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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. It’s not as simple as whether I want to go or are making myself go.

i thoroughly enjoy the activity on Thursday evenings. It’s the impact of being overwhelmed, fears of being critised, anxiety prior to the activity starting due to sensory overload. After activity is finished I deal with impact of having been masking and constant concentration for at least 2hours. My mind also replays everything that was said by others plus what I did and/or said.

macrame class is lot smaller and a very quiet group. My brain still goes through replaying what was said, reviewing what I did and said, questioning what I could have done better.

my previous psychologist had a perspective that she’s “clinical psychologist and I know”…… one of my early appointments (maybe 2nd) with my psychiatrist who asked me if I have OCD traits. She noticed I hesitated with my answer. She explained the differences between having OCD versus OCD traits and that is common for neurodivergent adults to have OCD traits. My most recent psychologist talked about similarity between OCD traits and Autism traits.

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

That makes sense to me regarding the complexity of the social situations for you. I find its also not a simple thing for me either, and even if its something I'd like to do there can be a lot of barriers or post-event consequences to manage also. I hear you. I wish it wasn't so hard sometimes. I hope that you can find ways to help manage the challenges and it slowly gets a little less hard.

I'd be interested to hear what the psychiatrist said about ocd traits vs ocd as a diagnostic-condition. I have read a bit about it and ocd traits in ND (which makes a lot of sense to me both logically and experientially), but not discussed it with a specialist to know their thoughts that may go deeper than what i've read online.

I know before you have mentioned some of you ocd traits, and i'm glad you've been able to discuss this with the pdoc. I hope it was helpful?

I know I have some ocd-traits, but I believe mine make sense within the context of autism and adhd brain wiring and behaviours. And they don't cause significant problems for me, more just "quirks" that i either allow or have workarounds for. Some of them i find quite funny since they only affect me.

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 psychiatric explained it’s the impact on the person whether the item is classified as ocd or autism. Her description was, in general, person with ocd has fears things will happen if they don’t do certain things whereas doing certain things brings calm to the mind of person with autism. Eg need to double check doors are locked. In general, ocd might have fear house will fall down if don’t check whereas checking brings calm to autistic brain.

one of my traits involves checking everything is locked multiple times, could also be trauma related due to safety concerns. It wasn’t until psychiatrist asked specific questions that I became how much impact on my time that my colour & order traits have on me. Visiting a friend whose children were approx 3 & 5, only way I could sit still and keep my hands still was by putting their books into “correct colour order”. Look on her face showed she thought I was crazy.

when I was posting things into the Autism/ADHD thread I started noticing some of things mentioned align with things I do and have done for years. Prior to that I’ve always viewed things as unique for me

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