Thoughts of death come on swift,
Like a tightly clenched fist.
If the wound is deep,
blood will seep.
...
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Psychologists claim if you change your thinking, you change your feeling and can overcome a bad situation, The speaker realizes this, which mitigates her peril. But the succession of IF statements set up almost relentless steps toward disaster. Like a drumbeat. But steps toward a positive outcome can set up their own march to rescue. Overall this strikes me as a poem of steady hope and improvement.
Your poem ends with four WHAT IF statements. The first two wallow in self-pity and are extremely dangerous, but the last two show this person changing their thinking so that they derail this dark train of thought. When a person us gripped by negative emotions, everything gets blurred, particularly the danger they're in. Your poem clearly shows that this kind of thinking has be arrested and put in a mental prison so that the person can be liberated from suicidal thoughts.
OR If the thoughts go away..............your brain's blown away! sorry! i'm a badddddddddddddd boy! elena, i noticed (again) a comment you left in 2015; someone recently commented on the same poem. it got me thinking: i wonder what Elena's been up to. i hope not thinking thoughts (seriously) as you write of in the poem. but i've had thoughts of suicide; nothin' serious(ly planned) . i think suicide is a handy tool, but it sure can be messy and inconvenient AND many people frown on it for some reason(s) . ha ha hmmph! well, living can be messy and inconvenient also, plenty of times! thanks for your well-put-together thoughts AND the rhyming. i'll read one more 'recent' one from you. bri :) to MyPoemList
thoughts of suicide have come on me for very brief periods in my life, spaced, usually far apart. they always seem to have something to do with a woman. the lack of one in my life, or the threat of losing one who is in my life. they DO come on swiftly! ! it has never gotten anywhere near the point of my writing a suicide note or obtaining a means of my end. if it had, i hope i would have sought counseling. i'd give these tips for anyone developing such thoughts: tell others you trust, who will NOT preach but lend a friendly ear or two. turn on some lights. get involved in an activity one enjoys. this can include ICE CREAM! bri ak Brian :) i did comment previously.