I would think a 4 th option would be deciding that you both want to maintain the friendship but that this tug of war about you getting better needs to stop . They can ' t force you to do anything and it would just be up to them if they are willing to accept you asis and want to remain in contact . Killing yourself would be a wildly dramatic step to take just to resolve this problem , and no I don ' t think it would be as minor of an event for your friend as you make it sound . That could take away a big piece of them for a long time , knowing that they were the main person trying to keep you afloat and then you ended it . They ' d probably blame themselves forever that they didn ' t do more or have you committed somewhere when you were at your worst . If it were me I would just send the person a message and say I think the fight to get me feeling better is causing too much of a strain , and we need to either be friends who stop bringing that topic up for the time being , or it ' ll be up to them if they want to walk away . The other option would of course be that you seriously start to pursue treatment as that would probably make your friend happy .