Supporting a Loved One with Post-Traumatic Stress Disorder and Suicidal Ideation
DR. ROSELYN AKER-BLACK
Living with or loving someone who is struggling with Post-Traumatic Stress Disorder (PTSD) and suicidal ideation can be overwhelming, heartbreaking, and at times, confusing. As a clinical psychologist and someone who comes from a military family, I’ve witnessed firsthand the silent battles that take place beyond the uniform or after the trauma. These experiences leave marks that aren’t always visible—but are always real. PTSD is a mental health condition triggered by experiencing or witnessing a terrifying event. While it is often associated with combat veterans, it can also affect survivors of abuse, natural disasters, serious accidents, or any traumatic event. Suicidal ideation refers to thoughts of ending one’s own life and is often a sign of deep emotional pain.
Recognizing the Signs Understanding how PTSD and suicidal thoughts show up is the first step in offering compassionate support. Here are some common behaviors that may signal someone is struggling: Avoidance: The person may avoid people, places, conversations, or situations that remind them of the trauma. For example, a veteran might avoid crowds or loud noises like fireworks. Hypervigilance: Constantly feeling on edge, scanning surroundings for danger, difficulty sleeping, and being easily startled are signs the nervous system is on high alert. Isolation: Withdrawing from loved ones, losing interest in previously enjoyed activities, or spending long periods alone may reflect emotional numbness or a fear of being misunderstood. Irritability or Anger: Quick temper, mood swings, or snapping at others without clear reason can be signs of unresolved inner turmoil. Expressions of Hopelessness or Worthlessness: Saying things like “everyone would be better off without me” or “I’m just a burden” are red flags for suicidal ideation.
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