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I think she needs to see a professional ASAP. She obviously has a few things she needs to address, but first and foremost is whether or not she is a danger to herself. The note is a BIG red flag, especially when coupled with her wanting to ease the pain. I would not be suprised if she said she felt helpless, which is another tell tale sign that she might be thinking about suicide.
I think the letter could serve one of two real purposes:
1. Sometimes people write letters as a way to try and 'explain' what is going on. They are actually a selfish act, even though it will be framed as trying to help you understand. (You can use it as a discussion point...to find out what is going on.)
2. A cry for help. <--I think it is this one...especially since it was just the heading, and didn't have anything written.
Please help her help herself.
Please let us know the outcome.
-pedagogue
ps. I am not a licensed professional, so take my post as purely a lay-person's suggestions.
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