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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 it's completely ok sweetheart, it's just so nice to see you here ❤️. Sending you so much love and hugs ❤️.

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

if not done already, can you tag Cuddlebear in above post @AlwaysMyself I know you will reply when you can, which might not be for few weeks

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

Hi @AuntGlow , thank you for checking in. I think having the peer worker come by for an hour has been good the past few weeks; when I'm too tired we can just chat, or when I'm less tired we can body-double. Means at least I can chip away a little bit at a big task, and can talk to her a bit about some things I learn during the week and they can also relate their similar experiences and/or tips from others they know to see if they are of any help.


@AuntGlow wrote:

I completely hear you on finding ways to navigate your more negative feelings, especially when they are very present. Acknowledging them and giving them a voice is a wonderful strategy. I wonder if a small gateway into lighter sensations/thoughts could come from going to the parts of your body that just feel 'okay' and seeing what they have to say?


..the challenge is... that requires having a part of me that "feels okay". 😓.

Content/trigger warning

Last week my final strand of willingness to hold on if things don't change was more or less fractured. I'm still committed to doing the research clinical trial - and that buys about 10 months for something to change. I guess my autistic traits are a very protective factor, because I won't break a promise. I was honest with the research pdoc this past week when I met him, as that risk is the only medical concern he has for my participation in the trial. But I got the impression that he did understand how seriously I take promises, and that if I'm promising him that (if not deemed medically ineligible) I will continue until the end of the trial that there is no risk. He was honest with me about his thoughts weighing up the risk vs protective factors - which actually was really good to hear because I don't think anyone has actually expressed their concern to me before? Something in hearing that he understood how serious I was about the future, but also understood and gave credit to my long history of self-control and lack of impulsive action as being able to keep myself 100% safe for as long as I am willing to. I am hoping that his offer to shake on an agreement is his way of agreeing that he accepts that I am not at risk whilst in the trial. I hope he wouldn't do that as a way to "buy time" to figure out how to safely say I wasn't able to be included. I got a good feeling from him - more on that in a separate post, since that is positive news that others may also be interested in. What I didn't realise until later when I read more about him via his private-practice website bio is he is a senior pdoc in the local health crisis team 😅 which is perhaps good on two counts. Whilst I hope/plan to never end up in the hospital psych ward, if I ever do.. well... he'll already know me very well by the end of the trial. And secondly... he probably realises that given the severity of my thoughts, the fact that I haven't been on the radar of his public health role team lends high credibility to my self-control and self-management (similar to the MH liaison nurse at the ED when I was asked to go there in January, she was quite surprised/impressed that I had never attended the hospital before despite my history/severity).

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 @Cuddlebear @MissGremlin @creative_writer @Blackcloud @AuntGlow @Jynx

Sharing the 'positive' and 'learning' that I've had over the past week, whilst I have been absent. (And heads up that I am currently away from home travelling, so I will likely continue to be sporadic for the next 1.5 weeks. But I do want to try to keep in touch where I can.)

Last week I met for the first time the psychiatrist who will be the main therapist for the clinical trial. I liked him. I was honest with him (it was a medical assessment - psych and final physical checks - for the eligibility), and I felt he responded understandingly and validatingly. I liked that he was direct, but also in a gentle way? I mentioned that I am booked for an ASD assessment, as that isn't in my clinical history. And he confirmed that isn't a problem, and later on even made a comment about something (I forget what) that I said being a common neurodiverse experience. Whilst he has only chatted to me for 2 hours (and mostly about past psych history & current symptoms - relevant to the trial) he infromally supported the idea of an ASD assessment and recommended to ensure an ADHD screener too. I think that was encouraging to me also, because after nearly 25 years of wondering why I'm different to people around me (why I struggle more, why i don't like/enjoy life, why I don't feel like i fit in, etc) I have had my counsellor, new MH-GP and this pdoc notice AuDHD traits enough that they either strongly suspect ASD/AuDHD or support investigation. My first 10 years of mental illness included 5 years of psychiatrist psychotherapy -- and it was never once considered? I guess awareness of female/internalised presentations has come a long way since then.

The more I read materials that are recommended by the GP or linked to from the pdoc's practice website or the psychology practice I am booked with for an assessment, the more an ASD or AuDHD diagnosis makes sense. Preparing for the assessment interview I was getting my school reports and I had no idea - there are so many comments of distractibility, rushing, lacking focus or attention to detail, lacking detail in work (unless it was a topic I had chosen) or not wanting to involve in group discussions (only 1:1). I did not expect to have any hint of ADHD-like traits in my younger childhood years, and didn't realise that I had a few / mild ASD traits evident externally in my school work/interactions either. But then I also don't know if every child gets these types of comments??

So yeah, I kinda think it is quite likely I will get a diagnosis of ASD and maybe AuDHD. ... but that produces a real conflict within me that is really hard to sit with... Part of me feels excited to understand and feel a bit validated about why I haven't been coping with life despite having so many self-management and psychological management skills. ... but it also makes me a bit anxious about what if I don't get/have a diagnosis of ASD or AuDHD? I know that if I don't that they will still be including what they do think is going on and what might help -- but I feel apprehensive that it could be "more of the same" which hasn't helped in the past? And if I'm not ASD/AuDHD then I still have no idea why life is like this for me and that feels really hopeless.

I also realised this week that there is a strong suspicion within family of a few of my genetically-similar family being ADHD too (although none have had an assessment, but turns out one is now on a waitlist - they have also had longterm MH struggles). I did not realise there was a potential family presence of ADHD in my line. 😅

I have now finished taking my antidepressants (tapering) and am now starting my "no dose" first-week. Minimal side-effects thankfully; no increase in depression. However I do think my frustration and "inner energy" may have increased - but it is really hard to know because there is so much going on, and my frustration is triggered by specific things which in the past it would have been also. And maybe my "inner energy" is just because of the rollercoaster of feelings about maybe finally understanding that my brain really is different to others alongside the feeling of being understood by the trial pdoc??

I really dislike the feeling of anxiety. i am not used to it at all 🤣. Feeling for you all my friends who live with the "jitters" every day!! Argh I hate this mixed feeling. I can take depression any day, I am an expert in that!

I was able to get in for the first block of the ASD assessment this coming week (due to a cancellation), so whilst I won't have a 'result' for another 6 weeks (expected timeframe) it also won't be too long to sit with all these thoughts of wondering and the anxiety-jitters.

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 just wanted to say thankyou for sharing and I've read through it all. I'm not even going to try and reply tonight though cos my brain was going everywhere at once trying to process things 😂.

But what i will say is that you're not alone in your thoughts and feelings, i can completely understand about the worries of either getting a diagnosis or not getting one. The anxiety is incredibly hard to sit with and I'm sorry that you're feeling that so much at the moment.

Lots of love and hugs coming your way sweetheart ❤️.

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 I think feeling anxious by an assessment is pretty common. Sending you hugs 💗🫂

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 warnng

Feeling anxious about the unknown is normal, I think more people experience it than is known @AlwaysMyself The uncertainty relating to the assessment and the trial fully understandable.

how are you feeling now, x days post the assessment?

Hoping the feeling of anxiety have completely gone.

regarding first sentence with TW box, if worst case scenario happens and you feel no positive benefits from the trial, could you possibly stop trying? Asking in hope of gaining insight to your mindset on that day?

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 lovely! @AlwaysMyself

How are you today?

It sounds like the peer worker has been really helpful. Thank you for sharing your update. I can hear that your conversation with the pdoc went really well too. It seems like he really tried to meet you where you're at and treat you as an equal - with compassion and trust?

I am SO glad that your doctors have been taking AuDHD into consideration because it could absolutely be contributing, and knowing this will allow people to approach your healing with more specificity.

That being said, I understand your reservations and doubts - I think they are a very normal part of exploring these assessments. Those feelings are allowed to be there.

How interesting! I very highly suspect my mum is neurodivergent and I believe I probably am too - so knowing that your family are exploring this is helpful information to have as well.

I am sure there is a lot going on in your body right now, so I would encourage noticing and allowing your feelings to be there and maybe keep a mood journal to help you identify any patterns? But only if you have the space. There's a lot going on, like you mentioned, so we don't want to put too much pressure on your nervous system. 🫶

I am glad you will have answers soon! Please keep us all updated. And yes, the anxious jitters are no fun. It can be so strange when you experience the opposing energy to what you're used to. Perhaps this anxiousness is excitement in disguise? Or at least, a sign that your body is experiencing something different. 🥰

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

Thank you @MissGremlin 🥰.

Hope you are doing OK?

Still been too busy (and then tired) to get on since my last posts, so i havent been able to check in. But i care and think of you.

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 @AlwaysMyself sweet, you're so welcome ❤️.

Things are still really bad for me and if anything seem to be getting worse (I'm safe).

I still think of you too sweetheart, sorry I haven't been able to pop into your thread lately. I've been mostly hiding away in my thread.

Hope you have a lovely day ❤️

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