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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

GP appt yesterday went very badly. Had to call a crisis line after; thankfully i remembered i can also call a workplace-funded one and wait time was only around 15min. Friends i only told the sanitised version to and they suggested i put in a complaint. Crisis line also suggested contacting an Advocate for DSP help due to this GP. I dont like to complain, but he has been failing in duty of care and professional care standards (including dismissing medical reports from scans and specialists) for 6 years.

Yesterday i become openly distressed when it went badly and even said "just let me die. This isnt worth it. Its too much" and he did not say anything and i walked out 10min later after he had finished printing out a referal to an OT to do my DSP instead of him (which is part of why i become distressed).

And i paid $350 for this outcome.

I've been on a waitlist for a new GP practice (specialise in chronic health) for 2 months and it is an indefinite wait to see *any* of their GPs.

I dont think i can return to my existing physical-health GP after yesterday though. I went in teling him about my BP the day before, measured my BP (still HT1 level when calm all day), and he didnt show any concern or interest/advice. Didnt even check it before i left when i was in high-distress. I know from symptoms my BP would have been at HT3 again at the end of the appointment; my degree of throbbing headache has been a reliable indicator.

Today i have a busy day, so will be distracted. That is good but lack of sleep tonight isnt good for this. But nothing today should be stressful/triggering.

Tomorrow i see the pdoc and have made a reminder to ask him about BP in distress and what do to.

Good news - have an interested buyer fimor my car; but they can't afford the full price. But i think it would be a "good home" (look after and care for it well) which is emotionally meaningful to me, and less stress if i can sell it "sooner", so i think i will accept their offer after we meet for the inspect/test-drive. Less money is worth less stress right now, plus it helps a person in need too.

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

Good morning @AlwaysMyself 🌻

I hope today is going well for you and it's a lot less stressful than yesterday!

💌

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, I'm so sorry that the gp appointment went badly and left you needing support from a crisis service. It really sounds like a complaint is in order given how long it's been going on for, you deserve proper support, care and compassion, not the sort of treatment that leaves you feeling worse off.

I'd say I'm shocked at the way things have been handled but we all know how messed up the system can be at times and sadly this seems to becoming more often than not 😞.

To be dismissive of your BP is honestly so disappointing and completely unacceptable. I'm really hoping the Pdoc appointment goes ok tomorrow and that you can get some ways of helping to bring it down when it does get too high.

That's great news about your car, knowing that it would be looked after i think it's important when things have meaning to us. Hoping it all goes well with the inspect/test drive sweet.

Know that I'm thinking of you and sending you lots of love and 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 warning

Sorry to hear @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

@AlwaysMyself I’m fine

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 @hopeful_hannah @MissGremlin @Flutterbug9 .

Yesterday went well overall (probably the "best" day I've had in 2 weeks, since my friend visited). The appointments/meetings I had went as-expected.

I called the 2 clinics the GP referred me to, and one hasnt had that type of specialist provider for 6+ years 😅. The other one does, and i should hear by end of week (or early next week) re: timeframe (which looks to be a minimum of 1 month for a first appointment). I think I will just have to apply for my DSP with my MH only and then add the physical comorbidities the further decrease capacity later on as I don't see myself getting an assessment *and report* in time for my DSP needing to be submitted. But (thankfully?) my MH is severe enough and longterm enough that the MH GP should be able to evidence the DSP at the required level of disability. Since DSP only needs 2+ year duration, thats a much easier thing to prove than "permanence" for NDIS (hence the need for specialist prognosis). NDIS is step-2 after my DSP is done 😅.

@MissGremlin sadly is right that mistreatment/dismissal of issues by doctors happens too often to too many people 😢. To me, that is the purpose of submitting a complaint - to try to improve future practice for other patients, even if I can't/won't return to them.

I went to the chemist yesterday for advice on a prescribed medication (because i forgot to ask my GP at the start of the appt, it was a max-1-week usage and the week was up but the issue returned as soon as i stopped using it). I had no one else to ask, and im glad I thought of the chemist 😊 - they knew what was the right thing to use instead after the 1-week, and it was even a non-script item.

Did i mention in that appt i told my GP to "let me die" because of how much stress it was all causing? No risk assessment, no question/comment. Just kept typing on his keyboard and after printing sent me out the door.

(Note to anyone reading in case it needs saying: the GP has a duty of care to ensure a patient isnt about to leave and harm themselves. The only reason i didnt is because i have strong ethics around promises i have made to others - but he doesnt know/understand this. Hence others have encouraged me to make a formal report/complaint too. If that happened to a different patient, they could be dead.)

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 going to come back to the rest of this post when I get back home later. But one thing really caught my attention, when you said "let me die" to the gp (which i did read the other day too but was focused on other aspects of your post). I had a similar experience where I told my doctor i was going home to act on a specific plan after I left and yet nothing was questioned (I'm safe this was a little while ago now). So unfortunately I'm all too familiar with that experience aswell.

Will reply to the rest later sweet, must finish getting ready now but sending you my love and 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 warning

@Cuddlebear @Shaz51

I thought of you both yesterday as I was listening to something about diabetes and the complications (including kidneys and peripheral diseases), and also how complex it is with multiple specialists who often don't understand (or look for) the holistic impacts (only their specialty area) and may not refer-on (or may forget to contact/coordinate) to the other specialists.

It is also sad because the themes raised are not isolated to diabetes either; so many chronic illness/disease too.

But I wanted to share that with you as encouragement that people at the right levels are talking about current problems in the system and advocating for reforms to improve some of the systemic things preventing proper care. 🤗

I felt that (from the limited things i know about you both) that you were both "represented" in the issues discussed; almost like it was your voice of your experiences. 🥰

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

Never pressure to reply @MissGremlin 😘🤗🥰.

Im sorry you also had basically the same experience in that regard. 😢. It does ring a bell in my mind that you did. Its shit and should never happen to anyone. I'm so sorry.

On the posiitve note though, remembering that it happened to you (albeit with a different doctor of course) encourages me to speak up about it via a complaint - because of the "tangible" reminder of "this is also happening to other patients" which is what I care about.

Revenge/Advocacy-Statement suicide can also be a real struggle (for myself at times, but i also know for others) when these types of things happen and there is no "voice" to speak up safely -- and of course revenge suicide to make a statement / get an inquest is also not the "right solution" to the problem either! Its important to be able to "be heard" and make a difference, for me at least.

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

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