For the Anger, Rage and Emotional Volatility of Bipolar Disorder, Type II Patients & Their Families

Suicide and Anger Treatment Issues

14 2 15 suicide anger quoteLet’s take a few minutes and look at the factors that often lead to suicide and in many cases homicide or shootings prior to the suicide.  Most people accept the obvious that suicide reflects a serious preexisting behavioral health condition.  Clinical depression has long been associated with suicidal thinking and attempts, however what seems to be missing in our understanding of suicidal behavior is  underlying anger and rage.

Shooting and killing another person is usually associated with a violent act, so why is it that we fail to associate the killing of oneself as an act of violence? In many cases the victims of suicide had chronic anger issues, which were not externalized.  In other words, the anger and rage felt internally may not be directed outwardly onto others.  It is hidden from the outside, then turned on oneself in the suicidal act. This is not always the case in every suicide, but enough so that we as clinicians, family members, close friends and employers need to be aware of the fact that chronic anger and rage, along with a mood disorder can result in a suicidal event.  We can see this all around as a growing epidemic of rage and violence in our world today.

Healthcare providers in particular need to be more aware of these hidden factors, when dealing with people who suffer from chronic mood disorders.  Often times attempts at treating these conditions with standard antidepressants and psychotherapy are unsuccessful and the problems become worse over time.  Substance abuse including eating disorders can enter into the picture and exacerbate the problems.  Additional medications which help to create more stability to the mood and psychotherapies targeting underlying anger can result in greater prevention outcomes.                  

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