Your brother is truly terribly depressed. Some medication might help him feel a bit better. It won't change his life, but might enable him to come a little higher up from such deep depths of darkness. Maybe you could help him access professional help. Getting diagnosed and treated might help him feel "cared for." If he could be placed in a Partial Hospitalization Program (day treatment in a group), if might help him greatly.
The trouble is that public healthcare systems don't have enough resources to help every body who could use the help. That's really too bad. Still, someplace might take him.
He's lucky to have you. Obviously, you are very concerned about him, as he is deserving of .
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