This is not from a therapist but is just something I've been doing (so please just take it as one guys approach and not as actual advice).

I fantasize about suicide a lot. Always have. A few months ago this was a big problem and one night I thought, "I don't really want to die. So what is this really about?"

I came to see it as a desperate need for escape from the illness. So now I guide those thoughts/fantasies towards that. I intentionally picture myself free of stress and depression. Sometimes to get there I have to fantasize that I'm someone else without these problems. Other times I'll dream that there's a new medical breakthrough and the illness is largely relieved.

So that's me and it kinda works. I mean, I'll always imagine suicide because I'm a dark/cynical person who is drawn to such topics but focusing on what I really want does help a bit.

Cyran0