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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

181 - 190 of 1,603

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

I spent my evening after work doing more garage sale prep lol. But I think I have unpacked items from all the boxes now! So its just pricing. And I found a few of the items we have are worth a bit more than I expected from my ebay/gumtree search - thats a nice surprise. I have it planned for Saturday; then Sunday i can rest and/or organise to donate or sell online anything left perhaps.

@Cuddlebear Mouth guard in the short term sounds relatively easy (once you can get an appointment and transport to a dentist, that is!!). Sounds like your sleep is really disrupted and not nearly as restorative for your body as the ideal would be. I didnt realise some SNRI could impact REM, thats quite interesting. I dont think I get much REM either; I wake a lot during the night even with my cpap (but I feel much less tired when using the cpap than without!)

I know of one or two SNRI that are notorious for withdrawal effects. But ive heard that not everyone gets them, one of my friends didnt get any withdrawal effects which was sooo lucky because she was very naughty and went off them cold-turkey without talking to her doctor!!

I have been on a different SNRI for over a decade, and even when I first started using it (once it was fully in my system I guess?) I would get "electric shock" sensations if I forgot to take my medication within a few hours of waking in the morning. Interesting after very many years later I dont get the withdrawal shock sensation as quickly, it is usually not until half way through the day (and sometimes not at all!) that i get the sensation if I have forgotten. I dont quite understand why its gotten less rather than more as ive been on it for longer. 🤔

When I've come off SSRI in the past (this one im on now was my first/only SNRI) I wasnt hospitalised. I didnt have any withdrawal effects thankfully (I was already quite depressed still, so I dont think I noticed any difference whilst waiting for the new one to kick in). Actually, when I started the SNRI I was more distracted by a skin reaction i had to it the first 2-3 weeks of starting it 😅 i was so itchy lol it drove me nuts.

I reckon its good to have a chat to the doctor about the pros and cons of switching medications and the impacts on your sleep and restless legs. Sometimes a medium-term discomfort can be worth a longterm benefit. And there may be ways they can taper off the medication quicker if you dont seem to have withdrawal symptoms through the process - and titrate it based on your symptoms.

How much do you think the medication helps for you?

(For me I have no idea if or how much they help, as its been so long and so much else has changed over the time. Sometimes I feel I want to come off them to see, but the other side of me says why risk it if theyre not harming me??)

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

Just posting as a way of sharing with a few of you some recent life that I haven't mentioned, that's coming to a head. I am very mixed feelings about it; logically I know things will be fine and I should almost be relieved, but my emotions are not in check with my logical brain lol. One of my friends and one of my other family are aware of the situation and are very supportive and able to chat to about it, so I do have some support with it.

Thing haven't been great for me with my partner for a long while. I have been "hanging in there" unhappy with the relationship for a few years - hoping that his MH would improve and then in turn our relationship might be able to improve. He has finally started to talk to someone because I said he needed to think about whether or not he wants this relationship or not (he said he didn't know what he wanted), because if he does then something needs to change. For now, it looks like he will trial living apart (once he can find a place) to see if that helps his mood/stress.

I think this is a good idea, because he can experience the reality of living alone/independent (something he has never done). And he will also work out whether or not he misses me. And in the meantime I won't feel like I am on edge at home around him, or that he is making the place messy and not cleaning up after himself.

But it will mean there is a little extra housework I will now have to do myself. Maybe I will get away still with the kitchen dishes only once a week still, but with 2 people we need them done twice a week.

I am not sure yet what will happen re: dogs, other than the dogs will not be split from each other. Maybe they will stay with me. Maybe he will have them part of the time. Might depend on what accommodation he finds (how much space it has for them to have a couch/beds). If I wanted, he could take them full-time.

Part of my would like him to take them fulltime to see how he copes with them as well as the housework (this has been a big external factor for his mood to date). And it could be nice for me to not have the stress of looking after them & the feeling sorry for them when I leave them home alone to go do non-work things.

But I also don't think it's the best thing for the dogs. They have a nice big area to run and play in here, and they are settled here the past 6 months. And my partner ignores them most of the time; he feeds them each day but he no longer walks them daily (although he says he would if he took them, and I do believe that because he did used to - but it was something he always complained about having to do), and he rarely plays with them (maybe 30min a week?).

The other bigger factor in this is that if he did have the dogs fulltime (or even parttime and was coping fine with the extra caring work), then it would not longer be a reason for me to stay alive. And I have mixed feelings about that. I'm sorry to admit it, but it would be a relief for me that I would then be able to permit myself. And that is a scary thing to not have any barriers anymore. But I have people I reach out to to talk to or to meet me if I am having severe thoughts - that is my safety plan as it were. I haven't failed to enact it yet.

The flip side though is that if I didn't feel bound to the dogs I would be able to go travel overseas for long periods of time (like 3 months?); but I don't want to abandon my dogs - I am sentimental about them and they are my companions; they get so excited when they see me each morning (even though they sleep in the same room!) or when I come home from work. Logically I know dogs minds aren't thinkers like us and when I am absent they wouldn't really care/notice as long as they are with someone they feel is "family" - which could be either my partner or my mother.

I will be OK. I know that. But this is just how I am feeling - so mixed. If it wasn't for the dogs, I don't think I would feel as mixed. I would still feel shame from another "failed" relationship, although I know I have tried so hard the past 2 years to encourage him to seek support because things were slowly getting worse; I did all I could, and I made a lot of sacrifices myself to ensure I wasn't burdening him because of my disability (e.g. paying a cleaner, home assistance from family, moving to a place with a yard for the dogs), and every time I took duties/pressure off his plate he did not get any better - but it added stress/work to me. So I know I should not be ashamed or feel that I have failed (and this is what my friend and family member tell me) because he has a responsibility too for a relationship to work. But it feels shameful to have another partnership not work out after many years together. I feel that other family members will probably judge me for it because they don't know the "behind the scenes" view. And I know I would say to someone else that my belief is if they judge you for it, then they're not the type of people who should be held as important/close relationships - and I do believe this, but when it comes to my sister for some reason I find that hard. I think maybe I need to tell her what is going on, so that it's not a sudden thing she learns later, but that if I tell her to full picture now she may be more empathetic. Yes, I think that is what I need to do for that feeling of shame. (See - writing it out to you all helps!)

I guess what I need is maybe someone to check in with me occasionally to see how I am going; but not to mention it on other threads (unless I have for some reason).

What I don't want is for anyone to feel heavy emotionally from this, or feel like they are taking it on emotionally. I am responsible for myself. Knowing people care enough to check in on how things are going is enough.

@Cuddlebear (but absolutely not wanting you to worry! you should be settling into PARC today and you have been the most amazing person to me here already, checking in with me most days 😊).

@Shaz51 I value the coffee chats a lot, and how caring you are despite everything going on in your life also. When I am so tired and busy like I have been lately I find it really hard to engage in surface-talk though, so i apologise for being sparer on the social pages the past few weeks. I like your photos of plants, I just don't really know what to say in response to them often - but I hope you notice the "Support" buttons in response which is my way of saying "thank you, I like that. That is a positive in my day now."

@AuntGlow @tyme @rav3n Thank you for caring for people, and for using your experiences to help others too. 😊 I don't know how much peer work pays, but I know that it does not pay as much as it should for the emotional effort that goes with the time spent. You are appreciated, as are all the others here.

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

Hey my friend @AlwaysMyself ,

Thank you for taking the time to share what you are going through at the moment. It sounds so hard, yet I can see how reflective you both are.

I can honestly say that sometimes, we just don't know why things happen the way they are. It's not easy. Yet through these challenges, we can come to know ourselves more and learn from it.

We may not necessarily be able to 'fix' everything, but I'm a firm believer that everything happens for a reason.

Whatever the future holds, we are here to walk alongside you and journey with you.

If I should say so myself, your peer work skills are incredible. You are the expert in your life, and that's why we learn from each other.

Waiting to hear from 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

Thanks @tyme , appreciated.

I certainly agree that we learn a lot through our experiences (if we are willing to reflect, which thankfully is my nature). Thats why i am able to help others, because I have learnt a lot on my own journey and whilst everyone is different some of the skills I have learned along the way may help others. Even the awareness that there is not "one size fits all" comes from my experience of being an atypical presentation.

I do consider studying peer work instead of what I currently do for work. I might find it more rewarding personally intrinsically. But financially it would be a difficult decision to do so. Its still a possible option idea for myself for next year or anytime my work situation is stressful enough that I would consider quitting.

I try to tell myself that if I do (in the future, not soon) decide to pass away, I should at least spend my saving travelling first beforehand. Of course my other part of myself says I would be better to donate it to aid rather than spend it on myself travelling, but I try to tell that part of me to shut up because for once im allowed to be selfish with my money! 🤣 and who knows the travelling may change my perspective after.

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

Hey @AlwaysMyself ,

If you want, have a look to see if there are peer work certificates as scholarships in your state. MHCC have some for NSW. I did mine online and in my own time. Took about a year.

I personally find peer work so rewarding. And I guess at SANE, there are so many other areas of work and we don't just do peer work. I don't know what the pay for peer work is like out there. I've never really looked into it.

I think i sort of just fell into peer work. It wasn't a career choice, but because I experienced all the things I have with my MH, it sort of fell naturally, and that what it seems like for you too.

Your peer responses are incredibly powerful, so validating and supportive and definitely gives people the hope that they may need during a difficult time.

Do what's right for you. If it's a holiday, go for it. It's not selfish. It's what will keep you well enough so you can support others. If you are not well, you'll be no good for yourself nor others, right?

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 for sharing your update @AlwaysMyself

Sitting with you my awesome friend 🧡 and sharing a cup of coffee with you

Will be thinking of you lots 💓

@tyme

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

hey @AlwaysMyself i'm really glad you could get this off your chest here, i can see this has been weighing on your mind for a while.

living independently tends to be an important learning experience in a lot of people's life, so perhaps this might be really eye-opening for him.

i can see that you've got such a big heart, and that you really want to support him and hold this relationship together, but at the same time, i can see you acknowledging the limits here and trying something different.

i don't know about your sister, my sister can definitely be judge-y but i think it comes from a place of love and care (most times haha). hopefully you can share a bit more with your sister, and once she has the full picture, she might be someone you can lean on more too.

i completely agree with @tyme, i think you've provided such lovely peer support here and if you're interested in a career switch, i reckon you'd do great in the peer work world!!!

sending gentle hugs to you, we're here 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 warning

Hello @AlwaysMyself!

How are you feeling today? 🥰

Firstly - thank you so much for sharing your life updates with us. Please know that if I ever take a bit to respond, it's just because I always want to give your messages the attention and response they deserve!

Secondly, I completely empathise with how challenging it is to be in a low-reciprocal relationship, where you're doing all that you can to support the other person (despite your own mental health challenges), yet still finding yourself feeling stuck... I can hear how loving and caring you have been, and it's truly so tough seeing someone we love struggle so deeply. It must be quite vulnerable not knowing how things will pan out too?

I really, really hope this time apart helps you both individually and as a couple - what would you like to see happen here?

As for your fur babies... I think go with your gut. Maybe you could trial having them live with you and then with your partner, to feel into the best fit?

Your safety is really important, so no matter what happens, I just want you to know that we are all here and we will absolutely check-in to make sure you're okay. It seems like talking things out really helps 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

Thanks @AuntGlow @rav3n @Shaz51 @tyme . Such a busy weekend (garage sale) I guess the upside is almost no downtime for negative thinking. This week will be a bit busy outside work too - dealing with unsold items. Being aware to not over-exhaust myself because I remain aware thats a risk factor for me.

Bought some ceramic gnomes to paint from kmart for evening down-time over the upcoming weeks. I just like painting 3d ceramic statues. Kids craft ones are pretty cheap. I plan to put a waterproofing on them after so they can be put in someones garden outdoors after.

Im not sure what will happen if he cant secure a less-than-12mth-lease. And in our rental market i honestly dont think he will be able to finder a shorter lease term; landlords rarely want less than 12 mths, and there is no shortage of rental applicants.

For now I've been trying to just live like its a flatmate, except for our agreed chores (which are still shared for each other - cooking, laundry, etc). No social expectation, not asking for help with other tasks, not asking him to walk the dogs, not telling him if i dont feel ok, etc. I've been living that way for past 3 months anyway.

Thus also not sure if he will move out during or after my family member's holiday. If during, I'll be living alone until they return from their few week holiday.

We agree the dogs need to stay together. I think the best situation for the dogs may be something like week days at my place (space to run and usually someone is home, plus the 3rd dog at the house), and weekends with him (when he will be home) - as long as the dogs dont feel anxious being in an unusual place for only a few nights (one dog is on edge/anxious if i've taken her to another house/camping overnight, even if the other dog is with her; but she's happy to visit places for a few hours).

He has decided he still wants to come on the planned holiday in a month though. Hoping it will be some positive time and memories together. I had already decided that even if he is "too tired" to do activities on the holiday that I would still do them.without him. Not going to let his moody-tiredness ruin a 3rd holiday for me. He can stay at the accommodation instead if he likes (he is happy to relax with his digital media). But hopefully, now he can feel "free" to move out and live alone, his mood will be a bit better and he will feel more energy to enjoy himself on the trip also.

I will be collating my various travel plan documents into one record within the next few weeks, which is always a nice way to try to prompt feeling abit positive about a holiday in advance. Make it feel more tangible.

An interesting protective factor has cropped up for me. There is a clinical trial that I am interested to partake in, if/when they have availability and i'm deemed suitable. However one eligibility criteria is to not have a history of suicide attempts. So far, despite chronic SI, I have not attempted - so i am eligible based on that and other criteria. However if that changed (and survived), I would be ineligible. So potentially there is now 1 more treatment option i could try if i get accepted into the trial (likely wouldn't be available until next year anyway). So that is a positive thing. Its quite nice to have a "reward" for not having history of attempts or substance use, because it does sometimes mean I am more likely to be eligible for clinical treatment trials. Last time I looked for trials on this treatment the ones I saw available then required a lower BMI than I am; this one does not have a BMI range criteria. 😊

Tomorrow I am looking forward to a massage after work. Deliberately booked for after the busy weekend, when I knew I would have painful muscles. But muscles are not as painful as I thought they might get, so that is also a bit of a "win" - with rest periods they are being manageable.

I hope you all had good weekends, and not dreading the week ahead?

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

hey @AlwaysMyself i love the idea of painting ceramic gnomes!! would love to see how they turn out!!

yesss i'm so glad you're open to doing activities even if he's not in the mood for it - there's been times in family trips where i've sacrificed fun or new experiences for others, and then held a bit of resentment. i really hope you have the best time on this trip!!

i didn't know that history of suicide attempts were a common exclusion criteria for trials! but i'm glad this could act as a protective factor for you - and fingers crossed you hear back from them soon. what's this clinical trial around? (no pressure if you don't want to share more about it!)

love how you planned the massage ahead of time, hope you enjoyed it!! i'll be going to qld this week so lots of packing and planning to get done, but i am looking forward to a change in scenery and warmer weather!

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