Knowing that people just like ourselves make the choice to take their own lives is one of the most exasperating things that we, as medics, must face. (In this I will speak in the present tense because this subject is no less close to me today than it was when I left the field 25 years ago.)
Here we are, dedicating our lives to help people continue to live, and some of the people we serve want to die. And we get called to intervene! We're asked to keep people alive who, in some cases really don't want to be here!
Have you not met some who you really believed?
How can you miss the absurdity, paradoxes, and conflicts in being subject to these kinds of assaults, day after day after day? That's the essence of our job because if you really looked at it, a significant proportion of our patients are the result of ongoing attempts at suicide via lifestyle choices. They just drag it out and we get dragged in to their slow process.
Please, get off your high horses. Who amongst us does not at one time flirt with the idea and far more often say, "Jesus, I'm killing myself by doing this!"? From the moment we're born, somewhere deep inside we continually ask ourselves why we continue to live. Innately we all know living is a choice and yes, we do despise those who choose otherwise. Why? Because we know sometimes to continue to live is a hard choice to follow through on! (Ever had a broken heart?)
Some of our patients only seem to act like they want to die and they're really bush-league actors. And yes, just so they can get attention from people who want them to live! Some, so transparently and pitifully that you have to laugh; It just looks so strange and unfathomable and they're such Idiots and what the hell am I doing here when there's someone who really wants to live out there getting ready to call me for help?!
(I'll stop here to let you throw brickbats and tomatoes at me and worse.
Feel better? Me, too!)
But remember, we as humans, unlike Mr. Spock, are actually wired to be able to laugh at ANYTHING! Who amongst us is not exposed to, if not titillated by gallows humor? When I hear you all condemn each other for suddenly being overcome by very human emotions -- exponentially magnified by the absurd nature of the reality we're exposed to! -- it annoys me because laughing at tragedy is one part that lives in us all.
We laugh to lessen the pain. No subject is immune.
But it has to be seen in context...if that's the only place the person comes from, if there's not a seeking of balance, and YES the willingness to shed a tear for the pain of others at times, then that insensitivity is toxic and dangerous.
Give the kid his laugh, and learn who he is, too.