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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 wrote:

@Blackcloud Thank you for the update on your workshop. Sorry to hear it’s been a few weeks since you were able to go and that there are still some strain with a few other participants. I’m glad that it feels a very inclusive workshop though and a much better overall experience than mainstream ones for you. 😍. How did it pan out with the support workers and whether they could take you these past 2 Saturdays?

I’m also curious how the facilitating of the peer support group went? 😍


@AlwaysMyself so far, I haven't had any luck with a support worker being available to provide me the support yesterday so I ended up not attending the workshop again the 4th time in this term. But we do have a support worker that will be available to take me there next Saturday so hopefully I'll be returning back to the workshop by then? and the facilitating of the peer support groups went well! I'm so glad to have really supportive bosses/supervisors that know my needs really well and they've been happy to accomodate them for me to make facilitating for me less anxiety-inducing ❤️ it even helps that its in an autistic-led only environment too 🌸

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 @AlwaysMyself sounds like the trial is going well for you. Possibly things in general. I just briefly read on here that you are doing well in a diploma. I'm glad that things are going well for you, or a very much hope they are.

I am not really on the forums any more. I will probably make my last posts today.

I know which arm of the study I'm in because mine is a more physical trial, not medication, so it's obvious to the participants, but when they start analysing the data they won't know until some point where any bias they might have won't influence results, obviously they'll know when they write up conclusions.

Anyhow, thanks for our chats and all the best in the future.

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:

You are correct on both counts, @Blackcloud .

I did a 3-week fulltime university exchange as a subject for one of my university subjects. I went to a university in Germany, it was great. It was a program designed specifically for International Student Exchange. I'm not sure how the government payments would go with it, but it might be worth asking them whether the 28 day rule can be given an exemption under "special circumstances" because you would be doing your usual Australian-based degree studies whilst there, not "on holidays" or migrating.

Well done on having completed 4 credits and well on your way to completing the 5th! 🥰 good thing about needing 8 credits first is that it gives you time to plan for an Overseas Study and save up money 🥰. Pick the university/subject that if of most interest and relevance to you, and chat to the student exchange contacts about it to make sure it will be what you expect/hope/need.

Have you travelled overseas before, other than to visit family/friends that live in the country being visited?

The reason i ask is just because it can feel very different than going to visit people - travelling independently in a foreign country. 😊. But totally do-able! I just know the first time can be quite stressful if not properly prepared and confident for "what if xx happens" situations. (I have a few ... funny stories of things going wrong when i have travelled 😅 but they've always been worth it!)

I love talking neuroscience & psychology 😅. Unforunately the people i know who also have an interest in it are my treatment teams 😅 so i cant just socially chat about it over a coffee lol. Darn it! I need to meet some people socially who are as interested in it as me. But in the upside it means my new treatment teams and i are generally in-tune with each other and good rapport 🥰.

My DSP application. The $$$ so far for DSP has been due to GP hourly fees 🤣. I have 2 GPs that treat different things. But the $$$$ for NDIS application has so far been the psychology assessment for autism/adhd/depression, rheumatologist, occupational therapist (referred, but not booked yet so maybe wont happen due to timelines), and letters from my allied health providers. I am hoping i can reuse my DSP evidence (GPs letter, reports, etc) for NDIS since my DSP conditions are permanent conditions for NDIS too.

I was very fortunate that a GP clinic I haven't been to in over 10 years still had my file, which dated back 18 years ago. So I paid to get it sent to one of my GPs 😊 so we have the old reports/letters/diagnosis as evidence & dates.

Also i guess in hindsight it has been fortunate that i started reaching out for help 2 years ago (after nearly 10 years of try to self-cope unsuccessfully because i didnt believe there was suitable affordable supports for me; i mean, i was right - there weren't. But at least i had my clinical state documented!). It means i have had 2 in-depth psychiatrist assessments in the past 2 years, plus a failed neurostimulation psychiatric treatment, plus innapropriate referrals to low-intensity programs which caused exacerbation, plus a documented record of mental deterioration over the timespan, culminating in a total inability to work and a few trips to the ED and OP crisis team interventions this year 😥. But its all really consistent and states some very confronting facts that evidence the severity of my health, even though its heartbreaking to look at what has happened the past 2 years, let alone 25 years.

My GPs are very sure i will get DSP. Between MH and physical health, i will likely have over 50 points across impairment tables. (20 points is the requirement for a DSP eligibility).

My work situation is ... unusual. I am still a permanent employee, and can remain one until i am able to return to modifed/reduced work - at which time i will likely go through medical redeployment processes. However once my accrued leave is used up I will be on unpaid medical leave - and hence the need for a DSP. And DSP will later supplement my reduced income.

I have always worked since leaving high school, its just been a matter of how many hours per week. Currently I am at the longest time ever without working, and its due to my medical leave (not lack of employment).

I do remember once having to attend a disability employment service though, as i was increased capacity for an extra 7 hours per week so i needed to find an extra 1 day/wk as my employer didnt have any extra shifts to give me. They were stressful and hopeless. Kept suggest fulltime and/or physically-demanding jobs which my centrelink medical assessment (and GP) had clearly stated was not appripriate. I did all my job applications and resume writing myself, and when i asked them to review it they took too long (had to already submit it). I did give them my resume when i was first referred and they looked at it and said they had no comment/suggestion because it was already at the best they could do. And yet i still had to attend there physically every week, despite having chronic fatigue as one of my medical disabilities. Very bad experience for me.

I'm curious about your reasons for not wanting to work (in the past; I know you are currently doing work/volunteer placements 😊), but only if you wish to share. 🥰


@AlwaysMyself hi my friend, I really thank you so much for sharing all of this to me. I do apologise for responding really late to this as I usually don't have the capacity to be able to form a response, let alone form a long response (most times), but letting you know that I acknowledge everything you have mentioned here and I really hope you do get approved for DSP after submitting your application for it soon ☺️

Yeah I've only been to Korea by myself which was back in late 2024! I'm pretty sure thats also the country that I might plan on going to for short-term overseas study purposes hopefully next year? because Korea seems to be the only country that has the funding scheme available (which I really hope I'll be eligible for that funding after applying for it).

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

@Blackcloud fingers crossed for this Saturday with the workshop! 😊

Lovely to hear the peer group facilitation went well 😍, so proud of you. Sounds like falling into a role you can flourish in.

South Korea would be an amazing opportunity for a study exchange 🤩. Fingers crossed for you. I'd love to hear if that eventuates for you 😍. I have special interest in overseas travel 😉.

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

Never pressure to reply or read a post @Chasingsunsets 🤗.

I'm surviving. Lots of stress and being busy, but also good support from both my GP and the trial-pdoc+therapist.

Just starting the process for return to work (on top of everything else, but hoping 1 thing is now in progress and very soon a second thing will be, so hopefully by the time the RTW process kicks off both those things will be off my plate).

Hoping you are doing OK mostly, sending hugs and care either way. Thank you for still tagging me in updates so that even if i cant reply I can still read them 😊.

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

@Cuddlebear my heart breaks in care for you ❤️‍🩹. I hear your pain, and its not pain that we'd wish anyone experience, and even more compounded by your context. 😥. I still wish i could do more than just be here and listen and tell you I care. At least you I would if I could - because I value you and you are worth it. I see a gentle caring soul, one thats hurting so much. (No wonder we connect so well here - a kindred spirit).

ADHD diagnosis i would say emotionally impacts me less than the autism one. But both diagnosis are deeply validating of why life has always felt so different and much harder than the average person seems to experience. And it makes so much sense of so much of my life. At least the ADHD can be medicated (I have just submitted a referral to a pdoc for this, but I am expecting it to be a 10 month wait unless there are cancellation appointments - but I'd prefer to wait to see this specific specialist pdoc, rather than a shorter wait elsewhere).

I'm sure you can relate to the challenging feeling of "permanent diagnosis" and degenerative conditions, and lack of independence, and the outlook of this for the reality of future life. I've found it very confronting lately as I've been going through my disability applications, and the reality of the level of support I need to live a less distressing life. I don't want to be dependent upon others. 😓. I wish I could talk to you more about it privately, as I expect you deeply understand it. But I also don't feel safe talking deeply about it to many because of fear of being seen as self-focused or "not that disabled" ("invisible illnesses") or seen as detracting from others' (rather than relating to) experiences. Yes i fear people misunderstand me - because there is a pattern of this with many people in my life. And now i can see some of that is my communication differences and fear of speaking directly.

Sorry this was longer than i meant 😓. Dont feel you need to reply. I know life can be overwhelming. 🤗.

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

@MissGremlin sending so many hugs. Im so sorry about the service now being less accessible for you 😭. Your one support outside the forum. ❤️‍🩹. Heartbreaking.

I understand deeply your thoughts about shutting down & disconnecting/withdrawing. I've been there many many times myself with that too. ❤️‍🩹. In case it helps at all - i'm glad you still stay connected here and with me (despite my current absenses) and that I fully accept any risk to myself that it could cause in the future - its a risk worth it to me to know you and connect with you, and support you where I can as a peer. I want you to know I would never want you to withdraw from me due to a wish to protect me - i will and can handle myself 🥰. I want you to do what is best support for YOU.

Glad you could postpone the inspection and that you advocated for your need to. 🥰. Very proud of you - I'm not sure if I could have done that, its something i'm still practicing so i am very proud of you. I hope when it is rescheduled for that you will be in a slightly better (less crisis) or more prepared space for it 🤗.

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 thankyou sweet ❤️. I don't really have many words at the moment but know that I'm thinking of you and sending 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

@Flutterbug9 wondering how the shoulder is post-injection? Has it helped at all yet?

Sorry you're still in a very dark place. Sending lots of care and safe hugs (and acceptance of you!). Hearing the weight of both mental and physical health for you. ❤️‍🩹. Hoping the physical may improve with the injection and infusion and any other investigations/treatments upcoming.

Hope the appointments this week so far have gone OK..? And hoping the vaccines this weekend go OK and not too strong negative body reactions. 🥺.

I read & remembered that your pdoc appointment is upcoming. I really hope it goes well and is a positive experience (even if it may take a bit of time to get used to them and settle into them understanding you fully). I of course hope that they are a natural fit and that maybe even you feel understood and accepted from the first appointment (it can happen! Ive had it happen a few times with doctors; but of course not always).

Im so glad your psych is supporting you by writing a letter summary. I had that in the past and really felt it helped. Plus i remember you have your other written notes and pre-submitted information. I hope it all helps the first appointments go easier.

I know I'm not online much lately, but its not any reflection of my care or thoughts. I think of you when i'm not online 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

(Sorry to any i havent yet replied to - i have to get up now and get ready for todays appointments. I wish i could spend all day slowly on the forum though!)

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