What does it mean when someone expresses a desire to "sleep and not wake up"?

When someone expresses a desire to "sleep and not wake up," it typically indicates passive suicidal ideation. This phrase reflects a wish to escape from overwhelming pain or distress without articulating a specific plan to take active measures to end their life. It suggests that the individual may be feeling hopeless or exhausted, desiring relief from their suffering but does not necessarily mean they have devised a method or taken steps to carry out that desire.

Passive suicidal ideation differs from having a clear plan to end one's life or actively considering methods to do so. The expression of wanting to "sleep" can be symbolic of seeking respite rather than a direct intention to harm themselves. It's essential to evaluate such feelings within the context of the individual's mental health status, current life situations, and any accompanying signs of distress. This understanding can guide a supportive and therapeutic approach to their care.

In contrast, acceptance of a current life situation or awareness of mental health status does not capture the significance of expressing such a desire; those would imply a level of coping or understanding that is not indicated in the statement about wanting to sleep.