Mental health is very complex, but I think it's a spectrum, with low-grade symptoms at one end, and manic episodes at the extreme other end.
I'm sure it varies a lot from person-to-person, but for me, I have a constant and profound feeling of sadness and futility, I often feel like crying, and occasionally consider ending my life (I almost fantacise about it, because I wouldn't have to feel this way any more).
One of my parents has manic depression, and a sibling also has clinical depression - I presume there is a genetic factor at play; I was brought up in a middle-class household with parents that loved me, and I seldom wanted for anything. Now, I'm a successful software architect with a wife, kids and side-business. I own my own home, I have 2 nice cars, and I have a high income. Yet I still feel that sadness, and often just don't see the point of living, or life at all, really.
Except for randoms on the internet, I've never told anyone about this. I've come close many times, but I guess the longer you keep a secret, the harder it is to let it out.
If anyone else is reading this, I'd enourage them not to be me, and to seek medical help. If you don't think you can speak to a doctor, I'd also recommend trying 5-HTP - I started 200mg 2x a day a few years back, and the change was incredible. It may have saved my life.