For several months my 18 year old sister has been struggling with psychotic depression, she's been in and out of hospital many times either due to feeling insecure in her surroundings, she's self-harmed or because she's having suicidal thoughts. She has Type 1 diabetes so receives injections several times a day, and she has tried to overdose on insulin several times.
She hears banging and sees a man with skin falling off of his face telling her to kill herself.
She claims she has no friends, nothing to live for, no goal and nothing she wants to do. She's become even more introverted than she has been in the past, our family, as a rule, are loners.
She's had to drop out of Sixth Form as the stress was getting too much for her and she simply wasn't enjoying it. After several discussions she still doesn't know what to do, whether to go back to school, go to college (she applied but ended up getting rejected last month) and she has no motivation to work.
She's been advised to get a dog by her therapist and doctor though the rest of our family agree that she wouldn't be committed enough to care for something as time-consuming as a dog since she can't even handle her own hygiene and physical health.
She spends her days sat in front of the television and, though she used to be scared to go outside, would occasionally drive to the nearby cliffs and consider jumping off.
If possible, I'd like ideas on how to get her motivated, ways to develop social interaction, things to get her out of the house as well as anything I can do to support her.
If I can provide additional information I will, though the amount of things she tells me is extremely limited.