Over the years I've come to see threats or contemplation of suicide to be in one of two general categories.
- The person is in real need of mental health attention or intervention.
- The person is using such claims to get a response from you, to control you, to guilt you into compliance or to manipulate you.
While there have been some instances of actual suicide or determined attempts, of the person in evident emotional pain, my sense is that more cases discussed here fell into the second category, as some level of control or manipulation.
I let my fear of my dBPDex actually killing himself after he engaged in a two week threat/attempt guilt me back in.
During the two weeks I had crisis lines call him and the non emergency line called with each threat for them to assess. Of course they would show up and he would claim he was fine and I was reading into things... .He had a few times prior threatened suicide when not getting his way but that was early on and having law enforcement do a wellness check the second time curbed that particular threat for many years. He moved on to other ways to garner attention or meet his needs to avoid feeling/cope.
How to handle the almost predictable "I'm fine and don't know why I need a wellness check"? If nothing was documented of the suicidal contemplations then it could end up as "he said, she said". (Could be (1) Denial where the person doesn't want to admit saying that or (2) on the other hand it could be denied so the real reason, control attempt, remains hidden.) So how to break the impasse? While this may seem to be triggering, if you quietly record to document what actually happened, then when the responders arrive you can prove what actually happened.
In general we should not trust ourselves to decide which it is, a plea for help or a guilt/manipulation attempt. Even if we ourselves were emergency responders or doctors, we are too close to be the ones to evaluate family or ex-family members. Let the emergency responders and mental health experts step in. As SoulCrushed4 wrote, a few wellness responses by professionals - and the costs - can reveal which it is and reduce the manipulative claims.