crappy salaried job would have inevitably led to bankruptcy; the books simply didn't balance with some crap paying job.

So, I've suffered 5 years of incredible, immense stress. I've suffered 5 years of living on the edge of ruin.

When the pandemic started to get very bad in Europe my mood improved considerably. The havoc wrought by the pandemic has brought the stress and suffering that I was enduring into the lives of vast numbers of my fellow people. Suffering collectively is far more bearable than suffering alone.

At some point, I want to stop talking about the difficulties in my past and to talk about the future. I want to put some distance between my past and the present. I want to have a period of wealth and security, which clearly delineates 'now' from 'then'.

I note that my abysmal childhood became unimportant when I started to have success and get ahead in life, in my late teens and early twenties. My rapidly growing bank balance, exotic travel, status symbols - like houses, cars and boats - and adventurous hobbies, felt like I could forget about past transgressions against me: the bullies and abusers were rotting, and I was thriving, so I wasn't bitter and angry; I had broken free from the misery of the past.

My rage at my parents - which has been a repeated theme of the past 5 years - and sad memories of a ruined childhood, which has caused me vast amounts of problems... all becomes irrelevant again, as my health and wealth are regained, and my quality of life improves manyfold.

Yes, my crutches are going to change from alcohol and medications, to be luxury holidays and other trappings of wealth, but I don't care. Alcohol and medications lead to misery and death - they're a dreadful trap, which leads nowhere positive.

I still have suicide as my 'retirement plan' but that's a simple matter of practicality, given that I'm now unable to be likely to accumulate enough wealth to enjoy a comfortable retirement before my health starts to deteriorate. It's something I'm going to have to learn to live with. Or rather, it's something that's going to kill me. C'est la vie. C'est la mort.

 

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Lockdown Improvements

5 min read

This is a story about the Coronavirus pandemic...

Lighthouse

Many people planned to come out of lockdown with new hobbies, fitter, healthier, happier and myriad other unachievable unrealistic things. I think that we have mostly come out of lockdown fatter, more unfit, poorer, more insecure, lonely, isolated, bored and generally worse off.

I started the lockdown drinking very heavily and eating McDonald's breakfast every morning. I decided that if we were going to be suffering the misery of being under house arrest, then I would treat myself. Quickly I realised that I was going to end up with clogged arteries and morbidly obese. I was eating takeaway several nights a week and not doing any exercise.

I started the lockdown physically dependent on sleeping pills to get to sleep, and using two different tranquillising sedatives to cope with unbearable anxiety. I decided it was too much hassle to try to keep stocked up with the medications I needed during the lockdown, and I calculated that I have enough left to be able to taper myself off. I didn't want to run out of medication suddenly in the middle of a pandemic.

I started the lockdown working on my sofa, fully reclined. I realised that my posture and back would be ruined by working in such a position for 8 hours a day, followed by many more hours on the sofa after finishing work.

Things had to change.

I thought the lockdown would last a month or two, but I must admit that I didn't think it would drag on beyond a quarter of the year. I tried my best to psychologically prepare myself for the lockdown lasting for months, but I was hopeful it'd be all over after 6 to 8 weeks.

I bought a desk and an office chair.

I weaned myself off the sleeping pills and tranquillisers.

I cut down my drinking, and even went teetotal for 6 or 7 weeks.

I started exercising. Not, like, exercising exercising. Just going for a 10km walk every day. Enough to keep me a little bit active, but nothing crazy.

I stopped getting takeaways. All those takeaways were costing quite a lot of money, when they were all added up. Sure, I felt like I could justify spending the money to enjoy some nice food, as compensation for the doom and gloom of the hundreds of thousands of people dying all over the world, and the restrictions to our freedom... but it wasn't healthy and it was costing a packet.

I paid off all my debt. This wasn't so much a planned thing. It was something that just happened to co-incide with the lockdown. However, it feels pretty damn good to have some savings now. I have a net worth again, which feels good. I have some financial security, even if it is pretty negligible. It had been a very long time which I'd been struggling to get my finances sorted, and it's a big relief to be back in the black.

My life is extremely austere and simple. I have my house, my job, my cat, my car; that's it. My health is probably OK. My weight is OK, although I am carrying some extra weight I'd like to shift, as a consequence of lockdown. My finances are OK. My job seems OK. My housing situation is sort of OK. My kitten is great, although my cat is lost... overall OK. My car has a big dent where an idiot crashed into it during lockdown, in a virtually empty car park, but there are more important things in life than having a shiny perfect car.

All things considered, I think I'm one of the lockdown winners - I'm emerging in far better shape than I went into lockdown. Some people have lost their job, or are about to lose their job. Some people have struggled with alcohol and food. Some people have struggled with mental health. In almost every area of my life, things have improved; I look reasonably well positioned to weather a difficult autumn and winter.

Although losing my cat was the worst thing that happened, it has forced me to connect with my neighbours and the wider community, so I have even managed to live a far less isolated and lonely existence under lockdown, than I was living before - I speak to far more people; I'm more connected and socially engaged.

I thought that if I retreated inwards, living and communicating through my blog and social media, then I would find it impossible to get through the lockdown. It looks like a reasonably good decision, to have taken a break.

It helps that it's summer - of course - which lifts my mood and generally creates a more pleasant and favourable backdrop for life, but I feel hopeful that I've got a decent position of health and financial stability to fight through the autumn and winter. I just need to book some holidays now... I've worked non-stop since early January, when I was discharged from hospital.

 

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Positive Spin

3 min read

This is a story about bereavement...

Kitten in a box

You can order anything on Amazon dot com these days. I needed a new kitten; same-day delivery. Prime membership equals free shipping too - bonus!

My cat has been missing for two weeks. Was it premature to get a new kitten? Who sets the rules on how long we have to live in cat-free torment, alone with our sadness and grief? Who decides how long is the authorised, legal, respectable amount of time which somebody has to suffer without a feline friend for company? When were these things decided? Why were these rules and regulations put in place? Who benefits from these draconian laws?

Anyway, I broke the rules.

I got a new kitten.

Of course I miss my cat and I desperately want to know what's happened to her, but perhaps I never will. She's microchipped, so I have a better chance of being reunited, but it's perfectly possible that it will always remain a mystery, sadly and frustratingly.

I don't think it would be a good idea to be grief-stricken, heartbroken and isolated all alone, without a furry feline friend. I got a new kitten. Sue me.

It's hard to put into words the sheer joy of unboxing my little bundle of fluff. Seeing her gorgeous blue eyes, soft white fur and that greyish smokey point colouration on her nose, ears, paws and tail, is a joy. She's the living embodiment of adorable cuteness.

Obviously I don't know the fate of my cat, so I can't really grieve. I'm trapped, not knowing whether she's alive or dead. I've been trapped for two weeks. I could be trapped for two months, two years, or the rest of my life. I strongly suspect the latter. Obviously I hope that she's reunited with me alive and well, but nobody has spotted her; she's disappeared without a trace. It's quite possible that she's alive and well somewhere, but nobody's coming forward to tell me that, and they might keep her away from me for the rest of our lives, and I'll never know her fate.

Yes, I have a new kitten and she's gorgeous. Yes, I'm happy to have a new kitten. Yes, having a furry feline friend is important to me. Yes, it makes my life better; more bearable; happier. Yes, my life is better now I have a cat in my home; in my life.

Sorry. Was I supposed to be miserable and suicidal?

Was I supposed to be suffering?

I'm still suffering. I've lost a cat which I love very dearly.

Sorry not sorry. I do what's right for me. I do whatever it takes to cling onto life.

So sue me.

Another way to look at it might be to consider how long you deliberately made yourself miserable for, and to ask yourself why you put yourself through that. If you needed a kitten but you didn't get one, then you got one after a long wait, ask yourself why you waited. Wasn't it unnecessary to wait? Wasn't it unnecessary to suffer? Why would you deliberately make yourself suffer?

I'm finished with unnecessary waits. Pointless. Waste of time.

I needed and wanted a kitten, so I ordered one on Amazon dot com same day Prime delivery.

True story.

 

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Tabula Rasa

5 min read

This is a story about starting over...

Missing cat

My cat is missing. She's been missing since 26 June. I've posted leaflets through the door of hundreds of homes in the vicinity. I've posted all over social media. I've alerted all my neighbours through private messaging groups. I've spent countless hours walking around, calling her name, shaking her food. I've put her litter, her blanket and her favourite toys around outside my house, in the hope that she'd smell the scent.

All to no avail.

She's gone.

Was she stolen? Was she hit by a car or a train, and the incident didn't get reported; her body wasn't found? Has somebody started feeding her and taken her in as their own? Was she stolen for profit by an unscrupulous rogue? Is she out there somewhere, lost and hungry?

Whatever has happened - and I'll probably never know - she's gone.

Of course, I can play the coulda woulda shoulda game. In the course of my search for her, I've found out that there are lots of cats just like her which are living quite happily in this safe neighbourhood. We live in a leafy, wealthy suburb, plus the streets have been extra quiet and safe because of the Coronavirus lockdown. Perhaps I could have turned my house into some kind of maximum-security cat prison, but why did I need to worry? I live in a nice place and I have nice neighbours; plenty of cats just like her live very happily in this area.

Whatever has happened, she's gone and I can't do anything about it now.

I don't have a time machine. If I did, would I go back and change anything? It's not realistic to put a metal grille over your windows. It's not realistic to install air-lock style security doors. It's not realistic to secure every skylight, window, door and air-vent, which your determined would-be escapee might use in their bid for freedom. I'm trying to live my life, not become a prison warden to a cat, living in some kind of concrete bunker with bars on the windows and heavy metal cell doors.

If I was messing around with time travel, maybe I should go back further and not get the cat.

Maybe I should go back further in time and not give my first cat to my parents, during the messy divorce.

Maybe I should go back further and fix my marriage.

Maybe I should go back further and not even get with that girl who I later married.

Maybe I should go back further... and not even be born.

This reductio ad absurdum reasoning leads me to conclude that it's futile to start wishing to change things in the past, not least because it's impossible anyway. It's futile and unproductive, and it leads nowhere good.

Maybe I'm just covering my ass because my cat is lost and I feel bad about that; somehow responsible. OK so my decision has led to my cat becoming lost. There. I said it. Does that bring my cat back? No.

Anyway, as is often my way, I'm making another point: there are heaps of things which are less-than-ideal in my past, but I can't do anything about them. I've had a really rough bunch of years, and it's caused me a whole heap of problems, but I can't expunge those unfortunate events from history so I'm going to have to live with everything that's happened.

I had a lengthy break from blogging and social media. I felt like it wouldn't be good to be writing every day during lockdown. I thought that the time would pass incredibly slowly if I was writing my blog during the repetitive and monotonous stay-at-home period, where I've been cooped up under the same roof for more than 3 months, with no company except my cat... who has now disappeared.

My intention is to begin writing regularly again, but I hope that my improved mental health, finances and a generally improved outlook to my life - much more stable than in recent years - will provide a backdrop for a period of writing which seems more like a normal happy life; less full of disaster and violent mood swings; less full of powerful negative emotions and terrible memories; less full of bitterness and hate.

Of course, my writing is therapy for me, and part of therapy is venting - catharsis - so I shall no doubt be launching myself into the occasional angry rant from time to time, but I'm hoping to somewhat turn over a new leaf and start with a clean slate as much as possible... although I can never escape my past, and doubly so because I intend to leave this blog in place unedited, containing all the difficulties I've been through in the 5 years I've been writing it.

I'm hoping that by writing a load of new material which is coming from a much more secure and happy place, it will put some time, space and distance between me and the bad stuff in my past.

 

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All The Suicide Methods

14 min read

This is a story about the control of information...

Poisonous Mushroom

As is often the case, something I have read or watched has prompted me to write. Today, I felt the urgent need to write about methods of killing yourself. I felt compelled to document every single method of committing suicide, which I could possibly think of.

The reason why I would write this down is that the thing which most often draws visitors to my website is something I wrote about suffocation - asphyxiation - as a means of suicide. People also come who are desperately trying to cure themselves of their problems with mental health, alcoholism and addiction. People visit my website for all kinds of different reasons, but as a source of information on how to kill yourself, my site is one of many millions. Our libraries are full of books which explain in exquisite detail how people have ended their own lives, since we took pen to parchment, or chiselled runes into rock. For those who seek, they will find.

I've noticed a lot of criticism of the owner/operators of forums where suicide is predominantly discussed, and prominent popular indviduals who have large social media followings have been criticised for their participation in the online discussion of suicide which has coalesced around their digital persona.

We have to be very clear about something here: people need and want to talk about suicide. Making it a taboo subject, and ridiculous fantasies about book burning and the modern-day digital equivalent - banning websites - fails to address any of the underlying causes of why people take their own lives.

People don't kill themselves because they're encouraged by others, online. People don't kill themselves because they're able to easily find the information about the methods of suicide. The reasons why people kill themselves are as complex as the individuals who end their lives prematurely, and to point the finger of blame is pointless; futile.

While it might be true that we see 'outbreaks' of suicides which cluster together geographically, almost like a conventional viral, bacterial or parasitic infection, passed from person to person, this does not mean that newspapers, magazines, TV & radio stations and the modern digital equivalents, should never talk about suicides, or the methods. There is no evidence to prove that journalistic guidelines have in any way reduced the likelihood that fellow friends, classmates and other people in the vicinity of a suicide, will commit suicide themselves. We are missing the point: if one person in a particular area of the country, of a certain age, living a certain lifestyle, is compelled to end their life, then why should we be surprised that there are many others who are living on the edge too? It is absolutely untrue that the media and the internet is in any way shape or form responsible for pushing and/or prompting people to end their lives.

We also have to answer the difficult question: is it ethical to force a person to live a miserable and unbearable life? Is it unethical to force a person to endure unending suffering?

A documentary I was watching particularly annoyed me when a so-called expert came onto the program to say that suicidal thoughts are usually fleeting, and quickly pass; they essentially said that depression is temporary - in a particularly dismissive manner - and that we should shut up and put up with it. This made me furious.

People don't end their lives whimsically. Suicides are meticulously planned. The formation of the idea of killing one's self is something that has taken place during years of terrible suffering. I say that it is unethical to act in any kind of way to prevent a suffering person from achieving relief from the terrible torments which they have decided are too unbearable. It's their life at the end of the day. It's selfish to ask them to keep living an intolerable miserable suffering-filled existence... for what reason? So that you don't feel sad? Get over yourself. Get a grip. Have some compassion. Show a little empathy.

I believe strongly that suicides are 100% preventable, and that we should aim for zero suicides - nobody should ever commit suicide. However, the solutions are well beyond the scope of this essay, and ask the reader to think the unthinkable, such as improving people's lives, instead of fobbing them off with cheap anti-depressant tablets and abysmal "behavioural therapy" courses developed and delivered by a group of people with the collective IQ of a slug. The evidence is clear: suicide is the number one killer of men under the age of 50, and the suicide rate in young girls and women is growing faster than ever before. Yet, the approach remains unchanged: ineffective medications and ineffective psychological therapies. Also, the circumstances get worse and worse: youth unemployment soars, personal debt soars, global warming and climate change rages out of control, and the chance of having a fulfilling happy life diminishes by a vast amount every single day.

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So, you came here for the good stuff, right?

OK, here are all the ways you can kill yourself, separated into some different sections.

Poisonings and Overdoses

Almost every substance which a normal person can obtain will result in a slow and painful death. Anybody can find a poisonous mushroom or plant - such as deadly nightshade or hemlock - which will kill you, but it will be extremely unpleasant. It's possible to purchase a large quantity of paracetamol, for example, which will easily cause fatal liver failure, but this is a particularly slow, painful and unpleasant death.

Deaths by overdose are hard to achieve with so-called 'safe' modern medications. Your doctor is unlikely to prescribe you enough opiates to allow you to kill yourself, unless you stockpile your supply, and slow-release formulas can make it hard to commit suicide using swallowed tablets. Barbiturates, which are the number one choice of doctors who wish to commit suicide, are never prescribed. There are deadly medications, such as warfarin, but to obtain them is almost impossible.

Were you able to obtain a poison such as strychnine or cyanide, your death would be surprisingly slow and painful. Potassium cyanide particularly, would not be a pleasant easy death, unless combined with a large dose of sedative and a painkiller, because it essentially induces a heart attack.

Blood Loss and Other Trauma

The body has developed very advanced mechanisms to cope with severe lacerations, and blood vessels will spasm and contract to contain loss of blood. The arteries are generally well protected by the anatomy which has evolved to keep us alive.

Generally speaking, cutting the jugular vein(s) is a reliable method of suicide, but there are many variables: the blade must be sharp, the aim must be true, and the cut must be made with force and certainty. It's more likely that you will end up with a profusely bleeding laceration than a lethal wound.

Cutting one of the carotid arteries must surely be the most reliable way of killing yourself with a knife or razor blade, but detailed anatomical knowledge and a willingness to undergo immense pain, while conducting this surgery on yourself, makes the task almost impossible.

Plunging a sharp object in-between your ribs and into your heart or one of the biggest blood vessels in your body will kill you very quickly, but the chance of you hitting your target is low.

The Japanese Samurai favour disembowelment as an "honourable death". Do not recommend.

Self-immolation would be incredibly painful, and your death would be caused by suffocation: the flames would consume the oxygen from around your body, and your lungs would be burned so badly they would not function. Definitely do not recommend.

Falls From Height

Yes, these will kill you. There is a well documented case of a man who survived a fall from the Golden Gate Bridge, which is about 67 metres (or 220 feet for those who prefer imperial units). In rock climbing terms, that's about 1 rope length, and there are lots of documented cases of rock climbers who have fallen from the top of a cliff and survived.

This is all about the height, and the surface you're landing on. Maximum height and solid landing surface = more certain death. I would say that 8 storeys or more, landing on concrete, rock or something similar like that, would guarantee 'instant' death. Bear in mind that you would need to jump and also endure the fall, which would both be very traumatic, but it would be a 'quick' death versus a poisoning or overdose, for example.

Hanging

Most people who have hanged themselves have died from asphyxiation, and have suffered an incredibly awful death. Death by hanging has a high success rate, but we should be mindful that the final period of that person's life was unimaginably terrible. To asphyxiate elicits one of our most primal panic responses - the hypercapnic alarm response - and we know that many people who have hanged themselves have taken 30 to 90 minutes before they have finally expired. This is one of the most unpleasant deaths I can imagine.

For a hanging to be a quick death, the neck should be broken or the body should be decapitated - either outcome achieves the desired outcome, which is a quick death. It would be advisable - although I advise nobody to commit suicide, of course - to err on the side of caution, and ensure that the 'drop' is sufficient to break the neck at the very least, and if decapitation occurs, then it's far preferable to the alternative: a lengthy asphyxiation.

Electrocution

Most modern domestic and commercial electrical systems are fitted with systems to prevent electrocution, and as such you would be unlikely to be able to electrocute yourself by, for example, dropping an electrical appliance into the bath-tub while you were in it.

In the interests of a full and frank exploration of all the available suicide options, I must tell you that it's possible to obtain a lethal electrical current by simply removing the cover of your fuse box, where there are live parts which do not have the protections which you have throughout your house or other premises.

Touching a live electrical conductor will hurt, a lot, but it won't kill you. In order to kill yourself by electrocution, you must first grip something which is earthed - such as a copper water pipe or the earth clip for your house, usually marked with green and yellow striped insulation - and then touch the live source of electricity with your OTHER hand. Then, the electrical current will flow across your body, through your chest, and your heart will either be very badly damaged or at least enter ventricular fibrillation, where it is unable to pump blood, causing you to lose consciousness immediately.

It's possible that you might only receive a 'mild' electrocution, leaving you with very bad burns, tissue and nerve damage, but otherwise alive. For this reason, it's probably inadvisable for anybody except a trained electrician to commit suicide using this method.

Asphyxiation, Drowning, Suffocation etc

As I wrote before, the hypercapnic alarm response, which is your body's natural reaction to high carbon dioxide levels in your bloodstream, will cause incredible panic and suffering. As such, drowning yourself by attaching weights to your body and jumping into water, would be a terrible, terrible death. Do not recommend.

To attempt to suffocate yourself, perhaps by putting a plastic bag over your head or other somesuch thing, would result in the elicitation of the hypercapnic alarm response and you would tear the bag off your head, driven by instinct. Your primitive survival instincts would override the neocortical modern brain, which we have unfortunately evolved, leading us to want to commit suicide in the first place.

In order to asphyxiate in the manner which we would all wish to die, which is painlessly and peacefully, the solution is simple: we must breathe a gas which contains no oxygen or carbon dioxide. To breathe the gas from your oven puts your neighbours and firefighters at risk, because a gas explosion will be the likely result. Instead, a bottle of helium can be purchased inexpensively, for the usual purpose of filling baloons. Instead, the helium should be used to provide a steady supply of gas to some kind of 'hood' which you wear. By breathing an inert gas like helium, you will quickly lose consciousness and death will follow within some minutes, as your body and brain are deprived of oxygen.

Other

There are things which might work, but are more likely to cause you incredible pain and injury, such as injecting yourself with a bubble of air.

You could obviously starve or dehydrate yourself to death, but this would be time-consuming and result in a slow and painful death, with much suffering.

For those who live in places where firearms are easily obtained, I don't know why you're even reading this: if I could get hold of a gun I'd already be dead, I'm sure. That's not to say that gun control is preventing my suicide; merely that there are easier ways to kill yourself in a country like the UK, but I foolishly have opted for methods which were unlikely to kill me, such as poison, overdose and cutting veins.

The number of ways to cause your body a traumatic injury are innumerable, but an example might be to turn off the airbag on your car and then drive without a seatbelt at 100mph into a concrete pillar which is supporting a bridge.

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As you can see, the options are multitudinous and you really don't need me to list them. You already knew almost all this stuff, and if you didn't, it was available on a million websites; it was one single Google search away.

As for the charge that I am encouraging, endorsing, glamourising or enabling suicide in any way whatsoever, you are barking up the wrong tree. Look again at the suffering. Look again at the causes of that suffering. Look again at the options available to the victim of that suffering. If it was possible for a suicidal person to endure any longer, they would. If there was an easy option, like a magic pill from a magic doctor who lives in a magic building, then we would see suicide rates falling not climbing. The medical establishment claims to want to preserve life, and it claims to be empirical and evidence-based, yet all the evidence shows that medicine is failing abysmally to deal with the number one killer of men under the age of 50; the fastest growing cause of death of young girls and women. Medicine can f**k off - it's had plenty of chances to do something about the suicide and mental health epidemic, but instead it has rested on its laurels and dished out useless pills, and allowed intolerable living conditions to grow, flourish and proliferate.

If you think my article is somehow dangerous and irresponsible, I suggest you seek your first recourse with those who claim to be practicing so-called medicine, when all the evidence shows that the medications and treatments prescribed are entirely ineffective, and the mental health epidemic and suicide rate are the number one public health emergency, yet your doctor is doing nothing about it - they have their head buried in the sand.

For those of you who came here looking for information on how to commit suicide, I empathise. I've attempted suicide several times. If you want to talk to somebody who lives with suicidal thoughts on a daily basis and has tried every conventional treatment you can possibly imagine, who won't try to "talk you out of doing anything" or otherwise patronise you, my Twitter DMs are open and my email address is publicly available.

If you're suffering, I'm sad about that. I wish people didn't have to commit suicide, but sometimes they do, because the suffering is too unbearable.

 

Still thinking about killing yourself? Please read my essay on how to kill yourself.

Want even more? Please read about why I am planning on committing suicide.

 

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An Apology

6 min read

This is a story about remorse...

My kitty

There's a lot of good reasons why we don't steal people's medication.

Firstly, theft is illegal. There is no defence against the crime of theft. You could rob a bank and claim that you were going to give the money to charity, but I'm afraid that's no defence. You could claim that you didn't know theft was a crime, but ignorance is no defence. You could claim that you were keeping somebody safe, by stealing something of theirs that was dangerous: perhaps you stole a fast motorbike, and your defence is that you wanted to prevent injury or death. Unfortunately, while these arguments might give the court judge cause to be more lenient in their sentencing, the crime of theft is a clear-cut thing: you simply need to permanently deprive the owner of something that they own, and you have committed a crime. No defence. It's a crime. It's that simple.

Secondly, some medications require you to have a prescription to have them in your possession. There are lots of medications which are controlled drugs and as such, to have stolen those medications would mean that you have committed a second crime: possession of a controlled substance, without a prescription. Again, there's no defence for being in possession of a controlled substance without a prescription, unless you have signed documentation proving that you are authorised to collect a prescription from a pharmacy, on somebody else's behalf.

Thirdly, some medications will cause seizures and death if the patient abruptly stops taking them. Many medications raise the seizure threshold, and when medication is stolen and the patient is forced to abruptly cease taking the pills, then the seizure threshold is lowered so substantially that the result is very bad seizures - grand mal - which can cause physical injuries as well as death. This would be gross negligence, or gross negligence manslaughter in the event of a death.

Fourthly, while incredibly ignorant people might think that they are being "helpful" by stealing medications, if their fantasies are incited by other people - abusing a position of respect and making misleading representations that they know what the f**k they're talking about - then those people become part of what's called a joint enterprise or common purpose crime. It doesn't actually matter who committed the crimes - all the parties in the conspiracy are equally guilty.

Fifthly, it does not even matter if the crime(s) are actually committed or not. If there was a conspiracy to commit a crime which was never acted upon, then that conspiracy can still be prosecuted as a crime.

In short, don't steal other people's medications, or even plan or advise to attempt such a thing, because you are breaking at least four laws. Criminal law is not based on precedent and interpretation. It's open-and-shut: you clearly broke the law, so you must be prosecuted and punished.

Because I suffer from Bipolar Affective Disorder, I am prescribed lamotrigine, which is an anticonvulsant. Epileptics are prescribed lamotrigine, because it raises the seizure threshold. It is extremely dangerous to stop taking lamotrigine abruptly, whether you are epileptic or not, because you are likely to have life-threatening seizures.

My ex-girlfriend, with incitement from 5 others acting in a criminal joint enterprise, conspired to steal a large number of different medications from me, with no fewer than 3 of the medications being likely to cause seizures, injury and death, when I discovered the theft and was unable to take my pills as normal. The theft was a smash-and-grab, where there was clearly no consideration for the immense harm that was likely to come to me, but also, medications were stolen in a manner that clearly proved that it was an act of incredible stupidity; utter recklessness and shocking ignorance.

Would you rummage through the drawers and medicine cabinet of a home in which you were a guest? If you were so incredibly rude and privacy-invading as to do so, and you happened to find items which were embarrassing, would you tell all your friends? Would you humiliate the poor person who trusted you to act with the duty of care towards their privacy, which they were owed?

It shocked me when a friend sent me a message asking about a particular medication - which it later emerged had been stolen - and was mocking and humiliating me about this. My most private, confidential, embarrassing, secret and sensitive medical information had been abused in the most horrible disgusting way. Without a single care about violating my dignity, humiliating me, embarrassing me and betraying my confidence, my ex-girlfriend carelessly boasted to her co-conspirators about the medications she had stolen from me. This medication can be bought over-the-counter in any chemist, without a prescription, has no abuse potential and has no potential to cause an overdose. Why steal it? Why boast to her co-conspirators she'd stolen it?

I did get an apology from my ex-girlfriend, but I doubt she feels any remorse. I suspect it would take criminal prosecution for her to realise that her actions were wicked and wrong, and there was no excuse for the risk she placed my life in, the violation of the sanctity of my private home, the violation of my dignity, the humiliation and embarrassment she caused me by violating my confidential medical details. She's a horrible person, although I will say that without the incitement of the co-conspirators in the criminal joint enterprise, she would have been less likely to commit the crimes - although this does not forgive her behaviour, nor absolve her of her crimes.

Getting an apology out of the ex-friend who was a co-conspirator in the criminal joint enterprise, who then began to criminally harass me, sending me numerous unwanted offensive messages, emails and letters, which caused me a great deal of humiliation and embarrassment, violated my dignity, and was particularly intimidating regarding the confidentiality of my private medical details.

My ex-girlfriend's mother did feed my cat while I was in hospital, which was very kind of her, and I want to thank her, but when I arrived at my ex-girlfriend's house and demanded the return of my keys, the atmosphere was not conducive to saying thank you for the mother's kindness, which she had shown to my cat.

I suppose when you are faced with an individual who has threatened to pursue criminal charges against your daughter, the parental instinct probably kicked in and she would have denied that her daughter was a murderer, even if she'd seen her plunge the knife repeatedly into the victim's body.

Anyway, this is a simple message: don't steal people's stuff, OK. Especially medication, which is a matter of life-or death. If somebody tells you that it's "OK" or "the right thing to do" then they're wrong - they are inciting you to commit a crime, and they themselves are co-conspirators in that joint enterprise crime too, and will be prosecuted equally under the law.

 

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Heartless

9 min read

This is a story about self preservation...

Boxed up

I haven't written for over a month, but the general circumstances of my existence would have been repeated ad nauseam, as they cause me untold amounts of stress & anxiety, for reasons I am about to explain.

I have two more months of paid employment and then I'm potentially back hunting for work again. Even in the best case scenario, where I work every single day between now and the end of March, all that money is accounted for - somebody wants it: the taxman, a bank, a landlord... some vulture or parasite.

My rusty old car has bitten the dust and must be scrapped. I managed to limp it along, spending very little money on it, but it finally became uneconomical to repair it, despite the problem being as seemingly simple as a single broken bolt.

What does a 40 year old man who doesn't own a house or a car, or have a job, have to live for?

This is the question I asked myself on December 19th, when I noticed that my urine was full of blood, and later turned dark brown in colour, with a noxious scent. Later that day, I noticed that my bladder was no longer filling and I knew that my kidneys had failed.

The usual response of a healthy happy person when faced with a life-threatening medical emergency is to hastily make their way to hospital. My response was to wonder how long it would be before the waste products in my body would build up to a sufficient level to trigger a cardiac arrest. I imagined that 3 or 4 days would be adequate. I began the wait.

By December 23rd I was suffering from seizures, blackouts, confusion, muscle pain, abdominal pain, weakness and a host of other symptoms related to multiple organ failure, the complications of having highly toxic blood and massive fluid retention.

Against my will but without protest, I was taken to hospital by ambulance, where I spent two and a half weeks having dialysis for many hours a day, in the hope - the doctors' hope, not mine - that it would save my life. My only concern was that my life would be saved but my kidneys would not, thus rendering me dependent on dialysis sessions, 3 times a week, 4 hours per session, for the rest of my life, in order to remain alive. Of course, under those circumstances I would have committed suicide at the earliest possible opportunity.

I was discharged from hospital to discover that my cat had urinated on almost every single item of clothing that I own. My cat is incredibly intelligent, and she had managed to find a way to squat and pee in every drawer, box, bag and other container of clothing.

Kidney failure prevents the waste products from your muscles from being filtered out of your bloodstream and into your bladder, where they can be urinated away. Pickling your muscles in toxins, virtually immobile in a hospital bed, on a noisy hospital ward for two and a half weeks, was something that left me physically drained and very weak. Dealing with the mountain of cat-urine soaked clothing was a task which was beyond my capabilities, while still recuperating from the ordeal I'd suffered.

During the two and a half weeks when I was in hospital, I had three visitors: my ex-girlfriend, a work colleague and a friend. My ex-girlfriend was staggeringly out of touch with reality and stubbornly refused to drop her fantasy ideas about what the National Health Service is. She visited a few times at the beginning and then I never saw her again. My work colleague reminded me that I'm well liked and respected at work, and that's incredibly valuable. My work gives me a great deal of pride and a sense of identity. My friend reminded me that for all my years of struggle, I've been playing a rigged game all along, and I'm the only one who's been playing by the rules; not cheating.

It seems inevitable that in the not-too distant future, for one reason or another, my temporary employment will end and I will lose not only my source of income, but also any reason to remain in both this city and this country.

I have no relationship to stay here for: that's over.

I have work colleagues here, who are wonderful, but I always maintain a degree of separation between my work life and my private life, notwithstanding this blog (which serves as an invitation for anybody who really wants to be my friend to reach out).

I do love my cat, but she urinates on everything made of fabric or otherwise porous, and destroys anything else which she takes a disliking to: my houseplants, my carpet, my furniture, cables, anything fragile etc. I'm sure that I can find her a loving home where her misbehaviour will be tolerated.

My existence appears to be that of an anti-social hermit, but I assure you that there are hundreds of people who I have to deal with on a professional basis, who find me to be a pleasant and affable fellow; a good colleague. I have a very select few close friends who I maintain regular contact with via phone, email, SMS and other text, voice and video services.

Estranged from my family for over 6 years, with the exception of my sister, and single, this might be cause for loneliness and unhappiness, but I live for my work at the moment, which provides ample social contact, and it seems sensible that I move somewhere where I have at least one close friend - I'm in no mood to become one of those tragic 40+ men who join some kind of club or society in the desperate pathetic hope of gaining a social life.

What about suicide? Well, if the opportunity to die - passively - presents itself again, then I certainly won't be phoning the emergency services. It's barely a month ago that I had a few days to contemplate the fact that I was about to die, and I was quite calm; I was looking forward to the rest and relaxation of being dead.

My priorities remain the same as they always have: to repay my guardian angel and attempt to achieve some kind of financial and housing security, and to reconfigure my life so that the vast amounts of stress, anxiety, boredom and misery heaped upon me by the rat race - causing untold depression - can be replaced by either an alternative, or early death (i.e. suicide).

Thus, I might appear heartless, but it's all a practical necessity to maintain the slim chance that a life worth living might eventually present itself; otherwise the choice is clear: immediate suicide.

I sometimes wonder: am I tough? Am I mean? Am I a sociopath? Am I antisocial? Do I lack empathy? Do I mistreat people?

I think the answer to all those questions is: no. I spent the best part of three weeks in hospital with some people who were just as sick as I was, if not more so, and they really wanted to live. They were tough. I was tough too, but we're all tough, so that means I'm not particularly tough. None of us are tough. The answer to the rest of the questions is clearly no, because the evidence points overwhelmingly to the contrary. I'm just surviving; that's all I'm doing - I'm doing what needs to be done to get through every miserable, awful, unbearable day.

If you think I owe you something, believe me I know about it. Believe me, I think about it more than you think about it. Does that mean that you're going to get a gift-wrapped package in the mail with a red ribbon on it, containing what you're 'owed'. No f**king way. Get to the back of the queue, buddy. Do you think I spend a lot of time thinking about what I'm owed? Sometimes I realise that if everybody who's picked my pocket coughed up their debts to me, then I'd have that financial security that I so desperately need, but I'm happy with the way that I've lived my life; I don't regret trusting people and taking chances.

So, where are we? Ah yes, self preservation. I basically need to work every single day I can for two solid months, just to have a bank balance of zero pounds and zero pence and not owe anything to anybody, and not have any valuable assets to my name. When I wrote "self preservation" at the top of this blog post, I did so with extreme sarcasm, because my life is literally preserved without my consent; if it had been up to me, I wouldn't have been born, I wouldn't have been 'saved' all those many times; I wouldn't have survived at all, and I'd be glad of it, because I would be resting in peace.

I do of course have people - and cats - who I love and I would 'miss' (although this is an oxymoron, obviously, to imagine that the dead are capable of missing anybody) and who would miss me, but it's selfish to want people who are in pain to go on living, when their quality of life is intolerable: this is why we euthanise our pets with no qualms; it's more humane.

If you think I'm heartless and lack empathy, you are mistaken, you are a fool, and you're no friend of mine.

 

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I Let My Friend Commit Suicide

8 min read

This is a story about playing god...

Phone

On the 10th of December 2017, a very close friend of mine got me a job at an investment bank. He knew that I was virtually bankrupt. He knew that I had very nearly managed to commit suicide. He knew that my self-esteem was at rock bottom and that I had nothing going for me: no fixed abode, no money, mountainous debts, alcoholism and large gaps on my CV which were difficult to explain.

My friend rang me up and asked if I was sober enough to create a piece of software for the bank he was working for. I said that I could be as drunk as a skunk and still make a decent software system, but that I wasn't in too bad shape - he could count on me to deliver a successful project, if he recommended me as a freelance software engineer to his boss.

If you're particularly interested in the more identity-theft worthy items of my story, I present to you above, the proof that I had proudly put on my suit and gone to work in the Square Mile - also known as the City of London - thanks to the endorsement of my friend. I had spent the day before with my friend and his boss in Warsaw, where they were based, and I was allowed to work in the London office, which is pictured.

A year later my friend phoned me and told me that he was going to commit suicide, by taking an overdose of insulin. I asked him how much insulin he possessed and in what form - vials and 'rapid delivery' pen cartridges - so I could calculate how many doses of insulin he had, and whether it was a lethal dose.

Insulin aspart units is what the layman needs to understand. One 10ml vial might contain 1,000 units. One 3ml pen cartridge might contain 300 units. The important thing is to add up all the vials and cartridges that somebody has, and then you can work out how many units of insulin aspart they have in their possession. My friend confirmed that he had many thousands of units of insulin aspart. The highest recorded survival of an insulin overdose was much lower than the amount my friend possessed, and that patient was left very badly brain damaged. In short, it was a credible suicide threat.

(FYI: people have made surprisingly frequent disclosures to me that they plan to commit suicide by overdose, but this was the first credible overdose plan I'd heard)

So, having scoured the medical literature for the LD50 - the dose that will kill 50% of people - and found that my friend could definitely commit suicide with his insulin, I then did further reading about how long it would take him to die, how long he would remain in a state where he could be saved, and how much suffering and pain he would endure.

Incidentally, he phoned me on a Monday morning while I was at work. I was in Wales and he was in Poland. I was frantically doing this research as rapidly as I could, while trying to keep my friend talking to me; stalling him from following through with his plans.

My research concluded that he would suffer a short period of panic and disorientation - including extreme hunger - before blacking out. He would quickly fall into a hypoglycaemic coma, and would suffer no pain.

Far more disturbingly, my research concluded that he could be 'saved' by rapid medical intervention - an intravenous infusion of glucose - for a substantial period of time: 2 or even 3 days would be 'survivable'. The worst possible outcome would be that he would be 'saved' after 12 to 36 hours, when he might still be in a coma, but he would have suffered terrible brain damage. The case study I had read of the patient who holds the 'record' for the highest ever insulin overdose which was survived, was left with terrible brain damage. All my research led to a single conclusion: if my friend injected all his insulin then I had to call the emergency services IMMEDIATELY or wait until he was beyond the point of 'saving'.

This sounds like playing god, doesn't it?

You remember that time your kid was choking on a bit of Lego and you whacked them on the back so they coughed it up? That was playing god. You remember when your dog was getting old and sick, and you decided they had no quality of life anymore, so you had the dog euthanised? That was playing god.

I'm not a doctor.

I'm not a vet.

I'm not a parent.

What exactly qualifies a person to make a life/death decision?

In this instance, I knew that my friend's diabetes had ruined his circulation and his feet were becoming gangrenous, that he was becoming jaundiced and that his eyesight was failing, because of his mismanagement of his diabetes. In short, he struggled to go about his ordinary daily business, and his health was rapidly deteriorating. I'm not a doctor, but I'm not a magician either - nobody can wave a magic wand and make the chronic irreversible health damage from alcoholism and diabetes disappear. I'm not a doctor, but I know that they don't give liver transplants to alcoholics. I'm not a doctor, but I know how long somebody has to live once their liver is starting to fail and they continue to drink multiple bottles of vodka every day.

Ultimately, it wasn't my decision to make.

My friend phoned me because he knew that I would understand the situation and that I wouldn't panic and phone the emergency services. He knew that he could say goodbye to me, and I would let him die with dignity; in the manner of his own choosing.

Let's not fuck about here: sitting doing nothing, waiting for your friend to die before you ring the emergency services to go and get the body before it starts decaying, is an awful, awful, awful thing to have to do.

Can you imagine knowing that your friend is dying, and that the best thing to do is to do nothing? Every single moment of your childhood, you were told to dial the emergency services if somebody was sick or dying. There was no ambiguity about what to do when somebody's life's in danger: ring the emergency services. EMERGENCY! EMERGENCY!

If I phoned the emergency services too soon, my friend would have been 'saved' and then would no longer have had the opportunity to end his life in the manner of his own choosing. He probably would have been extremely brain damaged, and therefore unable to attempt suicide again. He would have lived out his short remaining time in a hospital bed, dying of liver failure, which is a very unpleasant way to die. Sure, the hospital would have made him as 'comfortable' as possible, but what comfort is there in being bedridden, watching your friends and relative weep and wail about your imminent inevitable demise. My friend had considered all these things.

Did I mention we discussed all this? We discussed all this at length. I went to a great deal of effort to persuade my friend of more positive alternatives. I tried my very best to convince him that it might be much better to use the short time he had left - before liver failure killed him - in order to take a trip of a lifetime, and/or see loved ones.

We have to understand that this was his decision, based on the terrible choices he faced. There were no 'good' options. He had to choose between a quick painless death or a slow painful one, with all of his family, friends and co-workers by his bedside, watching him slip away.

What my personal opinion of the 'right' choice was, is of no concern. My friend asked me to keep it a secret that he was killing himself, until he was dead, and that's what I did. I honoured his wishes. I was a loyal friend who did a very difficult thing, because I knew it's what my friend wanted.

"Oh but your friend really wanted to live" or "it was a cry for help" or "you should always phone the emergency services; you're not qualified" etc. etc. are all the very many opinions I have to defend myself against. Bullshit. Bullshit. Bullshit.

I spent 3 days, not sleeping, not able to think about anything other than the fact that my friend was dying, and then I phoned the emergency services to go and retrieve my friend's lifeless body and notify his next of kin. It was the hardest thing I've ever done in my life. It was also the right thing to do because it was the dying wish of my friend. There were no good options. I chose the least bad option.

Today is the anniversary of the phone-calls, the discussions and the decision. Today is the last time I spoke to my very dear friend. For exactly one year, I've had to live with the guilt of knowing that I kept a terrible secret, for just long enough that my friend could pass away painlessly.

It's a terrible thing, but I let my friend commit suicide, and I did nothing.

 

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