Lifestyle Health Sarah Hyland Says She Would 'Write' Mental Suicidal Letters to Loved Ones Amid Chronic Heath Battle The Modern Family star, 28, got candid about some of her darker days on Friday's The Ellen DeGeneres Show, explaining that at low points, she would consider death by suicide By Dave Quinn Dave Quinn Instagram Twitter Dave Quinn is an Editor for PEOPLE, working across a number of verticals including the Entertainment, Lifestyle and News teams. People Editorial Guidelines Published on January 11, 2019 08:27 AM Share Tweet Pin Email Sarah Hyland is opening up about her battle with depression among a slew of chronic health issues, and how she overcame her own suicidal thoughts. The Modern Family star, 28, got candid about some of her darker days on Friday’s The Ellen DeGeneres Show, explaining that at low points, she would consider death by suicide. “I was very, very, very close,” Hyland told DeGeneres. “I would write letters in my head to loved ones — of why I did it, my reasoning behind it, how it’s nobody’s fault. And I didn’t want to write it down on paper because I didn’t want anyone to find it. … I didn’t want anyone to know I was that close because if I knew, they would try to persuade me.” “At the time, I was 26, and after 26, 27 years of always being sick and being in chronic pain every single day and you don’t know when you’re going to have the next good day, it’s really, really hard,” she added. Sarah Hyland Reveals She Had a Second Kidney Transplant and ‘Was Contemplating Suicide’ Hyland has kidney dysplasia, which means her kidneys did not develop properly when she was in the womb and frequently form painful cysts. The condition required a kidney transplant in 2012, one made possible by a kidney donated by her father. But in Oct. 2016, her body started to reject it. The actress then started regularly undergoing dialysis, a temporary treatment where a machine filters blood in and out — which is typically the kidney’s job — that required putting a tube on her chest and led to her severely dropping weight. Doctors removed the transplanted kidney in May 2017 and her younger brother Ian, 23, offered his kidney, which was transplanted in September 2017. Sarah Hyland Hospitalized: What the Actress Has Said About Her Chronic Health Conditions It was thankfully a match, though Hyland’s health problems didn’t end there. The actress also has endometriosis and an abdominal hernia. That led to more surgeries — she’s told Degeneres she’s had six in the last 17 months, and 16 total over the course of her life — including a laparoscopic surgery for the endometriosis and a hernia repair surgery. Hyland revealed to DeGeneres that she also had gout, a form of arthritis characterized by severe pain caused when too much uric acid crystallizes and deposits in your joints. “I’ve been through a lot of pain [and] it’s one of the most painful things I’ve ever had,” Hyland said on Ellen. RELATED: How Sarah Hyland’s Modern Family Cast Helped the Star Post-Surgery Throughout it all, Hyland remained working on Modern Family (she was written out of some episodes so that she could recover comfortably). Hyland thanks the cast and her “amazing support system” for helping her through some of her trying times. But ultimately, she had to address her own mental health by herself. “It ended up being myself that got me out of that,” Hyland told DeGeneres, 60. “I had to do it on my own, I told myself I had to do it on my own.” VALERIE MACON/AFP/Getty Confiding in someone else also helped. “I’d been saying, ‘I think I need to go see a therapist again,’ And they were like, ‘Why do you need to go see a therapist, you can just talk to me?’ And when I said it out loud they were like, ‘Oh you need to go see a therapist!’ And that’s when I was like, ‘Okay, I don’t think you’re going to help me. I think I need to really do this on my own and really do even more digging and soul searching,’ ” she recalled. “Just saying it out loud helped immensely because I kept it to myself for months and months at a time. And saying it out loud really helped me,” Hyland said. “Every person with their anxiety, or depression, or suicidal thoughts, every individual is different. So I wouldn’t rely on everything I say, I’m just sharing my story. But I think talking to someone and saying it out loud really, really makes it sound almost ridiculous and puts everything in perspective.” If you or someone you know is considering suicide, please contact the National Suicide Prevention Lifeline at 1-800-273-TALK (8255).