Understanding PMDD and suicide risk: getting support

Understanding PMDD and suicide risk: getting support

TW: PMDD & suicide. Please take care while reading. For urgent help in the UK, call Samaritans on 116 123.

Summary: PMDD can sometimes trigger suicidal thoughts, and it’s vital to know where to turn for help. This article explains what PMDD is, how it can impact mood, and the urgent and ongoing support available - from emergency services to specialist charities. You are not alone, and support is always within reach.


What is PMDD?

Premenstrual Dysphoric Disorder (PMDD) is a cyclical, hormonally driven mood disorder that affects 5-8% people with menstrual cycles. Symptoms typically occurring in the two weeks before menstruation and are relieved by the onset of your period. In PMDD, physical and psychological premenstrual symptoms are severe and can significantly affect quality of life. 

Symptoms of PMDD include:

  • severe mood swings
  • depression or feelings of hopelessness
  • anxiety or panic attacks
  • irritability or anger
  • fatigue and trouble sleeping
  • difficulty concentrating
  • physical symptoms like joint or muscle pain

For many people with PMDD, these symptoms are debilitating and can affect their ability to function day-to-day. In some cases, the emotional distress associated with PMDD can lead to thoughts of suicide.

How PMDD can affect your mood

PMDD can severely affect emotional well-being, with significant mood disturbances occurring in the weeks before menstruation. Symptoms such as irritability, depression, and feelings of overwhelming despair are common. During intense episodes, thoughts of suicide can occur, particularly when feelings of hopelessness and helplessness are amplified by hormonal fluctuations.

If you are feeling suicidal: immediate steps to take

Suicidal thoughts are a medical emergency. If you are experiencing thoughts of suicide, it’s vital to seek immediate support. Below are options for urgent help:


Immediate support

Emergency services

  • 999 (if you're in immediate danger)
  • 111 (for urgent medical help, including mental health support)

If you are risk of harming yourself, or need immediate care, contact emergency services for help. 

Accident & Emergency (A&E)
If you're in a crisis and need immediate support, A&E is available at your local hospital.

Samaritans (24/7 Helpline)
Call: 116123 (free, anonymous, available 24/7)
Text: 07725 90 90 90 (for people who prefer texting)
Website: samaritans.org
Samaritans provide confidential emotional support, available around the clock. 

SHOUT (Text support for urgent mental health help)
Text: 85258
Website: giveusashout.org
SHOUT is a free, 24/7 text service for anyone in a crisis. A trained volunteer can offer support via text, which can be particularly helpful if you're unable to speak on the phone. 

 

Support from your GP or mental health services

Contact your GP for advice on managing PMDD and any mental health issues. They can refer you to a specialist for further support, such as a psychologist or psychiatrist.

If you are at immediate risk of harm, your GP can help arrange urgent mental health care.

 

PMDD-specific and suicide prevention charities

  1. PMDD Project
    Website: pmddproject.org
    The PMDD project provides free support and resources for those affected by PMDD, including guidance on managing emotional distress.

  2. Mind
    Website: mind.org.uk
    Mind offers a range of mental health resources and can provide support for those experiencing suicidal thoughts, including referrals to local services.

  3. Rethink Mental Illness
    Website: rethink.org
    Rethink provides practical advice and support for people living with mental health conditions, including suicide prevention.

  4. SANE Helpline
    Call: 0300 304 7000
    Website: sane.org.uk
    SANE offers support and guidance for people in emotional distress, and can provide assistance for those with suicidal thoughts.


Additional resources

  1.   Papyrus UK (suicide prevention for young people)
    Call: 0800 068 4141
    Text: 07860 039967
    Website: papyrus-uk.org

  2. The Calm Zone (Campaign Against Living Miserably)
    Website: thecalmzone.net
    Call: 0800 58 58 58

It's important to reach out for support

If you are feeling suicidal, it’s crucial to reach out for help. You don’t need to face these feelings alone - support is available, and with the right care, it is possible to manage both PMDD symptoms and mental health distress. 

Disclaimer: This content is for informational purposes only and is not intended as medical advice. Always speak to a qualified healthcare professional about any health concerns.

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