My trippy friend keeps trying to kill himself, what do I do?

[kake]

My friend has mental problems, more than he cares to tell us about.
He always wants to be fucked up, reality just doesn't capture his attention any more, though he's usually triping his nut off whether he's on something or not because theres acid sitting at the base of his spine.

He's tried asking for help, he called the hotline and was whisked away to a hospital where they were trying to get rid of the trippyness, but he ended up going against the doctors orders and taking drugs anyway, mixing them with his perscriptions (which were mental anti depressants that made him buzz). Not only does he do it to the point where he has no idea what's going on around him, but he does it around us and expects us to be ok with the fact that he's fucking himself up and leaving us to deal with the vacant husk he leaves behind when he goes to build divine connection.
He also suffers from fits and has recently found a lump on his breast that he thinks might be cancerous.
His parents and his friends have been supporting him in every way they can, he knows we love him and we don't want to be without him. They even got him a puppy which has really lifted his spirits and given him something to look forward to when it has puppies of its own.
Last I heard, my friend was loitering around the local 'drug pickup point' looking INCREDIBLY sick, with "green blotches on his skin" he hasnt slept in about four days and still has the remnants of 30 mephamphetamine based pills that no one would buy from him.
I dont know what to do, it seems no matter what we say, he just wants to get fucked up and says no one will ever understand.
Actually is mentally ill, thats not a lie.

[Autumn]

Hi Kake. Your friend isn't mentally unwell, his only problem in the world is that he is a drug addict and loving it. All of you pandering to him and 'rewarding' his behaviour with puppies and attention isn't exactly helping him change; you're making his destructive life easy and it will kill him.

You need to have an intervention and tell him that although you love him none of you are going to see him until he's clean. No more sorting out his messes or reassuring him. All of you are suffering so that one person can be selfish and needy and put drugs before all of your needs.

He has seizures because of the drug abuse and the 'lump', if it exists, is probably an infection as drug abuse does mess with your immune system; as does HIV.

You all need to follow through with this however much he manipulates you by using words such as cancer or by saying he is homeless. Do not answer the phone, block him on social media sites and don't answer the door to him. He can call that hotline again and get professional help.

No addict will give up their poison if they don't want to. No-one can change him or save him until he hits rock bottom and begs for help. At this point he is not cured and you stay away. Only once he has been through rehab and detoxed and had counselling can you see him again.

You can't trust an addict so you need confirmation from a cousellor or social worker who has worked with him. DO NOT reward him for going getting clean. Staying clean is harder than getting clean and you can so easily all fall back into your old roles.

This is why recovering addicts are encouraged to move away and leave their old lives behind. He should be the making up for the harm he's done and you don't reward someone for getting off drugs.

You all need to wake up and realise that he is not a child or a vulnerable adult or mentally ill. You are all helping a man kill himself and running around in circles in the process. What is wrong in your own life that you're avoiding by concentrating on this one person? Are you depressed or lonely? If you feel compelled to care you will be made very welcome as a volunteer at a hospice or hospital. Please don't waste your life.

Best wishes, A x

PS It makes no difference if he is mentally unwell - he knows where to get help. You will probably find that his psychosis will pass when he is clean. I know you're trying to do the best for him but he won't change unless you do. Google "friends and family of addicts" and see the range of support and advice there is for you in your country. There are forums and support groups where you can all learn how to help him as well as get emotional support for yourselves.

Please look after yourself, A x