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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

@AlwaysMyself

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

Thinking of you @AlwaysMyself .

It sounds so tough.

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

@AlwaysMyself hope you are doing a little better this evening - saw your vent, and gotta say I really appreciate your words. There's gonna be bad apples in any industry, and just because ours is a helping profession, doesn't mean everyone in it is in it for the right reasons. Or even if they are, sometimes there's misalignment or misunderstandings that can, unfortunately, be triggering or re-traumatising.

Have you ever thought about working in advocacy and MH system reform? You certainly understand a lot of the nuance and have a pretty comprehensive perspective, at least in my opinion 😉

To your earlier post -

Making space for 'illogical' or 'irrational' feelings can be hard hey, especially when our social context often dictates that said feelings are overreacting. And 'overreacting' is often seen as a deficiency, or as inappropriate, unfortunately. It's something I've been delving into in those insta accounts I sent recently - I think pat.radical.therapist is the account that talks about it the most.

But yeah, I'm glad to hear that this is something you're working on, always happy to chat about it with ya! 😊

I do totally get you re: the potential to delay someone else getting support. It's obviously a lot harder to triage mental health related distress as it's so subjective - unlike the ED where the degree to which something is life-threatening is usually a lot clearer. I think that's part of why there's such a need to distinguish between crisis services and non-crisis services.... but alas, the lack of funding means that often, the non-crisis supports aren't always available, which can mean people are more likely to cross into that threshold of more severe distress. I think that sometimes we really just need someone to be present, a tether-point to help us co-regulate...

Hmmm... I think it's unlikely to be an explicit policy, although ongoing monitoring of potential risk is probably part of it - but it's possible that they are so used to people downplaying their own distress (because of internal narratives of being unworthy or undeserving), that there's an unconscious bias towards thinking that it is self-deprecation on your part. Maybe if you tried communicating it in their own language, aka mental health jargon? Haha like saying 'hey, I feel like I'm probably a 3 or 4 out of 10 in terms of risk, and that person looks like they could be at an 8 or 9, maybe triage them first and come back to me, and I'll sit in the waiting room and work on some self-soothing/regulation in the meantime...' Shrug, food for thought 😋

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

Thanks @Jynx . Still struggling with thoughts tonight, but not feeling the agitation from the earlier triggers. Still just the "i dont want. Why do i have to?"

I'm sitting with it safely using my self-control. Becauae i have promised to give PAT trial a go. Otherwise i dont think i would be. But when i promise something, i keep it.

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

 

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

You got this @AlwaysMyself - sending you some gentle hugs, if you want them 💜

(づ ᴗ _ᴗ)づ♡

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

Hi @AlwaysMyself my friend, just thought I can come here and sit with you whilst you and I are trying to get through it all together (I’m not doing good myself either) 🫂❤️

Sending you hugs all the way my friend 🫂🫂🫂🫂

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

Hi @AlwaysMyself I am sorry to read you are currently going through a very difficult time.. I have only skim read some pages on this thread..

I am wondering if tapering off your medication is underlying the exacerbation of your symptoms.. I know you are doing it for the PAT trial..

Anyhow, even though I am not on the forums much at all these days.. ((Due to my own deterioration of MH)), however I do think of the people on the forums that I have got to know, even when I am not here and I try to remember things people have written to support me..

So I just want you to know that I reckon you are an important person to many people on the forums and we appreciate what you do here chatting and supporting people..

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

Sitting with you my @AlwaysMyself 😍

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

Thanks friends. Finally feeling both mentally and physically up to the forums this evening (plus time availability). @Cuddlebear @MissGremlin @Jynx @Blackcloud @Till23 @Shaz51 @Chasingsunsets @tyme

Things are less constant-front-of-mind whilst keeping busy yesterday. Wish I could say the underlying feeling of actively wanting to opt out wasn't as strong, but I can't. But at least I don't have anger/frustration adding to them, so I can just sit with it in a resigned way.

Got out a different crafty/arty kit I had at home this morning to try (positive challenge from peer worker during the week), and I sat with it for about an hour - when I started to feel it was no longer "neutral" and becoming "dislike" / actively "don't want to keep doing it" / mood-tired. But at least I had a go. I think it's more a "useful skill" rather than "enjoyable/neutral activity" thing for me, upon reflection; and that's ok. It's not something I have to do again unless I want to use that skill for a project in the future.

@Till23 I don't think it is the medication. My mood has been the same, and my thoughts have been the same. I think the difference is that now that I am not working I am no constantly exhausted, and with the "reduced exhaustion" comes the ability to both think and feel at the same time. Exhaustion-mode tends to make me mentally too tired to think (but low mood), or would be "doing things" and would still have thoughts but be disconnected/distracted from any sense of 'feeling' whilst doing things. Where as now... I get more times were I have both occurring simultaneously more often.

I'm pretty tired this afternoon. Slept in until lunch time, thus took my medication late & dizzy when moving. Did an online written assessment for my language course. Have the other half-day practical in 1.5 weeks; but I need to re-read one of the tasks and think about whether I need to contact them ahead of time to see how a difficulty with it can be negotiated. It's really hard to make up conversation on the spot if its something I have zero-interest in. My way of "making conversation" with people in that situation is usually to ask them questions (as it must be an area of interest for them if they are raising it) - but I can't do that in the assessment, I have to "lead" the conversation with my own thoughts/ideas (It is allowed to be made-up and not a real opinion -- but I can't do that unless I am "given a script" of what to argue/posit). I hadn't realised this until the first assessment of this task type the other week, and so I was thinking afterwards about why it was so hard for me and how I can get around that mental-blankness. It was nice of my counsellor to also say she would have struggled to know what to say if it were doing the task too. Many topics I *could* talk about easily, but I don't get to choose the topic. And I don't know the topic (or question they will use to raise the topic) ahead of time, so i can't even prepare a fictional response to give -- but this is what I might ask them how we can manage, e.g. by me either being given a rough-script at the start of the assessment (like we have for other task types) or for them to give me the topic ahead of time so I can work on thinking up something to say in the conversation. It's meant to be assessing my fluency in the language, hence the need for unplanned conversation. I wish they would just let us pick a topic as long as it met the "abstract concepts" criteria.

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