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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

Ack, they have no legit excuse if you had already called them a few weeks ago too to check if they got the email - and thats on top of the fact the psych was meant to do the final/discharge letrer too!! 😮😬

Fingers crossed for you, but i can see why you don't feel hopeful.

Does the psych you saw still work there at all? Or have they moved on / retired / etc? 🤔

(Still though, i believe the psych is responsible for still doing your discharge letter regardless - as long as they have medical capacity to work. Its usually part of the system expectations when they accept a referral and shouldnt move on to another job until they have completed their duties.)

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 there @AlwaysMyself ,

How are things going for you?

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 wrote:

A bit of an update from me for those who want to know, but also OK if I have tagged you and you don't want to read that is also 100% fine. 😊 (also OK if I haven't tagged someone, but they'd like to know/comment - please be welcome to. It's just that I don't yet know you'd want to know, or I worry that tagging you here may be too triggering ... or that my ADHD-brain forgot!). I will use trigger-warning boxes with caution - please know it is always OK to not read them, and just read other parts too. Knowing that people will be self-responsible with what they opt to read or not read allows me to know I can post without fear of triggering someone else (which of course I don't want to do).

@Cuddlebear @Flutterbug9 @Chasingsunsets @Blackcloud @Shaz51 @Till23 @MissGremlin @Captain24 @creative_writer

@Jynx @AuntGlow @tyme

Some of this update people will already know from prior posts and/or other threads - so I will keep that part brief.

Lets start with the positives.

  • "yes" to autism & adhd (inattentive & hyperactive) - quite significantly. ADHD symptoms were masked/treated by my medication I came off 2 months ago 😅.
  • Since coming off the medication (now over 1 month with none at all) I have the ability to genuinely laugh again (not just cynical or absurdity laughter for coping) and at times feel some motivation for specific things. However, along with this is the ADHD symptoms that also cause a lot of challenges.
  • This past week I saw some friends who gave me lovely present(s) and card(s). They showed me they truely know me well and care.
  • The peer worker I've had the past 2 months comes to an end next week, but she has spoken with her boss to organise an intake assessment for me into one of their other program for some further support (with a different peer worker, since she doesn't do that program herself).
  • I gave some feedback to an organisation recently that had let me down again; politely explaining to them what had happened and how it impacted me and how it would have been preferable to hear a disappointing answer than no answer at all. The manager got in contact with me to explain what had happened was not intentional, and was an admin problem, and that she had reviewed my situation / their past interactions with me (service failures) and was able to offer some short-medium term supports that were previously not offered (or explicitly stated not as not an option). Having had the conversation with her, I feel she is genuine and thus am willing to give the organisation a 4th chance (i.e. a 3rd "second chance" 😅). I won't go into details though.
  • A work HR person has been very helpful this week, and is organising for a few things that can help me setup the supports I need for the (albeit limited) interactions with work that I will need to have over the coming 3-4 months or more. This HR person and the other one who will be involved are both people I know from previous things in a positive way; they know my nature and genuinely like me as a person/employee - which means I can be more "real" with them, with less fear of coming across wrong.
  • My MH GP has been fantastic since first seeing her and continues to be.
  • My physical-health GP who I have felt dismissed by for years, I finally felt he listened to me more last week - he understood that I have not raised a number of issues (or not expressed the severity of them to him) because of they way people (not just him) have downplayed & "normalised" the symptoms without enquiring about the severity. He said this made sense, and that helped me feel more about to be more honest about the severity of some physical things - such as my chronic pain levels. He has said he is very willing to support me in my DSP application for the physical chronic pain issues (as I need a GP to help with the spinal damage side with evidence from my chiropractor & past bone scan; but also because I won't likely have any diagnosis or "evidence" from the rheumatologist by the time I need to apply for the DSP - but the rheumatologist will be able to help for my NDIS which i am also waiting on my psychology report before I can begin that application path; but my GP can use my existing diagnosis of Chronic Fatigue from 18 years ago plus the evidence of CFS blood tests for many years subsequent, including the investigations he referred me for 5 years ago which returned nothing else to "explain" the symptoms). (CFS/ME & Fibromyalgia are both a "diagnosis by elimination"; and we have already done the elimination but the rheumatologist 5 years ago focused only on my mechanical injuries & degeneration causing pain and did not also review the unexplained chronic muscle/joint pain for which I was explicitly referred.)

The other side of life updates (not required reading, as I said).

Difficult life admin & not having supports so doing it with me (co-regulation)

Part of the challenge of the reduced-emotional-blunting combined with the ADHD reduced-regulation, is then adding on the time-frame pressure to do life-admin to prepare for appointments, applications & other time-sensitive matters... I get easily overwhelmed. And I can't "take it slow" because it needs to be done within the time-requirement. In theory the peer worker can help me work through a piece of paperwork, but a) it may need to be done before my next session, and b) my sessions were 1 hour and that may not be long enough - so I need to "prepare it so then review it with them".

When I get overwhelmed / dysregulated it is now harder to keep myself calm and harder to distract myself. My emotional responses are much stronger and my frustration-tolerance lower. Plus I feel "in a rush" the whole time from the ADHD. Yep, recipe for meltdowns almost every day (sometimes multiple times a day!)

Birthday - TW: SI

Birthdays are a hard reminder for me...

Content/trigger warning
... because it remind me I have lived "another year" without things improving. 24 of them since I first didn't want to.

It reminds me that I am alive because other people want me to be, not because I want to be.

It reminds me something needs to change.

Hearing "happy" birthday reminds me of this; and it's not "happy" -- but I know people are well-intent and don't realise what is "behind the scenes" in my mind. For this reason, birthdays can be very triggering for me in terms of my SI.

Lack of timely crisis supports

The biggest gap for support I have is when I need to de-escalate during acute mental distress when it is triggered by the fact that I don't have adequate supports for life to be bearable. This becomes a vicious cycle because if I reach out for support a) I might have to wait "in a queue" (which makes the trigger worse), and b) the only triaged-queue is the Emergency Department and that environment/service is unable to provide a quiet place to de-escalate (even by myself) or someone to talk to (if I can't self-calm).

The only suggestion the ED MH doctor had to meet the need for instant support was a hospital admission; however I am concerned that being admitted would remove too much of my freedom and access to things I need that support my health at times (e.g. attending medical & allied health appointments; social outings; adhoc volunteering when able; seeing my dogs when I'm not busy/stressed). I am not even sure if I would be allowed to be hospitalised during my research trial - whether this would be seen as a "suitable safest environment" to support me, or whether it would be seen as a sign of "too high risk". Also, whether the hospital accepts people for "respite" type without therapy - since I cannot have therapy outside of the clinical trial (but non-clinical peer support is OK) -- I plan to ask this next week, to "know the options in advance".

I can sit in distress by myself, as I have done all my life, but the risk is my blood pressure gets too high - which my GP agrees is not a good option either. However, we literally have no solution as both the hospital & my MH supports do not know of any service which can provide 24/7 adhoc crisis support without a queue/wait (outside a hospital admission scenario). (DBT programs may offer it, but I don't need a DBT program as I already use the skills, and those programs are time-limited. Autism & ADHD explain why I sometimes can't regulate when in a meltdown despite trying to use these skills and "preparing" is only possible with "planned" challenges; I was much better at regulating when I was emotionally-blunted 😅; and perseverant thinking causes a lot of difficulty with regulating when something is not logical or not fair any my automatic go-to mental pattern is SI). I will be asking the psychiatrist about this next week when I see him (he works in both private & public system, so he objectively should be aware of the range of options to people if money is no barrier).

So I guess that's a summary of my past few weeks 😅 and partially explains why I have been so absent lol.


Thank you for the update. It is very insightful @AlwaysMyself . Makes me also reflect on some of the things that happen in my own life.

In response to: Re: TW: The 'real' me inside - I come with an SI warnng

Re: TW: The 'real' me inside - I come with an SI warnng

Always welcome to spitball contemplations @tyme . It's my hobby 😅.

In response to: Re: TW: The 'real' me inside - I come with an SI warnng

Re: TW: The 'real' me inside - I come with an SI warnng

Hehehee @AlwaysMyself

No seriously, they are very interesting insights.

In response to: Re: TW: The 'real' me inside - I come with an SI warnng

Re: TW: The 'real' me inside - I come with an SI warnng

@AlwaysMyself Hello lovely how are you? I havnt caught up on everyrhing. But you did post a summary which has helped.

Im really glad your GP has allowed for a proper appointment for your DSP. It’s just a shame you had to advocate for it but I’m glad they thought it through and contacted you back to say yes.

It sounds like the taper has gone much better for you the. It did for me and I’m really happy to hear it.

I can understand the gaps in service you’re talking about. It’s very hard the gaps appear in so many areas in the public system. I can’t get access to anything at the moment and it’s really had a big negative impact.

Preparing admin for DSP and NDIS is a hard task at the best of times. So much admin paperwork and gathering of reports. I know it’s not easy but I’m proud if you for doing these despite all the heakth issues and other life stresses.

I’ve been really not coping at all. I’ve been a mess everyday and feel such a sense of hopelessness. The panic. Attacks are now all day everyday and I’m just completely empty. I can’t lift myself up and I do try but without supoorts it’s terribly difficult.

I’ve done nothing and I’m just sort of here existing.

In response to: Re: TW: The 'real' me inside - I come with an SI warnng

Re: TW: The 'real' me inside - I come with an SI warnng

hey @Cuddlebear!! it's so nice to see you around 😊

i can hear its been terribly difficult for you, i wish there was a magic wand i could wave to make things easier for you.

i just wanted to check-in to see if you're able to stay safe at the moment? is there anything we can do to support you?

sending you lots of love and healing energy 💗

and hi there @AlwaysMyself! great to see you too 💗

In response to: Re: TW: The 'real' me inside - I come with an SI warnng

Re: TW: The 'real' me inside - I come with an SI warnng

@rav3n I wish we did have a magic wand. I really do.

Im able to stay safe. I would like some support here. I need some hope. I feel so depressed and the panic attack starts from the moment I open my eyes. My nervous system is a mess. I’ve reached out to so many services to get help and non can take me as they only help for mild and moderate. CATT referred me to a service that actually has made me worse. They had nothing but a very inappropriate social worker who has been the opposite of helpful. I’ve had to even call CATT due to the appointment with them that left me feeling utterly broken. This person does not have the skills to work with people with complex PTSD. They’ve caused more harm.

It’s so hard to know what I need with my mind just either shut down or full of dreadful thoughts and mistakes I’ve made in life. I feel worthless. I’m literally all alone and what used to hekp were the daily webinars in recovery club which now have seemed to have been cut with no notice to us.

I guess like all humans I need love and understanding. I really need proper mental health supoorts in person. I’ve literally tried everything available with no luck.

In response to: Re: TW: The 'real' me inside - I come with an SI warnng

Re: TW: The 'real' me inside - I come with an SI warnng

Awww @Cuddlebear , I'm sorry to hear how hard it is for you at the moment.

How was PARC for you last time? Did you find it helpful? Is this something you can consider again?

Please know we are sitting with you. You are not alone.

In response to: Re: TW: The 'real' me inside - I come with an SI warnng

Re: TW: The 'real' me inside - I come with an SI warnng

@tyme How are you?

I can’t go back to PARC. Two things happened that caused me a lot of trauma. One was an incident (not me) but without going into details I found the person and it was a very distressing situation. I had to scream and run to find staff for ambulance help. Staff just sat in their office not viewing the live video cam and it was just really traumatic.

They are also responsible for stuffing up my taper and me developing serotonine toxicity. I have no trust in them and the trauma caused just was too much.

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