I believe that being suicidal is not the same thing as simply wanting to die. Of course, if you’re suicidal, you do want to die (or, more specifically, to end your pain through death) but, if you simply want to die, you may not be actively suicidal. Please understand that wanting to die and being suicidal are both serious and dangerous, but I would suggest they are not the same.
In saying that, I haven’t been suicidal that entire time. In my opinion, being suicidal moves you from the realm of wanting to die to the place where you are actively start taking steps to die by suicide. This might be picturing your death, writing a suicide note or making a plan. I tend to picture my death over and over and over. Again, my brain seems to produce this thought endlessly.
It seems that nothing will move my brain from this place until the medication kicks in.
(I’ve also written a suicide self-assessment scale – but please understand that it is produced by me and in no way scientific.)
In my experience, wanting to die is passive and being suicidal is active. Thus, being suicidal is considerably more dangerous. I’m not saying that a passive desire to die can’t hurt you – certainly it can – but I would suggest that being actively suicidal is more of an emergency situation.
Why does the difference between suicidality and wanting to die matter? Well, I think it impacts how you communicate your feelings. For example, when I simply want to die, I don’t feel that I’m in imminent danger but I know that feeling and thought pattern could be a stepping stone to full-blown suicidality so I need to deal with it and absolutely not ignore it.
If, on the other hand, I’m actively suicidal, that’s the time when a suicide safety plans needs to be put into place and even a trip to the hospital may need to be arranged.
While I absolutely think that both states need to be recognized and dealt with, I still think it’s important to recognize the difference between a serious problem and an emergency situation.
Regardless, if you are feeling either one of these things, you need to know that treatment helps – in fact, treatment is the only thing that does (if you ask me). That might be talking to your therapist or doctor, but definitely talk to a professional. Hopefully you can successfully communicate your specific state and your professional can assess your active risk for harm and get you the help that you need.
If you feel you may hurt yourself or someone else, please call 9-1-1 now if it comes down to your life or a three digit number, your life wins every time. That is what emergency personnel are there for. You can also see my page on suicide and mental illness help which includes information on hotlines.
Natasha Tracy is an award-winning writer, speaker and consultant from the Pacific Northwest. She has been living with bipolar disorder for 18 years and has written more than 1000 articles on the subject.
10 Sudden Cardiac Arrest
Sudden cardiac arrest, also known as SCA, can occur when the sinoatrial node, which is the node in the heart that is essentially your body’s natural pacemaker, becomes impaired. In other words, this condition occurs when the electrical systems of the heart malfunction. And in some cases, it is deadly within the first few minutes.
How does it kill? Well, it basically reduces blood flow to the brain. And the scariest part? Not only can it happen during sleep, but half of cases show no symptoms before the cardiac arrest occurs.
9 Carbon Monoxide Poisoning
Carbon monoxide, or CO, is a colorless, odorless gas that can be lethal if too much of it is breathed into the lungs. It can be found in the fumes that come from running cars, stoves, grills, fireplaces, gas ranges, furnaces, and so on, and it can be almost impossible to detect unless a carbon monoxide detector is in use.
How does it kill? Basically, if enough of it builds up in a small enough space, breathing it in can become toxic. And if you inhale enough of it, just having it in your lungs can be enough to “seal the deal” in a very final way. If awake, the victim may experience symptoms like dizziness, weakness, a headache, or an upset stomach.
But what if it catches you while you’re asleep? Well, people who are sleeping often experience no symptoms, and they can die in their sleep before they even realize that it’s happening.
8 Myocardial Infarction
A myocardial infarction, more commonly known as a heart attack, can happen during sleep, though thankfully, the odds are pretty good that this specific type of cardiac event will wake its victim up before it kills them.
Heart attacks happen when blood flow to part of the heart gets blocked. This blockage can destroy part of the heart muscle.
How does it kill? If enough heart tissue gets damaged, the heart may not be strong enough to pump any blood out to the rest of the body. This can result in heart failure, which could be lethal if medical treatment isn’t obtained immediately.
Unfortunately, it isn’t usually possible for a heart attack victim to seek medical attention if they are asleep—and that is the part that’s terrifying.
7 Central Sleep Apnea
Central sleep apnea is basically a disorder that causes the sufferer’s breathing to stop and start repeatedly while they are unconscious. It happens when the brain doesn’t send the proper electrical signals to the muscles that control the breathing mechanisms during sleep and is believed to originate from a problem in the brain stem.
How does it kill? Basically, if the case of apnea is bad enough, hypoxemia may set in—which happens when oxygen levels in the body fall below those required for normal life function. This basically leads to oxygen deprivation.
If the brain is not able to rouse the body in enough time to take a breath, the prognosis can be fatal!
6 Unexplained Nocturnal Death Syndrome
This is undoubtedly one of the more “mysterious” inclusions in our list.
Unexplained nocturnal death syndrome (SUNDS) was first reported in 1917. Since then, it has gained a pretty scary reputation in both textbooks and on the dark corners of the Internet. In the Philippines, they call it Bangungut, and in Hawaii, they call it Dream Disease.
The exact cause of death among those who die of SUNDS is actually still unclear, but the presentation always seems to be similar. It basically causes otherwise young, healthy individuals to die in their sleep for seemingly no reason.
How does it kill? Scientists still aren’t sure . . . but it tends to occur frequently in Southeast Asia, and researchers suspect a range of possible explanations, from malfunctions of the ion channel to ventricular fibrillation.
5 Cerebral Aneurysm
A cerebral aneurysm, also known as a brain aneurysm, is basically a weak spot in the wall of a blood vessel in the brain. It is kind of like a thin balloon that fills with blood. But over time, as the blood pumps through the artery, it continues to weaken and swell—and if the pressure increases too much, a rupture can occur.
How does it kill? When an aneurysm ruptures, the bleeding usually only lasts for a few seconds. But the blood causes damage to the surrounding brain cells and can increase the pressure inside the skull. If the pressure elevates too much, the condition can quickly turn fatal.
4 Enterovirus D68
This is one of the more obscure entries on our list, but that makes it no less terrifying.
Enterovirus D68 (EV-D68) is a type of non-polio enterovirus that was first identified back in 1962. But back in 2014, there was a huge increase in the number of reported cases, leaving researchers to wonder if the virus was going to become more predominant in coming years than they had expected.
The scary thing about EV-D68 is that while it usually causes mild to severe respiratory illness symptoms, it sometimes produces no symptoms at all. And yet, physicians are saying that the disease has the potential to be more dangerous than Ebola in the US.
How does it kill? It can cause particularly severe respiratory problems, characterized by a high-pitched wheezing sound that has become a dreaded earmark of infection. It has also been associated with muscle weakness and spinal cord inflammation, which is perhaps even more terrifying than the wheezing.
Dying of an infection is not necessarily common, but sometimes, the symptoms are dangerous enough to kill—even if the victim is asleep.
3 Dry Drowning
Most of us are aware that you can drown in the water. This seems like a no-brainer. But a lot of people are not familiar at all with the term “dry drowning” and what it means.
And as it turns out, it is a pretty horrific way to die!
Basically, the idea behind this danger is that it is a type of drowning that can occur even after the victim has left the water. It is technically still drowning, but “dry drowning” is the term that has come to be used to describe it, though some doctors have argued for the dropping of said term.
It can occur when inhaled water, even just a drop or two, makes it past the throat and into the lungs. This usually causes symptoms, but they are sometimes mild and easy to miss.
The scary thing is that this water can cause breathing problems that get worse over time. And in some cases, these breathing problems don’t strike until hours, or even days later—after the victim has fallen asleep. So-called “dry drowning” is actually pretty rare when you look at total deaths attributed to drowning, but this makes it no less disturbing.
How does it kill? It basically asphyxiates the victim—depriving them of oxygen until they suffocate.
2 The Widow Maker Heart Attack
While most heart attacks have a decent chance of waking their victims up before death occurs, the “widow maker” tends to be an exception. We have already mentioned heart attacks in general once on this list, but this particular type of infarction deserves its own spot.
Why? Because it is among the deadliest types of heart attacks that can occur. It happens when the left main artery, also known as the left anterior descending artery, gets blocked. A 100-percent blockage in this artery is almost always fatal without immediate emergency care—hence the nickname.
How does it kill? Heart attacks with severe enough blockages result in damaged heart muscle. And if the muscle becomes too damaged to pump blood, the result can be fatal.
1 Obstructive Sleep Apnea
Obstructive sleep apnea (OSA) is a sleep disorder in which the victim repeatedly stops and starts their breathing process during sleep. OSA is by far the most common type of sleep apnea, and as it turns out, it is also probably the most likely reason that a person may die in their sleep.
This type of sleep apnea is literally caused by an obstruction that blocks the airway. This obstruction is usually caused by sagging throat muscles, though the muscles and tissues of the tongue, uvula, tonsils, and soft palate can all play a part. It is estimated that as many as 22 million Americans suffer from sleep apnea but that 80 percent of cases go undiagnosed—making it a true “silent killer” that many people remain unaware of.
How does it kill? People with OSA experience sudden drops in blood oxygen levels when they stop breathing . . . and if they are already at risk for a heart attack, stroke, or heart failure, then OSA can be the trigger that sets a sudden cardiac event into motion.
In such cases, death may occur before the victim even has a chance to wake up.
Joshua Sigfus is just a writer trying to make the world a better place.