I have a lot of experience with suicidal ideation. What’s that? It’s fancy talk for thoughts about suicide. (Oh shit, is she just gonna talk about this, like it’s a thing that happens to a bunch of people on the regular and not a five-alarm fire? Yes, yes she is.) Suicidal thoughts can be triggered or they can be intrusive (i.e., spontaneous). Most people associate them with depression, but they can occur in hypo/manic episodes as well. Regardless of cause, they cannot be ignored. Here’s my list of what to do when the Suicide Gnome attacks. 1. Tell someone . This is hard. This makes it real, but that’s important. If we don’t acknowledge it, it can continue to grow in the shadows. Telling someone brings it into the light. It also makes me feel like a broken crazy person, but it has to be done. 2. Don’t ruminate or plan . Suicidal thoughts are alarming but worrying about having them only gives them more of y...