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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 Hello lovely. How are you today?

Yes I do think of you when I’m making a salad. Greek salads certainly do have lettuce! There’s a variety of Greek salads and my favourite is the lettuce, cucumber, tomato, onion and feta with some olive oil, lemon and a pinch of salt. Very yummy!

With jelly brain I use a calendar for Everuthing and make notes of important things to do! I find it very helpful!

It sounds like a really good book. You’re right some symptoms of cPTSD do overlap with autism. Treatment using different methods can be very helpful and most are non invasive so always worth a try.

Yes a new job. It’s shorter just for one project. I thought it might help to give me some purpose, online interaction, help build my self worth and use my skills. It’s also the one thing I can use to distract myself. Let’s see if I can do it. I’m hoping I can. Either way it’s some good news.

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

@Cuddlebear today has been OK so far, but kept myself busy so far. Feeling pretty tired though, and i will have to go out with my mum to visit my grandma until my car is finished and ready to pick up (she has to drop me there). I dont want to go, i'd like to stay home and rest. But unless the car is done in the next hour i will have to.

Cucumber, tomato, capsicum, feta and (optional) carrot is my favourite lol. Capsicum also optional haha. I dont like raw onions, lettuce or olives though 😛. I can eat lettuce, but i dont like it. If i do eat it i prefer crunchy/crisp lettuce. Olives i will eat in things as long as they are not overpowering - usually i find them too salty (eg in a salad). Eg sliced on a pizza is fine though.

When do you start the new job? 😊

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 a new job @Cuddlebear ? Sorry, I haven't read back yet.

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 Honestly you can put whatever you like in a Greek salad. People often use capsicum and carrot too. I love olives so I add them when I can.

Sounds like you’ve had a rather busy day. Is your car having a service or did something stop working? I do hope you’re having a get it back in next hour as it looks like a bit of rest at home is what you need.

Started new job last week. Mostly doing background research reading and preparing terms of reference and ethics related stuff. My memory has been rather poor so I’ve had to jot a lot of notes down then type things up from there.

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

@tyme Hello lovely. How are you? Yes I got a new job. It’s research work for a single research project. I wasn’t going to take it considering how unwell I am. Then I thought that it might help me find some purpose and give me at least one distraction, build some confidence back too. It’s hybrid working from home as our research team are located across different parts of Australia. Participant interviews are face to face. Anyway it’s just a small thing.

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

Car is getting cleaned, so then i can take photos and list it for sale @Cuddlebear 🙂. Deep clean inside and out. Whole day!

Poor memory when depressed and anxious is very understandable. Taking lots of notes and reviewing them as needed is a very good practical way to manage it 🥰.

Did you find it helped last week to get ypu through the day, with a bit of a distraction?

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

Hearing you @AlwaysMyself . It's interesting that all these factors link to chronic SI. Makes me think... is it wrong to have SI? I used to think it was, but now I see things differently.

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 not sure that's a question I'm allowed to comment on here @tyme 🤭🤭. My perspective on this topic is... not widely accepted. However when i have explained it to MH workers who have taken the time to listen, most of them agree my perspective is logical and hard to argue with. However i recognise that my situation does not apply to the overwhelming majority of situations, and i am very clear about different scenarios and how that results in a different perspective on the topic in those cases.

I would never say "having thoughts" in themselves are a bad/wrong thing. The difference is how it impacts you - does it cause distress? What are your behaviours that follow your thoughts?

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

True @AlwaysMyself . Thoughts are not behaviours. I totally agree with that.

I'm glad you've been able to speak to your MH team about it. The last thing we'd want is for those thoughts to go around and around and for you to have no sounding board.

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

Agree @tyme . Its about whether or not the underlying reasons for those thoughts/motive can be addressed/improved.

And hence the trying novel treatments when other things havent worked.

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