12 Minutes

Edited & medically reviewed by THE BALANCE Team
Fact checked

Narcissistic Personality Disorder (NPD) is a complex disorder with a variety of mental health challenges. For individuals grappling with this debilitating disorder, the risk of experiencing suicidal thoughts and behaviors is a sobering reality. Some studies suggest that individuals with narcissistic traits may be at an increased risk of experiencing suicidal thoughts [1]. 

Understanding the factors contributing to this vulnerability and how to address them is crucial in addressing the mental health challenges faced by individuals with narcissistic traits.

When it comes to addressing the unique needs of narcissists with suicidal thoughts, our luxury rehab facility specializing in the treatment of NPD offers a tailored and comprehensive approach to support their journey toward mental health and well-being.

Narcissism is a term we often hear thrown around, especially in pop culture, to describe individuals who seem self-absorbed and overly focused on their own needs and desires. But what exactly is a narcissist, and can they be suicidal? 

Let’s dive into this complex topic, exploring the nature of narcissism, its mental health implications, the relationship between narcissistic personality disorder and suicide, what triggers narcissists to consider suicide, and how common it is for narcissists to take such a drastic step.

Understanding Narcissism

Before we delve into the topic, it’s important to understand what a narcissist is. 

Narcissistic Personality Disorder is a mental health condition characterized by an inflated sense of self-importance, a constant need for admiration, and a lack of empathy for others [1].

People with NPD often believe they are superior to others, have a grandiose sense of self, and are preoccupied with fantasies of unlimited success, power, beauty, or ideal love.

Mental Health Issues Related to Narcissism

Narcissism, in its various forms, can lead to several mental health issues, not only for the person with NPD but also for those around them. Some of these issues include:

Difficulty in Maintaining Relationships: Narcissists often struggle to form and maintain healthy relationships due to their self-centered nature and lack of empathy. This can result in loneliness and isolation [1].

Depression and Anxiety: Despite their outward confidence, many narcissists experience inner turmoil, leading to symptoms of depression and anxiety.

Substance Abuse: To cope with their inner emptiness or to maintain their grandiose self-image, some narcissists turn to substance abuse.

Workplace Problems: In professional settings, narcissists may encounter difficulties working with others, which can lead to career setbacks and job instability [2].

The Relationship Between Narcissism and Suicide

Research into the relationship between narcissism and suicide is still in its infancy, but it’s an area of growing interest for psychologists. The connection appears to be complex and multifaceted. 

Here’s what we know so far:

Increased Risk of Suicidal Ideation: Some studies suggest that individuals with narcissistic traits may be at an increased risk of experiencing suicidal thoughts.

Co-occurring Mental Health Conditions: Many narcissists also struggle with other mental health conditions, such as depression and borderline personality disorder, which can significantly elevate their suicide risk [2].

Impulsivity and Recklessness: Narcissists may exhibit impulsive and reckless behavior, which could increase their vulnerability to suicidal actions.

Perceived Failure and Loss: Narcissists often set unrealistically high goals for themselves. When they perceive themselves as failing or experiencing a significant loss, it can trigger feelings of hopelessness and despair [1].

What Makes Narcissists Consider Suicide?

The factors that might trigger narcissists to contemplate suicide are complex and interrelated. 

Some of the key triggers include:

Narcissistic Injury: When a narcissist experiences a perceived injury to their self-esteem, such as criticism or rejection, it can be deeply distressing and lead to thoughts of self-harm.

Loss of Narcissistic Supply: Narcissists thrive on admiration and attention from others. If they lose their source of narcissistic supply, whether it’s a relationship or a job, they may become despondent.

Legal or Financial Troubles: Narcissists who face legal or financial problems that threaten their self-image as successful and powerful may see suicide as a way out.

Relationship Breakdown: The end of a significant relationship, particularly if it involves rejection or betrayal, can shatter a narcissist’s self-esteem and lead to suicidal thoughts [1].

How Commonly Do Narcissists Commit Suicide?

The prevalence of suicide among narcissists is not well-documented, and there is limited research on the topic. However, it’s crucial to remember that suicide is a complex phenomenon influenced by numerous factors, including individual temperament, life circumstances, and access to support.

Some key points to consider regarding the prevalence of suicide among narcissists include:

  • Suicide rates can vary widely depending on the severity of narcissistic traits and the presence of co-occurring mental health conditions [1].
  • It is challenging to estimate the exact number of narcissists who take their own lives because suicide is often underreported and may not always be directly attributed to narcissism.
  • Early intervention and mental health treatment can reduce the risk of suicide in individuals with narcissistic traits.

While NPD itself may not directly lead to suicide, it often co-occurs with other mental health problems that can contribute to suicidal thoughts and behaviors [4]. 

Co-Occurring Disorders Leading to Suicide

NPD rarely exists in isolation, and individuals with NPD may struggle with other mental health conditions that increase their risk of suicide. These co-occurring disorders can include:

Depression: Depression is a common companion to NPD. The constant need for validation and fear of criticism can lead to intense feelings of worthlessness and despair. Suicidal thoughts are a significant risk in individuals with depression.

Borderline Personality Disorder (BPD): NPD and BPD often overlap, with individuals experiencing both disorders. BPD is characterized by unstable self-identity and intense mood swings, which can contribute to suicidal thoughts and self-destructive behaviors.

Substance Abuse: Narcissists may turn to substance abuse to cope with their inner emptiness and emotional turmoil. Substance abuse significantly elevates the risk of suicidal actions [2].

Anxiety Disorders: The constant need for perfection and fear of failure can lead to high levels of anxiety in individuals with NPD. Severe anxiety can exacerbate suicidal ideation [1].

Recognizing Suicidal Thoughts Linked to NPD

It can be challenging to determine whether suicidal thoughts are directly related to NPD, but some signs may suggest a connection:

Extreme Reactions to Criticism: If the narcissist reacts intensely to criticism, viewing it as a personal attack on their grandiose self-image, it may contribute to feelings of hopelessness.

Fear of Abandonment: A common trait of NPD is a deep-seated fear of abandonment. If this fear becomes overwhelming, it can trigger thoughts of suicide as a way to escape perceived rejection.

Perfectionism: Narcissists often set unrealistically high goals for themselves. When they perceive themselves as failing, it can lead to self-destructive thoughts [1].

Isolation: Narcissists may struggle to maintain healthy relationships due to their self-centeredness. Isolation and loneliness can contribute to suicidal ideation [2].

When to Seek Professional Help for Co-Occurring Disorders

If you or someone you know is struggling with NPD and co-occurring disorders that may lead to suicidal thoughts, it’s crucial to seek professional help. Here are some indicators of when to seek assistance:

Suicidal Thoughts or Behaviors: If you or someone you know is experiencing thoughts of self-harm or suicide, seek immediate help from a mental health crisis hotline, a therapist, or a healthcare provider.

Deteriorating Mental Health: If the symptoms of NPD or co-occurring disorders are worsening, leading to severe distress, or impairing daily functioning, it’s time to reach out to a mental health professional.

Inability to Cope: When the individual struggles to cope with negative emotions, engages in self-destructive behaviors, or abuses substances as a means of escape, professional intervention is necessary [2].

Negative Childhood Experiences: Consider seeking help if you or your loved one with NPD has a history of negative childhood experiences or trauma, as these can significantly impact mental health.

Parenting Style and Culture: Cultural and familial factors can influence the development and course of NPD and co-occurring disorders. Seek professional guidance to navigate these complexities.

Dealing with a loved one who has NPD and is experiencing suicidal thoughts or self-harm tendencies can be incredibly challenging. It’s essential to approach the situation with care and sensitivity.

Recognizing Warning Signs

Listen and Observe: Pay close attention to their words and actions. Suicidal narcissists may drop hints or express feelings of hopelessness, worthlessness, or desperation. Don’t ignore these signs.

Seek Professional Help: If you suspect that a narcissist is in immediate danger of self-harm or suicide, do not hesitate to contact emergency services or a mental health crisis hotline.

Will Narcissists Harm Themselves

While not all narcissists will engage in self-harming behavior or become suicidal, some may be at risk due to the complex interplay of factors related to NPD [1]. It’s essential to take any mention of self-harm or suicidal thoughts seriously and seek professional help.

Strategies for Dealing with a Suicidal Narcissist

Educate Yourself: Learn more about NPD to better understand the challenges your loved one faces. Knowledge can help you approach the situation with greater compassion and patience.

Encourage Professional Help: The first and most critical step is to encourage the narcissist to seek professional help. Therapy, particularly specialized therapies for NPD, can be highly beneficial [3]. It provides a safe space for them to explore their emotions and behaviors.

Be Empathetic and Non-Judgmental: Approach the situation with empathy and without judgment. Remember that narcissists often struggle with feelings of inadequacy and low self-esteem, which can contribute to their emotional distress.

Set Boundaries: While being empathetic, it’s essential to establish and maintain healthy boundaries. Narcissists may demand a lot of emotional energy, and setting limits on what you can provide is crucial for your well-being.

Avoid Engaging in Power Struggles: Narcissists often thrive on power struggles and manipulation. Try to avoid getting caught in these dynamics. Focus on healthy communication and conflict resolution.

Encourage Self-Reflection: Help the narcissist explore their feelings and self-perceptions. Encourage them to reflect on the root causes of their emotional turmoil.

Seeking Support for Yourself

Dealing with a suicidal narcissist can be emotionally draining. Don’t forget to take care of your own mental and emotional well-being:

Therapy: Consider individual therapy or support groups to help you cope with the challenges of supporting a narcissistic loved one.

Self-Care: Prioritize self-care activities that help you relax and recharge, such as exercise, mindfulness, and spending time with supportive friends and family.

Know Your Limits: Recognize when you need a break and don’t hesitate to step away from a situation that becomes too overwhelming.

When it comes to treating individuals with NPD who are also experiencing suicidal thoughts, a luxury rehab program can offer a specialized and highly effective approach. While traditional rehab programs certainly have their merits, luxury rehab provides a unique set of advantages that can make a significant difference in the treatment and recovery process. 

Let’s find out why our luxury rehab for narcissistic personality disorder with suicidal thoughts is considered the best treatment approach and why it may be more effective than regular or traditional rehab treatments.

Tailored Treatment for Complex Needs

Individualized Care: We offer personalized treatment plans designed to address the specific needs and challenges of each client. This tailored approach is particularly crucial for individuals with complex conditions like narcissistic personality disorder and suicidal tendencies [1].

Experienced Staff: Our luxury rehab employs highly trained and experienced staff, including therapists and mental health professionals who specialize in personality disorders and suicide prevention.

Holistic Treatment: Our programs frequently incorporate a holistic approach, addressing not only the symptoms but also the underlying causes of NPD and co-occurring disorders, such as past traumas or negative childhood experiences [2].

Comfort and Privacy

Comfortable Environment: Our luxury rehab center provides a serene and comfortable environment where clients can focus on their recovery without the distractions or stressors of daily life [2].

Privacy and Confidentiality: The privacy and confidentiality offered by our rehab facility allows individuals to open up and engage more fully in therapy without fear of judgment or exposure [1].

Wellness and Well-Being

Comprehensive Wellness Programs: Our rehab programs often offer a wide range of wellness activities, including yoga, meditation, nutrition, and fitness, which can play a crucial role in improving mental health and overall well-being [2].

Stress Reduction: Reducing stress is essential for individuals with NPD, as high stress levels can exacerbate their symptoms. Our luxury rehab offers stress-reduction techniques and amenities to promote relaxation and emotional healing [1].

Effective Therapies and Modalities

Evidence-Based Therapies: Our rehab center typically offers evidence-based therapies proven to be effective in treating NPD and related mental health issues. This includes therapies like Cognitive-Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and psychodynamic therapy [2].

Experiential Therapies: In addition to traditional therapies, our programs incorporate experiential therapies like art therapy, equine therapy, and adventure therapy, which can be highly beneficial for individuals with NPD [1].

Support and Aftercare

Strong Support Networks: We provide ongoing support and access to aftercare services, helping individuals transition back into their daily lives with the skills and tools they’ve learned during treatment [1].

Continued Monitoring: Clients are often closely monitored even after leaving the facility to ensure they maintain their progress and can receive prompt assistance if needed [2].

1. Psychology Today. What Might Drive a Narcissist to Suicide?

2. Multidisciplinary Digital Publishing Institute. The Road from Pathological Narcissism to Suicidality in Adolescence: An Empirical Study.

3. Choosing Therapy. What Is Narcissistic Collapse?

4. Cleveland Clinic. Narcissistic Personality Disorder.



The Balance RehabClinic is a leading provider of luxury addiction and mental health treatment for affluent individuals and their families, offering a blend of innovative science and holistic methods with unparalleled individualised care.


a successful and proven concept focusing on underlying causes


0 Before

Send Admission Request

0 Before

Define Treatment Goals

1 week

Assessments & Detox

1-4 week

Psychological & Holistic Therapy

4 week

Family Therapy

5-8 week


12+ week

Refresher Visit

Narcissism Insights

latest news & research on Narcissism
Dark empath
Dark empath

Research suggests that dark empaths—those who combine empathic abilities with the characterising dark traits typically seen in the dark triad of narcissism, psychopathy

read more
Narcissistic Collapse
Narcissistic Collapse

Narcissistic collapse happens when a person with narcissistic personality disorder experiences a failure, humiliation,

read more
corporate narcissism
CEOs And Narcissism

The link between CEOs, high-profile business persons, and narcissism has been a subject of significant interest in recent studies.

read more
Somatic Narcissism
Somatic Narcissist

Somatic narcissism is a unique subtype of narcissistic personality disorder (NPD) characterized by an excessive focus on physical appearance and attractiveness

read more


British Psychology Society
Institute de terapia neural
pro mesotherapie
Somatic Experience


Woman & Home
National World
American Banker
Marie Claire
La Nacion
Metro UK
General Anzeiger
Live Science
Mallorca Magazin
Apartment Therapy
Express UK
Manager Magazin
Entrepreneur ME
Khaleej Times
Business Leader
The Guardian
Daily Mail
Mallorca Zeitung
Mirror Uk
The Times
The Standard
The Stylist