10/25/2025
Dr Fisher writes this insightful post about Suicidal Ideation. In Trauma associated with abuse, these thoughts may facilitate survival. Ideations are concerning and should not be dismissed. If you or someone you know is expressing suicidal ideations, a therapist trained in Trauma treatment can help.
Suicidal ideation is rarely, if ever, about wanting to die. Its intent is to make life bearable by giving the client an “out,” a way of feeling some control over her pain and shame. Originally, it may have developed during the abuse as an attempt to tolerate the fears that the abuse would annihilate her: if you want to die, dying is not so terrifying. In adulthood, it is also a way of controlling the overwhelming fear and pain. When we reframe the suicidal ideation and impulses in this way, we can empathize with the survivor’s struggle: she longs for death as a way to live.