On Christmas Eve of 2016, I received a phone call from Baltimore’s Shock Trauma Center.

“Hello, this is Dr. T,” the caller said. “I’m the physician for your son, Adam. He was rushed to Shock Trauma last night. He jumped off a three-story building and landed on a car. Fortunately, he was under the influence, so he fell like a rag doll and only fractured three vertebrae.”

“My son . . . what?” I gasped.

I suppose, in retrospect, my cousin’s death should have been labeled as a suicide.

Her depression and self-medication with copious amounts of vodka might have served as a premonition of her early demise. Her controlling, narcissistic, Catholic mother doled out plenty of guilt after my cousin’s divorce. Loneliness was her steadfast companion, along with a usually almost-full bottle of vodka.

Once, I accidentally burned my hair while turning it flamingo pink. As I slowly cut off the long, singed locks, with scissors too small for one clean cut, I was surprised by how light I felt with each snip. “Touché,” I chuckled to myself.

We medical providers care for countless patients who feel depressed. For those folks, sometimes life feels so difficult and terrible, that they have thoughts of wishing they didn’t exist, or that the world would be better if they didn’t exist. Sometimes these patients have a plan to end their lives. The more concrete the plan, the more we worry.