Please take a video of the cuts to show to him when he is in a calmer state and the cuts have healed. When I was in ICU post-suicide attempt, on ventilator, my then husband regretted not having taken a video - it would have been very educational to show to me afterwards, because otherwise this experience is not reality. It is not exactly the same situation, but close enough.
So when he does take the meds, they help? Does he have a reason for refusing them or is it irrational?
Hugs to you! It must be horribly difficult!
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