If you’re feeling trapped, get help. It is not a sign of weakness to seek help in dealing with farm and other stresses of life. Talking to a minister, pastor or church leader can be good because sometimes faith is the best hope to hold on to. You can also make an appointment with your primary care physician to talk about getting help and to allow for the elimination of medical problems as the primary source of the change in mood as well as an opportunity for the consideration of treatment with medication, counseling or both. It is usually best to accompany a person to the appointment in order to ensure the physician gets an accurate account of their condition. Often, family members or friends have a clearer awareness of the changes than the distressed person has.
Also, people often are more open to talking with a trusted friend about their problems than they are to discussing them with family members. We were created to live in community—the very worst thing is to not talk to anyone.
When someone you love is struggling with stress, depression, or suicidal thoughts, they may think their feelings are too much to burden someone else with and keep to themselves. When you ask directly about their mental health and intentions, you are telling them it is not too much and that you care about them. Asking a person if they are contemplating suicide has not been shown to cause the person to consider suicide if they weren’t already. And if someone is already considering suicide, asking them about their thoughts about taking their life has not been shown to make the person more likely to make an attempt. Talk to them privately and summarize why you are concerned about them, but don’t promise secrecy.
Take seriously jokes or hints about suicide or the belief that everyone would be better off without them, and take special note if they seem to be tying up loose ends or giving away personal items. It is advisable to remove guns, knives or other potentially lethal items from the home as well as to limit the availability of medications and other substances that could be abused as well as to monitor their use. Should a person appear to be imminently dangerous to self, call 911 or take them to an emergency room as soon as possible.