### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I have been having constant thoughts of suicide for about the last 2 years. they wane from time to time but never go away. I have been on meds for the last 7 years. I cannot sleep. i am usually awake all night till 5 or 6 am. then try to sleep. some times i do most times not. The suicidal thoughts are giving me terrible anxiety as well. I have come to the realization that at some point or another , my life will end by my own hand. I have a wonderful loving wife and 2 great children. They are the only reason i am still here. but it is becoming such a struggle. I have lived in constant pain from a severe back injury. I have been a diabetic for almost 30 years. I am legally blind in one eye as a result of diabetic retinopathy. I am tired of being a human pin cushion. I am getting close to my end and starting to accept that. I just dont know what to do anymore. I am so sorry to bother you. I have no one I can confide in. I will not put this burden on my family and most of my friends are far away as I had to move away from my home because i could no longer afford it there.

### output:

Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Though modified ECT is the best option in treating suicidal thoughts, use of antidepressants can be tried. Fluoxetine, Escitalopram, mirtazapine are the Chat Doctor.  Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/