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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.

1603 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 they are so good to fidget with, I love when they are warm and really squishy.

Here's my lanyard with what's on it.

 

Haha oh the poor snails eyes look like they are barely hanging on 😂.

Mini bricks are good, I have a unicorn and a koala one to do but I've been doing diamond art at the moment. Finders, keepers as the saying goes 😂

Hoping the dogs coming home isn't an extra stress for you sweet.

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 warnng

@AlwaysMyself I’m hearing you. I don’t have the energy to respond right now, but I’m here 💖🫂

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 wrote:

The expectation is to be able to self-manage.


Whose expectation @AlwaysMyself - yours, society's, mental health workers'? All of the above?

I think being able to self-manage is a desirable trait, but no person can be completely independent - our entire evolutionary pathway has been successful due to cooperation and collaboration. Our social ties are essential parts of human survival, which is why co-regulation is just as important as self-regulation. At least in my opinion.

I do get what you're saying though - acting in service or support to others is not in and of itself enough if you are unable to find joy or live just for yourself as well.

How are you feeling now compared to a few hours ago, anyway?

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

@Jynx Expections to self-manage --- the MH system and how i was raised within psychology/psychiatry treatments for self-management. But my counsellor (positively) challenged this idea 6mths ago with regard to crisis management, which is why i started reaching out when in high distress - and then found out the danger of my BP during distress, which supports the idea of de-escalating distress and not just "sitting in it" (distress tolerance)

My BP is very high. Objectively, i should have gone to a doctor, but i know they can't do anything except monitor incase i have a stroke or heart attack. So instead i did let my mum knowy BP and she decided to come home to monitor me. 1hr ago it was still at the highest category level, but diastolic was much lower despite still being crisis level. (I honeslty think my machine must have been at least a little bit out, because i'm not sure its physically possible to have a diastolic (lower number) of over 190. (Systolic was just shy of 200, which is understandable/realistic). But when my ex tested the machine on himself 2hr later it was accurate, and the reading of me at that time was as-expected (urgency level) too). I took photos of the numbers for my doctors to review.

I have a really good heart i think. 🤣. It keeps pumping and my veins dont explode despite the levels!

But this is the danger of my experience at the ED on Sunday last week. If i didnt have that experience, then I would have gone to ED today when my blood pressure was dangerously high. But I won't re-present because theyve already said there isnt anything they can do or even provide a quiet (sensory safe) location. So its better to stay home, try to de-pressurise myself, and hope my physical body copes with the BP.

So how do i feel... headache, tired, tight and spasming muscles. But my mum has been stroking my legs for an hour to help me stay more relaxed. I have an ice pack for my head. And im still trying to listen to calming music.

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 glad that your mum is there with you to ensure that you can feel a bit safer about your BP being so high atm.

And yeah it's good that your counsellor was able to help shift that perspective for you - towards bringing the nervous system back towards safety instead of just trying to 'be tolerant of the distress'.

I think you have a good heart in more than just the physical aspects 😊💜

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

@Jynx @MissGremlin

One about the modem comes close to home.

Only one person who knows me very well and still calls my mobile. Family :face_with_rolling_eyes:. Everybody else knows to text me 🙂

The wording on that mug is priceless. 😂

I remember reading something ages ago where the person gets distracted over and over (close to heart most days). Only line I remember is the last line which says something like “that’s why I’m on the floor (can’t be certain, think it’s ‘looking at photos’). 🤣

I went into one room 3 times yesterday before finally remembering what I originally went in for. 😳

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

3 times @Flutterbug9 ? Oh dear! 😅🤣🤗

Funny but i imagine also frustrating? Or at least thats how I feel when it happens to me.

Gave me a smile 😊.

I get up to take my medications or to eat food and then see something that needs to be put away and, well.... there goes the food or medication 😅. (I have an alarm i snooze until i have physically taken my medication, so it keeps going off every 5min to remind me lol).

@Jynx

Retaken BP. Its lower, and now in the HT2 (rather than 3) range so that is good. We considered going to our 'urgent care' clinic to get their BP reading and advice but their wait times are longer than their opening hour currently so we would be turned away if we had gone. Just got to try to keep bringing it down until i can fall asleep.

I've moved to sit outside in the fresh air and sound of crickets and water running, but i'm getting mozzie bites and my dog is now barking at the valley :face_with_rolling_eyes:. So inside i go. Ahh dogs... love them and hate them all at once.

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 everyone knows to text me but yes there's always one that choose to ring just to be annoying 😂.

Haha that's relatable, for me it's usually that I find myself scrolling through pictures on my phone though but yes I find myself on the floor doing so 😂.

The room thing is also totally me, honestly it drives me nuts though I do have to laugh at myself about it.

Hope you are doing ok sweet ❤️

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

Laugh or cry @MissGremlin. I’ve had enough tears last couple weeks. Try to laugh at myself, maybe one day.

discussion with rheumatologist recently contained “unsettling surprise”. Last few nights I’ve been struggling to get much sleep due to (what is technically) neck pain. My constant “tolerable” neck pain/headache has been a lot worse majority of this last week.

everything else much the same ie tolerable.

that photo of Casper with his paw in your hand is gorgeous. One very handsome boy. 💛

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 if i don't laugh, I'll cry and I'm not a fan of crying though there's times when I don't have a choice.

I'm sorry the discussion with the rheumatologist contained an unsettling surprise. The pain sounds horrible to have especially when it's been worse lately. Sending you gentle hugs sweet ❤️.

Thankyou ❤️. Casper has such a gentle nature, he often just sits next to me with his paw on me.

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