Death from stress


Can Stress Kill You? Long-Term Effects of Stress

Dying from stress is unlikely, though it may be possible. Here’s how stress can affect your health, along with tips to help you manage it.

Stress can feel mentally and physically overwhelming at times, especially if you’ve been stressed out for a while.

But can stress actually kill you? In most cases, the short answer is no.

Yet the long-term effects of stress may depend on how much stress your body can handle and what you do to cope.

We all feel stressed now and then, some of us more often than others — and that’s OK.

After all, stress is a natural part of life. Sometimes, it’s even necessary for our growth and survival.

“Stress is what keeps us alive,” says Janine Ilsley, a licensed master social worker and a therapist with Cobb Psychotherapy in New York City.

Still, there’s a distinct difference between “healthy” stress and “unhealthy” stress.

Healthy stress can often help us grow and thrive, whereas unhealthy stress may refer to unmanaged stress, which can be detrimental to our health and well-being.

Regardless of the stressors we face, Ilsley says we can learn to adapt to the ever-changing and challenging conditions we’re presented with.

“The mind and the body are intimately and intricately connected,” Ilsley says. “When we reclaim our bodies, we have the power to rearrange and reorganize its system to allow us to thrive,” Ilsley says.

According to Jessica Stern, PhD, a clinical psychologist and assistant professor at NYU Langone Healthnotes, stress may have the following effects on the body:

  • increased chronic pain
  • weakened immune system
  • agitated gastrointestinal (GI) functioning

In the short term, stress may also lead to:

  • tension in the body
  • high blood pressure
  • poor sleep or disrupted sleep

Stress can also indirectly impact your health. For instance, stress may cause you to:

  • accidentally skip meals
  • eat fewer balanced meals
  • refrain from scheduling or maintaining important health appointments
  • avoid healthy habits and maintenance routines

For the average person, stress is unlikely to result in death.

But stress can be dangerous or deadly if left unmanaged or untreated for a long time, especially if you live with particular health conditions. That’s why healthy stress management is key to promoting health and longevity.

Indirect causes

According to Stern, stress may cause certain health conditions that could lead to death if left unchecked over time. These include:

  • decreased immune functioning
  • poor cardiovascular health
  • high blood pressure
  • sleep disturbances

In addition, misuse of drugs or alcohol to cope with or manage stress may lead to death. These scenarios may include:

  • mixing drugs or alcohol with other medications
  • engaging in dangerous behaviors while under the influence

“For those who use tobacco as a stress management behavior, smoking can lead to many health concerns that can be fatal,” Stern says.

Direct causes

Depending on an individual’s circumstances and the state of their physical health, stress may result in death.

For instance, a 2017 study suggests that severe mental stress could lead to sudden death from heart disease or cardiovascular issues.

In addition, a 2021 study shows that physical and psychological stressors can lead to sudden cardiac death (SCD).

“For individuals with unstable and/or unmanaged cardiovascular disease, stress can lead to a heart attack,” Stern says.

“While there are a number of ‘red flags’ alerting the direction toward declining health, we can be experiencing unconscious stress in the body without any conscious awareness of its presence,” Ilsley says.

The following physical signs may indicate that stress is negatively impacting your health:

  • increased tension (e.g., jaw clenching)
  • increased pain (e.g., migraine headaches or back pain)
  • increased soreness (e.g., chronic neck, back, or shoulder pain)
  • low energy
  • difficulty concentrating
  • increased blood pressure or heart rate
  • difficulty breathing
  • random or sudden changes in appetite

In addition, a 2017 study suggests that people who live and work in stressful environments are more prone to the negative health effects of stress over time. But the long-term effects of stress may also vary depending on factors like severity and duration.

Other long-term health effects of stress may include:

  • addiction
  • poor impulse control
  • poor emotional regulation
  • frequent colds and infections
  • blood sugar imbalances
  • low sex drive
  • relationship challenges
  • sleep issues or insomnia
  • digestive issues (e.g., constipation, diarrhea, bloating, gas, irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), gastroesophageal reflux disease (GERD), ulcerative colitis)
  • adrenal fatigue and other conditions related to hormonal imbalances

Everyone experiences stress differently. How stress affects your physical and mental health may depend on how well you manage it.

Stern offered some suggestions to get ahead of the damaging effects of stress:

  • Ask for help to lighten your load.
  • Seek support, such as from friends, family, colleagues, community, or health professionals.
  • If you can, let go of responsibilities, activities, and tasks you find draining.
  • Rest and take breaks.
  • Do things that bring you joy.
  • If you are able, spend time outside.
  • Consider exercising more often.
  • If it comes easily, get better sleep.
  • Set better boundaries.
  • Assemble a healthcare team to help ensure your needs are being met.
  • Check in with yourself about how you want to live your life and aim to align with that goal.

In addition, Ilsley recommends the following stress-reducing mindfulness tips:

  • build more positive relationships
  • journal
  • play music
  • garden
  • meditate
  • eat an anti-inflammatory diet
  • engage in a mind-body practice
  • practice yoga sequences that release head, neck, jaw, and shoulder tension

Ilsley suggests taking regular “stress inventories” as time goes on by asking yourself the following questions:

  • What does stress mean to me?
  • What does being “stress-free” look and feel like?
  • How is stress currently showing up in my daily life?
  • How is stress being expressed in my body?

Stress is unlikely to be fatal for most people, but prolonged exposure to stress can lead to mental and physical health problems, including death in severe cases.

But dying from stress is unusual and is likely the result of a heart attack or another cardiovascular issue.

If you’ve noticed a decline in your well-being due to increased, prolonged stress, you might consider talking with a therapist or consulting a medical professional for more guidance.

Seeking help and trying different coping strategies for reducing your stress load can help you live a happier, healthier life.

Yet Another Reason to Avoid Stress: Sudden Death

Written by Jane Schwanke

Jan. 17, 2000 (Minneapolis) -- In one of the first studies to show a link between mental stress and death, researchers at Yale University School of Medicine have found that stress may actually lead to sudden death. The findings are particularly important in people with a history of certain irregular heart rhythms that may already predispose them to sudden death.

Scientists have known for some time that sudden death, usually caused by heart attacks associated with a lethal heart rhythm, are more prevalent in populations that suffer earthquake or war. And studies in the laboratory have shown that the primitive fight-or-flight response to stress alters heart rhythms in animals, while anger, anxiety, and performance stress alter heart rates in humans. Now researchers are beginning to learn why.

The patients in the study had a history of a potentially fatal heart rhythm, and all had been implanted with a cardiac defibrillator. An implantable cardiac defibrillator is about the size of a pack of cards and is implanted in the chest. The device is programmed to shock the heart if it detects an abnormal rhythm.

Researchers performed mental stress tests in the patients. These patients were grilled with rapid-fire arithmetic questions and harshly reprimanded for incorrect responses. Patients were then asked to discuss an annoying event, as the interviewer pressed for further details and asked irritating questions.

The study shows that mental stress not only makes abnormal heart rhythm more difficult to control, but the same condition is quicker and more difficult to terminate when patients with irregular heart rhythms are under no sedation. "In patients with a [rapid heartbeat greater than 100 beats per minute], mental arousal [can upset the] circuit, creating a potentially more dangerous [heart rate]," the authors write.

"Patients should be aware that stress really can alter arrhythmias or make heart rhythms dangerous," Lampert tells WebMD. Through their research, Lampert says, researchers will be better able to design preventive strategies in the future.

"This study suggests that treatment of [irregular heart rhythms] should include integrated medical care, which include not only conventional drug and device therapy, but also a complementary medicine component focusing on emotional status and living and working environments," Ruey J. Sung, MD, tells WebMD. "A mutual understanding of the concept of integrated medical care between the physician and patient is key to better control [of irregular heart rhythms]." Sung is director of cardiac electrophysiology and arrhythmia service at University of California-San Francisco Stanford Health Care in Stanford, Calif.

Only one woman was enrolled in the study. Whether the effects of mental stress on arrhythmia differ in women requires further evaluation.

  • A new study shows that mental stress changes the heart rate and the rhythm of the heart, even in patients without evidence of heart disease.
  • Researchers suggest that mental stress, particularly in patients who already have arrhythmias, can lead to sudden death.
  • Treatment of cardiac arrhythmias should include integrated medical care, including a focus on emotional well-being, in addition to treatment with drugs and devices.

Get help & support for suicide

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If you believe that someone else is in danger of suicide and you have their contact information, contact your local law enforcement for immediate help. You can also encourage the person to contact a suicide prevention hotline using the information above.

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Important: Partnerships vary by country and region.

Korea Suicide Prevention Center nine0033
Country Hotline organization Website Phone number
Argentina Centro de Asistencia al Suicida www.asistenciaalsuicida.org (011) 5275-1135
Australia Lifeline Australia www.lifeline.org 13 11 14
Austria Telefon Seelsorge Osterreich www.telefonseelsorge.at 142
Belgium Center de Prevention du Suicide www. preventionsuicide.be 0800 32 123
Belgium CHS Helpline www.chsbelgium.org 02 648 40 14
Belgium Zelfmoord 1813 www.zelfmoord1813.be 1813
Brazil Centro de Valorização da Vida www.cvv.org 188
Canada Crisis Services Canada crisisservicescanada.ca 833-456-4566
Chile Ministry of Health of Chile www.hospitaldigital.gob 6003607777
China Beijing Suicide Research and Prevention Center www.crisis.org 800-810-1117
Costa Rica Colegio de Profesionales en Psicologia de Costa Rica psicologiacr. com/aqui-estoy 2272-3774
France SOS Amitié www.sos-amitie.org 09 72 39 40 50
Germany Telefon Seelsorge Deutschland www.telefonseelsorge.de 0800 1110111
Hong Kong Suicide Prevention Services www.sps.org 2382 0000
India iCall Helpline icallhelpline.org 9152987821
Ireland Samaritans Ireland www.samaritans.org/how-we-can-help 116 123
Israel [Eran] ​​ער"ן www.eran.org 1201
Italy Samaritans Onlus www.samaritansonlus.org 06 77208977
Japan Ministry of Education, Culture, Sports, Science and Technology www. mext.go.jp 81-0120-0-78310
Japan Ministry of Health, Labor and Welfare of Japan www.mhlw.go 0570-064-556
Malaysia Befrienders KL www.befrienders.org 03-76272929
Netherlands 113Online www.113.nl 0800-0113
New Zealand Lifeline Aotearoa Incorporated www.lifeline.org 0800 543 354
Norway Mental Helse mentalhelse.no 116 123
Pakistan Umang Pakistan www.umang.com.pk/ 0311-7786264
Peru Linea 113 Salud www.gob.pe/555-recibir-informacion-y-orientacion-en-salud 113
Philippines Department of Health - Republic of the Philippines doh. gov.ph/NCMH-Crisis-Hotline 0966-351-4518
Portugal SOS Voz Amiga www.sosvozamiga.org

213 544 545

963 524 660

912 802 669

Russia Fund to Support Children in Difficult Life Situations www.ya-parent.ru 8-800-2000-122
Singapore Samaritans of Singapore www.sos.org 1-767
South Africa South African Depression and Anxiety Group www.sadag.org 0800 567 567
South Korea 중앙자살예방센터 www.spckorea.or 1393
Spain Telefono de la Esperanza www.telefonodelaesperanza. org 717 003 717
Switzerland Die Dargebotene Hand www.143.ch 143
Taiwan 国际生命线台湾总会 [International Lifeline Taiwan Association] www.life1995.org 1995
Ukraine Lifeline Ukraine lifelineukraine.com 7333
United Kingdom Samaritans www.samaritans.org/how-we-can-help 116 123
United States 988 Suicide & Crisis Lifeline 988lifeline.org 988

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Information about the unified all-Russian children's helpline

0444 8-800-2000-122 .

When calling this number in any locality of the Russian Federation from fixed or mobile phones, children in difficult life situations, adolescents and their parents, other citizens can receive emergency psychological assistance, which is provided by specialists of services already operating in the constituent entities of the Russian Federation that provide services for telephone counseling and connected to a single all-Russian number of children's helpline.

Confidentiality and free of charge are the two main principles of the children's helpline. This means that every child and parent can anonymously and free of charge receive psychological assistance and the secrecy of his call to the helpline is guaranteed.


Working hours of the children's helpline in the constituent entities of the Russian Federation


(as of October 1, 2013) 38 -PIC AO
Name of the subject of the Russian Federation 9Arkhangelsk region 09. 00-22.00
22 with Nenets Autonomous Okrug daily 09.00-17.30
23 Vologda region around the clock
24 Kaliningrad region daily0039 around the clock
35 Chechen Republic 08.30-20.00
South Federal District
37 Republic of Adygea
Kalmykia Pon-Pen. 8.00-17.00
3
80 Magadan region Pon.-Pon. ​​10.00.22.00
81 Sakhalin Region
900
83 Chukotka AO Mon-Fri 09.00-22.00, closed 16.00-22.00

Infographics. The principle of operation of a single federal helpline number for children, adolescents and their parents


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