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Managing thoughts of suicide & self-harm

TW: The 'real' me inside - I come with an SI warning

TW: The 'real' me inside - I come with an SI warning

I figure it's better to introduce my challenges here than in a welcome. Hopefully only people willing to hear about SI will venture here.

TW: Suicidal Ideation

Content/trigger warning

I've had thoughts of suicide since I was 12. I don't remember much of life before this time. I'm aware there are times that I haven't though as much about suicide as others, but it's always been a "yes please, that would be my preference" even during the better times.

Why am I still alive then? For two reasons:

- the emotional pain it would cause to very close family.

- the physical pain of accessible methods, and the risks of non-fatal attempts causing lifelong physical impairments.

How do I keep myself going all these years?

By focusing on how I can benefit other people's lives instead. If I'm going to put up with life, it may as well be beneficial to someone.

And to help me keep life less monotonous I look for 'interesting' things - quirky people, exploring foreign countries/cultures, trying new foods (even if i dont think I'll like them). I've never been a status-quo person.

I explain to MH supports that when life is not distressing I can carry on without seriously considering suicide as a possible option. I can say "hello there thought, I hear you but I have chosen not to act on it, things are OK". But when something sets things off kilter, its a pretty quick track back to "why am I still doing this? Do I really still have the same commitment to living? And why, for whom? Why can't I be permitted to die if that's what I want for myself?"

With decades of this under my belt, I have the ability to sit with feelings of extreme distress. And the courage to text or call someone if I need to - and I'm getting a little better at doing this *before* it gets too extreme, but I still hesitate because I don't want to burden others and the frequency of it happening during those unbalanced times is too often. I've persuaded myself a few times recently to instead call a crisis line, but waiting 30-45min in a queue can sometimes exacerbate the thoughts, and sometimes the calls might help dissipate the feelings (if i called early enough) but other times I feel worse after because of course they're going to try to give some positive outlook for the future, but it grates on me because deep down I dont want a future at all. Its actually refreshing when someone acknowledges that not liking/wanting life is OK - and instead just tries to look at how to rebalance the scales to help me cope with continuing to live despite not wanting to.

I'm not sure how un/common my way of thinking is. So much about suicide prevention is focused on short-term distress tolerance or "fixable" problems (eg situations).

What do I need from the community here...?

To be heard? To know if anyone else out there has a long enduring preference to die even when they aren't feeling active distress? And if so, has anything helped them longterm to shift that thinking?

If anyone knows of any practitioners who *specialise* in chronic SI since a young age, I'd really love to know who (if there is a way someone is allowed to??). I've tried Google searching and using online psych directories and reading bio's. I've seen many psychologists and psychiatrists in the past who haven't been able to help me shift this (even if theyve helped in other ways).

I do wonder if my neural networks for positive emotional may not have fully developed or may have atrophied due to the young age and length of time. I genuinely do not know what being happy feels like, I do not have any memory that I recall as being "happy" or joy, and I suspect this makes recovery much harder.

Im ok at the moment. Im safe. But it is exhausting.

Apologies this post is quite a bit too long.

1604 replies

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In response to: TW: The 'real' me inside - I come with an SI warning

Re: TW: The 'real' me inside - I come with an SI warning

My ‘patterns’ leave me feeling very unsettled if don’t happen. No fear of disasters hence no OCD.

colour and number orders, rule can’t have a grey aspect, patterns of doing things, social settings/new people, being hugged

all things that unsettle me. Colour/number/ patterns, I don’t view as anything of a concern and don’t worry me. They are all just part of me.

i only became aware when people made comments.

eg one day friend watched me put her toddlers books specific colour order whilst we were talking. after doing so they noticed I was calm. Apparently I was nervously twisting my hands when books ‘were not in order’

I double checked things are locked. OCD, ASD or general safety measure?
Tbh I don’t care which one. Makes no difference to me

that acronym makes sense. 100% spot on with acronyms In workplaces.

I need to go grocery shopping and get few things done. Today has started as another day of feeling very flat with tears just under the surface though

im curious - did you get to do your own timeline for your past? If yes, did MH GP / you find it beneficial during the appointment?

In response to: Re: TW: The 'real' me inside - I come with an SI warning

Re: TW: The 'real' me inside - I come with an SI warning

@AlwaysMyself Any thoughts whether you might look into ASD assessment ?

In response to: Re: TW: The 'real' me inside - I come with an SI warning

Re: TW: The 'real' me inside - I come with an SI warning

@Flutterbug9 did my own timeline, but didnt give it to GP. I could email it to her though for reference. Depends on the value/worth of having it, hence i didnt bring it up during the appt. May be useful if we go down the path of gathering evidence for ndis. But i will seek her thoughts on ndis first.

Also not sure yet re: ASD diagnosis. Only benefit i see of diagnosis is access to services and/or in support of an ndis or dsp application. Outside of that, acknowledgement and acceptance of the traits i have an how they impact me doesnt require a diagnosis.

And whether or not i would be diagnosed would vary bsed on the assessor i think. I would seek one who is experienced in adult female autism as i am very much an internaliser.

I find organising/ordering things calming/peaceful/occupying too. As long as it doesnt require much thought (about where to put things). My bookshelf is ordered both by Genre and then Author and then Date of (original) Publication (i.e. chronology).

How did your day pan out?

Did it improve at all?

In response to: Re: TW: The 'real' me inside - I come with an SI warning

Re: TW: The 'real' me inside - I come with an SI warning

I started reading the book the GP suggested last night. A few things in the first intro chapter made me smile and relate. But i also have no idea how much of it would also be relatable to non-autistic-like people too?

I find it really hard because i dont know if i see things different to "normal" - because what is normal? Who is normal to ask as a yardstick?

I think my awareness of my traits "saves" me from a lot of ostracisation and misunderstandings. Because i make an effort to explain things abit more before i am direct, or i pause when i can to think of how to say something less direct if i think it may not be received the way i intend (... sometimes i fail on this of course lol).

I don't know much of this author's examples are "autistic thinking patterns" or are "normal to a degree in most English-speaking populations"?

Because a lot of the traits are not uncommon in NT *to a degree*, but are heightened in ASD. But what is the NT threshhold of "normal" for this?

@Flutterbug9 @Jynx

In response to: Re: TW: The 'real' me inside - I come with an SI warning

Re: TW: The 'real' me inside - I come with an SI warning

Not sure if you would cope with my wardrobe. Is time consuming to set up “right”, calming effect when it’s done though. (In specific colour order same as all my clothes).

books all need to run in same numerical sequence, same genre together.

only things I’ve noticed that currently have or did have impact on me was online solitaire games (lot auto place Aces, not always in “logical order” for me brain. Laundry and pegs (colours have to match), so thankful for clothes dryer @AlwaysMyself

Mid morning started to improve. this afternoon was good including getting one thing done for the day. Still in car boot, will bring it in soon. Order from Bunnings for another square chrome shelf unit plus some packs of wheels.

starting to feel bit flat and emotions not far under the skin. Fairly average day for me for last couple of weeks.

cant do anything about it hence havent been saying anything.

have made commitment to myself for tomorrow to do 2 things. Lawn bowls lesson followed by grocery shopping.

you any plans for tomorrow?

might be worth starting to do research into medical qualifications for dsp, unless already done recently. Bits on rumour mill I’ve heard, has become very difficult to get onto dsp unless manifest, even after having met POS requirements

In response to: TW: The 'real' me inside - I come with an SI warning

Re: TW: The 'real' me inside - I come with an SI warning

Hey @AlwaysMyself I haven't forgotten ya 😉

I love that you're having a number of people noticing autistic traits, I think in the case of neurodiversity, two is a pattern 😅

I totally understand how getting an official diagnosis may not be useful. I think considering the cost, it sorta seems like unless you will benefit directly from it (e.g. for an NDIS application or other sorts of barriers), it's very okay to just build it into your internal narrative without needing the (often quite expensive) ticked boxes of a diagnosis. I think for me, being able to accept that autism is quite likely has allowed me to release a lot of shame, and start building more appropriate coping tools into my toolkit.

PS I also have high levels of pattern-recognition. I also love sorting things. M&Ms by their colour, foods by their tastiness, seashells by shape, Lego bricks by function... Give me a pile of chaos and I will make it pretty 😋

@Flutterbug9 my wardrobe is sorted into 'vibes' - I have an eccentric style, it's either bog-gremlin from a fae dimension, shiny rainbow space cadet, or suave gothic dandy... so I sort my clothes accordingly 😂

Hmmm... I have no idea what the threshold for 'normal' is because I don't meet a lot of 'normal' people. Most people, it's either that the longer I spend with them, the more their 'weirdness' comes out, or the more I pick up on them masking and suppressing. But then, more and more I have started to feel like 'neurotypicality' is a myth... or a model based on the 'ideals' as set out by those in positions of power...

Interesting observations of your mother's self-reliance. It's a pretty common trauma response to become so fiercely independent that it can actually become detrimental... Do you feel you have taken on this quality to a point of it being more harmful to you, long term?

Ach, that sucks that being able to live in your own space is dependent on so many factors. Definitely ironic!! Never easy, is it? I'm glad that there are still benefits to you co-habitating with her, that social aspect can go a very long way hey. Do you have similar patterns in your home-life, habits, etc.?

Hope you're both travelling okay 💜

In response to: Re: TW: The 'real' me inside - I come with an SI warning

Re: TW: The 'real' me inside - I come with an SI warning

I’m with you @Jynx with what is “normal”. “Normal” compared to what?

my wardrobe is colour and season sorted.

all long shelved tops together. All short shelved tops together. Each in white, yellow, apricot, blue (light to dark), green (light to dark), purple, brown, grey, black. Everything same colour pattern. Inside colours is themes. Plain, cat design, nature.

Was told once is not ASD or OCD. Just makes it easier to match things by a therapist.

Aces in solitaire must be heart, spade, diamond, club.

I’ve only taken notice of it due to other people pointing it out

I prefer “unique” or “individual style” etc than the, that’s not “normal” views

I’m not too bad tonight, tired, drained, flat, tears near the surface. No change for short while now.

going to do whatever I need to do tomorrow to get to lawn bowls area. Small group of residents offering to teach people. Going to try. Biggest challenge is panic attacks. Getting ready to meet up with a friend yesterday and one started. I went and we had good time

In response to: Re: TW: The 'real' me inside - I come with an SI warning

Re: TW: The 'real' me inside - I come with an SI warning

Hello dear @Flutterbug9 🙂

In response to: Re: TW: The 'real' me inside - I come with an SI warning

Re: TW: The 'real' me inside - I come with an SI warning

@Flutterbug9 i have absolutely nothing in my calendar for this weekend 😍🤩. Dogs are with my ex until Sunday afternoon, so i dont even have to get up for them in the morning 😋🥰.

Of course if i want to join my mum and her friend for a coffee (and/or walk) tomorrow morning i can, or if i want to go to my gma for dinner Sunday arvo, or if i want to join cafe-friends on either day -- they are all options. But i have no "demands" on me this weekend 😍.

Im very interested in your wardrobe now lol.

Mine is sorted into "long sleeve shirts" and "short sleeves", and then into colours. And my pants are also "long pants", "shorts", "skirts", "dresses" and within that colours. But within these colour and type groupings, they are also sorted in "work-suitable" and "casual" groupings.

.... isnt this is normal.wardrobe??? 🤣😅😋 ok yeah mine is a little more organised than any partner ive had. ...but theyve also all been males who barely even sort pants from shirts!

I'm not sure I would get a dsp - but there is no harm in applying if i am not able to cope with living when working. I have heard over the past 10 years that a dsp is very hard to get in general now. When i was 20 i was assessed as having a partial capacity to work by centrelink, and recieved supplementary income and HCC card for a year until i got my job in IT which was over the $$ threshold (and since then i have declined year-on-year; fwd 15 years to now). This is all after 10 years of continual intensive treatment at that time. If they reject it, so be it. But if it means i can be less financially dependent on my mothers savings then that is a step closer to independence for me. Same theory as with NDIS supports funding.

It wont be hard for my doctors to justify "permanence" of condition for me. Its more about "evidence" for the impacts of how work contributes to my mental illness and decreases functional capacity. And if evidence of past treatment for NDIS - since its more than 7 years since i have been a patient with those practices, they almost certainly wont have records still because it was all written on paper files. And as an ex-patient i dont think they would have scanned them if/when they upgraded to digital.

In response to: Re: TW: The 'real' me inside - I come with an SI warning

Re: TW: The 'real' me inside - I come with an SI warning

I am becoming aware that some of the "self-management" and "coping" skills i was taught early are in some ways detrimental for me @Jynx - but because i guess of the extreme i interpreted them as, perhaps?

But i honestly dont know how they were "intended" to be taken.

E.g. being taught to *understand* why people act in ways (are they grumpy from something else? Are they busy and stressed? And they in pain? Etc etc).

Super useful sometimes. But ... if its internalised as "Now that i understand why they do that, their action should not cause me upset" then it leads to quashing that emotion and mentally justifying why i dont need to feel that way. And yeah, that doesnt seem to work for actually processing and releasing the emotion. It just shoves it in a corner out of sight because "im not allowed to feel that, because i know why they acted that way". Or "because i know it is in the past and cant actually hurt me anymore".

All those "irrational emotions" get pushed aside.

Thats just one example of a technique that can be really useful.... but can also be harmful when i have interpreted it further than it was perhaps intended?

Same goes for self-reliance. I was told to self-manage and self-soothe. I wasnt taught to reach out to people unless it was a crisis. And to me, crisis means quite possibly imminently life threatening. So anything less than that? Nope, not allowed to call someone for help.

Also not helpful 😅🤣 and now im learning to question that perhaps this isnt what was intended lol.

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