How do I tell my family I want to quit treatment just so I can die?

Posted by oodlesofeep @oodlesofeep, Dec 30, 2025

I have major depressive disorder and I’m ready to go. I got MS in my early twenties, it’s been 10 years. Granted, treatment is going well. But I really don’t want to continue treatment anymore. I’ve been told by my doctors that, without any treatment, I’ll have 5 years to live—maybe—but that’s what I want. I want to be done. I can’t figure out how to explain to my family that I’m stopping my treatment and accepting death when, really, treatment is working for me. I’ll admit, depression plays a huge part in it but that’s also a disease I want to be done with. I see passing from MS as a more acceptable way to go for my family than just offing myself behind their backs. But, since treatment is working, I feel like a huge POS to be even thinking about this. I’m tried of doctors, I’m tired of tests, I’m tired of infusions and I’m tired period. Any advice? Is this a more acceptable suicide?
(Please, don’t comment on here trying to change my mind. I will ignore you.)

Interested in more discussions like this? Go to the Depression & Anxiety Support Group.

Profile picture for Jim, Volunteer Mentor @jimhd

A man in our church was a quadriplegic and had other serious health issues. One day as I was visiting him in a sub par nursing home, he asked me if he would go to heaven if he stopped taking the meds that were just extending his life artificially. I guess I kind of gave him permission to refuse the medications, knowing that he had faith in God, and he didn't live very long after he stopped taking the meds. He had no "quality of life", though that isn't always a reason to end one's life, but as his pastor, I knew he was ready to go. He passed peacefully in his sleep, leaving behind the pain and suffering.

I'm a suicide survivor (selfish is an inappropriate description), and knowing what I do now, 25 years later, I have confidence that if I had not survived, I would have woken up in heaven. I was frankly disappointed that I woke up in my own bed.

Suicide is an uncomfortable word for many people. Spoken in a group of people, it's an instant conversation breaker. Any mention of death can be challenging. But it's part of the natural cycle of life. I choose every day to live another day, another week, another month, or just another hour. For me, it's a decision to make often. Most people never give it a thought. They're fortunate. Mental distress is hard to live with.

Jim

Jump to this post

@jimhd I’m so glad he had someone like you to tell him it was OK to feel like he did. I believe people who are suffering from multiple diseases, are in pain, and have a low quality of life should have the right to choose when to end their lives. The horrific reality of nursing homes is another thing to consider.

REPLY
Profile picture for Dolly Jane @dollyjaneprenzel

I have had MDD since I was 16, although at that time no body really knew much about it. I will be 80 in July. Living with this condition for 64 years has been challenging. I have attempted suicide once, and considered it many times. Two and a half years ago, I took a fall and landed in the hospital for almost a week, and in rehab for two weeks. I have not recovered fully. I have a headache every day, and I have lost a lot, mentally, especially in comprehension. I no longer go out, to church, or anywhere, really, and physically - I seem to have lost my balance and strength all at once. My life has been reduced to a pinprick of light. On some days the pinprick turns into a ray. On other days I sleep much of the day. I have no desire to continue living, but I am unwilling to try suicide again for fear of failing. I have no family or friends to tell how I feel. I have thought of starving myself, but fear I would be force-fed. I don’t know what to do. Blessings.

Jump to this post

@dollyjaneprenzel - having major depressive disorder for decades would be very hard. Really rough when you have times when you just don't want to keep on with life.

I do know from writing for Mayo Clinic's trauma center that falls can really be a challenging tipping point for older adults - much more difficult to recover from, and can lead to a bit of a slide in the downhill health direction.

I like your description of the pinprick of light turning into a ray of light. That actually gives a real picture of hope dawning.

I believe you mentioned that you have a dog named Daphne? I recall she was getting up there in age. Is she still living? If so, does she provide any hope and desire to stay around for you?

REPLY
Profile picture for Lisa Lucier, Moderator @lisalucier

@dollyjaneprenzel - having major depressive disorder for decades would be very hard. Really rough when you have times when you just don't want to keep on with life.

I do know from writing for Mayo Clinic's trauma center that falls can really be a challenging tipping point for older adults - much more difficult to recover from, and can lead to a bit of a slide in the downhill health direction.

I like your description of the pinprick of light turning into a ray of light. That actually gives a real picture of hope dawning.

I believe you mentioned that you have a dog named Daphne? I recall she was getting up there in age. Is she still living? If so, does she provide any hope and desire to stay around for you?

Jump to this post

@lisalucier

Lisa, how kind of you to write! Yes, Daphne is one of the rays of light in my life. Although she will soon be 14, she is in good health and I hope and pray she will be with me a while longer. I adore her. Plus, she requires walking three times a day and that gets me out and about and into the sunshine. I would never leave her. Thank you so much for your concern and interest. I’ll keep plugging. Have a lovely weekend. Best wishes, Dolly

REPLY

Your life is your choice. If you tell your family, they might try and move you to an institution. Certain people don't believe you have the right to die no matter how much you suffer. It sounds like you don't really want this to be your decision. You should find a support group. I have suffered with depression, all of my life. I have many health issues and hope I have the guts to go on my own terms when I can no longer take care of myself. I will, I hope, be able to explain it in a letter that they will find after the fact. Wasting away is no way to go.

REPLY
Profile picture for tomkofathensga @tomkofathensga

Your life is your choice. If you tell your family, they might try and move you to an institution. Certain people don't believe you have the right to die no matter how much you suffer. It sounds like you don't really want this to be your decision. You should find a support group. I have suffered with depression, all of my life. I have many health issues and hope I have the guts to go on my own terms when I can no longer take care of myself. I will, I hope, be able to explain it in a letter that they will find after the fact. Wasting away is no way to go.

Jump to this post

@tomkofathensga My gosh, you took the words right out of my mouth. I have learned never to mention the idea of suicide to anyone. When I mentioned to my physician that I was considering it he called the police! Big, big secret from here on out. When I'm ready, I will go. Like you, I do not want to spend my last days having to be 'taken care of'.

REPLY

very insightful. Thank you!

REPLY
Profile picture for Dolly Jane @dollyjaneprenzel

I have had MDD since I was 16, although at that time no body really knew much about it. I will be 80 in July. Living with this condition for 64 years has been challenging. I have attempted suicide once, and considered it many times. Two and a half years ago, I took a fall and landed in the hospital for almost a week, and in rehab for two weeks. I have not recovered fully. I have a headache every day, and I have lost a lot, mentally, especially in comprehension. I no longer go out, to church, or anywhere, really, and physically - I seem to have lost my balance and strength all at once. My life has been reduced to a pinprick of light. On some days the pinprick turns into a ray. On other days I sleep much of the day. I have no desire to continue living, but I am unwilling to try suicide again for fear of failing. I have no family or friends to tell how I feel. I have thought of starving myself, but fear I would be force-fed. I don’t know what to do. Blessings.

Jump to this post

@dollyjaneprenzel Oh my goodness. I am amazed at how long you have fought your personal battles. What makes a day into a "ray" for you? I deal with chronic pain from an operation 8 months ago. I also fell afterwards and injured my hips. I know a bit of what pain can do to your overall welbeing. Are you able to get any outside resources of help? Maybe a home Healthcare worker once a week, or a P.T. person to come into your home? You mentioned church. Does anyone there know what you are going through? I know it is difficult to reach out to others when you are feeling down. Blessings to you. You will find people in here you can share with any time. 💕

REPLY

I don't think telling you my horror story a life matters right now. I'm 60 years old and over the years I tried unsuccessfully 4 times. 44 surgeries,every abuse at the hands of my mother's golden child son, my daughter murdered by her father at 13 in 2001. I was broken and sick starting young. 3 female surgeries from 16-17 bc the golden child gave me an STD and Mom just called me a slut from then on, Dad knew I was a virgin. I lost every loved one suddenly. I only have a daughter left. When her Dad died in 2015 suddenly, she became a needle junkie and I had to move away from her. She's almost 5 years sober.....anyways, I wasn't gonna share that much, but it's YOUR LIFE YOUR CHOICE!! My daughter and close friends know, and I've written it down and had it notarized, that if I can't mostly care for myself, don't know who people are anymore, we're going to Oregon where assisted suicide is legal. I know what nursing homes are like and how badly they treat some of these patients and I refuse to go. If they don't follow my wishes, I will choose my way out. I extremely alone and feel no purpose right now but I'm not ready to go yet, even tho all I do is go to church, the river and doctors I commend you for your honesty and coming here to talk about it. I hope you find some peace. It helps me to go to a river or the Falls...natural flowing waters. It's like I can dump my crap in the water and it takes it away if only for a little bit. Thank you for sharing this here. You're not alone....p.s
I made sure my life insurance would still pay out..lol😢💔❤️😊

REPLY
Profile picture for Randy Shields @randallshields56

wow what a statement, my beliefs wont allow sideways without going to hell, my brother gave up and went that direction, all i could do was pray for him. not trying to change your mind and i so much at a couple points wanted the same, let me go.. that is what my family said i was being too selfish. been dead a couple times and brought back at the last minuet. god must have plans for me and not sure what they are, i could be worse off than recovering from a major head trauma like i am right now, some days i dont want to get out of bed, you know-give up. but i have seen too many family members and friends at funerals who were crushed by selfish individuals. my fight that keeps me in the game is knowing my daughter would be hit the hardest and i get up every day and i work at staying alive so i can give her the drive to carry on too. she has seizures and the doc says one day a grand mall . mine are better now been a couple months since my last and ill keep praying .every day they are finding cures for things. i just have someone to fight to live for. I pray you find that person. Have a blessed evening and try to make someone's day brighter, a smile or laugh goes a long way, same as a hug. say love ya to somebody. make a difference to someone who cares. i recently turned 69 and want to see 100 plus.

Jump to this post

@randallshields56 ..Walk in MY shoes for 5 minutes and then you can criticize or give me your wisdom or advice on life. I was diagnosed with MS at 29. Due to a medical screw-up at age 54 I was hospitalized and discharged after 2 weeks in the isolation ward with Chemical Meningitis. As a result of the screw-up I now have Adhesive Arachnoiditis. I lost my career and income. I am in chronic to intractable pain even with a neurostimulator. Can't drive, eyesight is bad, and that is just a start. I am in my 70's now. NO ONE has the right to tell me I have fight.

REPLY
Profile picture for top1sgt @top1sgt

@randallshields56 ..Walk in MY shoes for 5 minutes and then you can criticize or give me your wisdom or advice on life. I was diagnosed with MS at 29. Due to a medical screw-up at age 54 I was hospitalized and discharged after 2 weeks in the isolation ward with Chemical Meningitis. As a result of the screw-up I now have Adhesive Arachnoiditis. I lost my career and income. I am in chronic to intractable pain even with a neurostimulator. Can't drive, eyesight is bad, and that is just a start. I am in my 70's now. NO ONE has the right to tell me I have fight.

Jump to this post

@top1sgt, you're quite right that no one can tell another person what they should do or that you have to fight. Everyone has their own story and right to make choices. @randallshields56's comment was not directed to you, but sharing his experiences and the choices he has made.

For everyone:
As I do from time to time, I'd like to remind everyone of the Community Guidelines https://connect.mayoclinic.org/blog/about-connect/tab/community-guidelines/ In particular, I'd like to underline guidelines number 4
4. Respect all members.
- Use respectful language. Profanity, offensive language, and abusive comments are not allowed.
- Treat others with respect, even when you disagree.
- Disagreement is okay, but personal attacks are not. Personal attacks will be removed.
- Be inclusive. Do not assume others share your beliefs or want religious guidance.

The guiding priniciples of Mayo Clinic Connect create a community that is safe, supportive, inclusive, and respectful. Naturally, we only have words to communicate without the benefit of enhancing our messages with tone of voice or body language.

REPLY
Please sign in or register to post a reply.