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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 i definitely want to reply properly, just busy getting ready and don't like doing a rushed reply.

It's really sh!t and shouldn't happen to us or anyone.

Anyway I'm going to come back and reply soon 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 warning

@AlwaysMyself in glad yesterday went well for you sweet.

That's frustrating that the one gp clinic hasn't had that type of specialist provider for 6+years. But I'm glad the other one does and I'm hoping you hear back from them soon and that accessing that support can happen asap. Hoping the DSP process is as smooth as it can be, I was rejected the first time I applied but then got accepted when I appealed that decision. Main reason I'm on it is for chronic MH but there's also the epilepsy on mine aswell. You reminded me that I need to contact a service that's refusing to supply me with a letter that I need to be able to reapply to NDIS.

I'm glad the chemist was able to help out with what you can use and bonus that it doesn't require a script. Hoping the issue resolves itself soon for you sweet.

I think gp's and even other MH services seem to down play when people talk about SI or even having a plan. I often feel like I'm not believed when I have said it, like they think that I won't act on things so just don't bother to offer any support around it. Whilst you and I might have strength/reasons why we haven't/don't act on things others may not and that's where the system really fails people cos they just assume that they won't do anything.

With that being said I know my gp does take me seriously to a degree, he knows that soon enough the inevitable will happen if I'm not able to get proper support. He's disappointed in the system as much as I am, it shouldn't be this hard to get support when someone is actively seeking it.

Just in case it needs to be said, I'm safe and talking about past experiences.

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

Hi @AlwaysMyself my friend how have you been? 🙂

just thought we can have a bit of a chat/cuppa ☕️

sorry I haven’t been able to get through the post you’ve tagged me in since it’s so long & I just don’t have the energy to come up with responses in general ❤️🫂

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


@Flutterbug9 wrote:

@AlwaysMyself


Yes, it can @Flutterbug9 , which is why I acknowledged it (“support button”) but didn’t press any further. 🙂. Respecting your choice to expand or not expand as you wish. 🤗

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

@MissGremlin I hope you are able to get some progress/advocacy on the service provider which isn’t helping with providing the letter/evidence you need for your NDIS application. How are you feeling with it?

I know if it were me, I’d be feeling very stressed and left down.

The GP called me today! He’s changed his mind after discussing it with someone, and is now willing to set aside a long-enough block of time to do it together (but I need to do a lot of prep for it beforehand, so I can spoon-feed it to him). It doesn’t take away the hurt of the other day or give me faith that I won’t receive inappropriate duty of care or lacking service in the future, but it gives me a way forward for my DSP without having to onboard a brand-new GP to a complex situation and record transferring, etc. But this is only even an option because I have savings I can use to pay for the hours it will take (and of course medicare is capped at 1 hour rebate level, item #123); most people in my situation would not be able to do that 😓.

I am grateful for his humility in his calling me back with the change of decision, and his open admission that he hasn’t done one of these before — a lot of doctors won’t admit when they ‘don’t know’ something; but he is in this case and I appreciate that. Despite his failings over the past years, it felt more like how he used to be before COVID-era.

@Blackcloud @Flutterbug9 @Jynx @AuntGlow @MissGremlin @Till23 @Shaz51 @Cuddlebear

Appointment with the psychiatrist today went well. We talked about my concerns & how we will manage the various ‘issues’ for the upcoming 4 months. He listened, understood & didn’t overreact. We even had a few laughs throughout the appointment. He has reassured by concerns are OK.

I learned a little more about what to expect, but probably not things I should share here. It does sound like it could be a very interesting experience though, and very diverse possible reactions. He explained about the neuroscience behind it and how it works (some I already knew from research, but some I did not know as in-depth).

Tomorrow will also be a very busy day, but hopefully positive outcomes for the upcoming month(s).

Now for me to wind-down so that I will be able to get some sleep before another early-start day.

Wishing you all a good/reasonable/ok day tomorrow.

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'm honestly incredibly frustrated and angry about it. I did however ring the service again today to chase it up. Firstly the person I spoke to asked me to send through an email of exactly what I need them to say in the letter which I responded with i already did on the 2nd February and received no response. He then said that he could see the email and that he would forward it on to the clinical team and hopefully someone will be in touch soon about it.

I'm really glad the GP has changed his mind and is going to go through it with you. I know it doesn't restore the faith or take away the hurt, but it saves the stress of finding a new doctor that doesn't know your history.

Whilst it's good that he's changed his decision it doesn't take away the fact that he really let you down in the first place.

I've run out of words, my brain has just gone nope I'm done for the night 😂. Think that's my cue to get some sleep aswell. I'll see if I can pick up where I left off tomorrow and reply to the rest of your post.

Sending love and hugs sweetheart, hoping tomorrow goes ok for you and that you can get some sleep tonight ❤️

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,, sounds are though things are promising for you in a couple of areas.. Good to hear that and more importantly sounds good for you..

Yes,, the trial does sound interesting and I have researched about these types of studies and treatment modality before. It will be interesting to hear about the trial, although I understand there are limits to what you can say.

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 glad to hear you're feeling supported by your team @AlwaysMyself 😊

Humility and ability to admit lack of knowledge or own mistakes is a very good quality in a health professional, for sure!

I can imagine learning more about the neuroscience was fascinating 👀

Trial start is looming ever closer now!

Hope today has been kind to 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

@MissGremlin yikes thats been 2 months and they haven't responded?? Good on you for chasing it up, and i hope they now get onto it quickly.

I find it really frustrating when someone asks me to send through the request without listening/absorbing that fact i've just told them *I've already sent a request and not heard back yet*. It sounds similar to your experience of them asking you to send one without realising/looking that you had already done so 2 months ago.

I wonder what went wrong on their end, from the admin 🤔. As someone who has worked in medical and office admin I do know sometimes an email can be missed (or incorrectly routed to junk/spam), or a coworker can have opened it and marked it as actioned when its not ... and even entire mailboxes can be forgotten about when a staff member leaves! 🤦‍♀️ i have seen all of those things happen before.

Recently i was the unintended consumer impacted by the last one 😅 - but i appreciated their honesty in tell me what happened when i sent a follow-up.

I've also had someone annoyed at me earlier this year because i'd submitted their form to request a letter of medical info/support, then 3 weeks later heard nothing so i asked the receptionist if it was ready yet and they said i needed to fill that form in and they annoyed with me because i said (politely) i had filled it in 3 weeks prior on same day as when he (same staff member) had emailed it to me. He then looked in the Forms tab and saw it 😏. He was shirky with me for the next few weeks until my medical provider (i suspect, at least) spoke to him after he found me in tears when waiting in the treatment room for them 2 weeks in a row. The week after? He seemed friendly again! (Noting the medical provider has always been friendly, and had no issue with wriitng a letter ... even if he still hasnt done it and i ask progress each week i see him lol. 4 weeks so far, but there was a partial draft this week which i could review!)

I am hoping (and interested to know either way) yours pans out to be more timely now they have seen the email - and hoping not too much reminders needed on your part. Frustraiting and tiring effort i am imagining from my own past 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

@AlwaysMyself So when I rang a few weeks ago the person I spoke to told me she would follow it up and ring me back by the end of the day, no surprise that I never heard from her. I'm expecting that I'm still not going to hear back and I'll probably have to follow it up again next week sometime.

This is the service that refused to help me, first saying that they could offer telehealth appointments but then going back on that and telling me that they can't do anything for me. But still said they could do the letter that I was needing as it's the last place the psychologist i saw practiced at. The psychologist when we finished our sessions said she would do a final report and send it to me only she never did, so now I have to jump through so many hoops in order to try to get it.

It's incredibly frustrating cos each person I've spoken to tells me a different thing. Is it that hard to put a note on the system so that everyone can be on the same page.

I get that there can be many reasons as to why it may have not been done yet. But in this case I just think and feel that they can't be bothered and don't care cos I'm not a client of theirs.

Honestly that person being annoyed at you for something that's not even your fault. You'd done your part and for whatever reason they hadn't and still haven't done theirs. Hoping now that there is a partial draft that it will actually be finished soon for you.

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