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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

Thanks @AuntGlow 😊 that's really helpful to know there is a non-crisis line to reach out to when in the not-yet-crisis-level stage. I've not heard of WellWays before.

Today I have run the errands out of home that I needed to, plus watered the plants (and yep as I was finishing it started spitting with rain lol). I think I get to take the rest of the day off now - perhaps some gnome painting with TV in the background.

I do need to do a bit of a tidy before my friends come on Saturday - not for vanity, so there is somewhere to sit and play! 😂 But worst case scenario I pile everything from the table into a box and move it to the bedroom for the day. Also need to decide what to cook for dinner for the group - that can be a tomorrow afternoon thought!

My friend and I will meet up for a coffee or late breakfast, nice and sedate as I won't have much energy to go for a walk or anything.

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

Would love to hear how you go if you decide to connect with them! @AlwaysMyself 🥰

haha that happened to me last week and my plants drowned!! And now two of them are... not happy. 😅

Gnome painting and TV sounds very soothing - what do you watch when you're wanting some relaxation time?

I do that too, chuck it all under the bed and hope for the best! Ah, cooking for a big group is tough! What are you thinking? I often make social events a 'pot luck' so the onus isn't all on me to prepare food (because I am terrible at cooking).

That sounds so nice, brunch dates are my favourite way to socialise. 😋

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

Im not a big tv/movie person, so I do find it hard sometimes to find something to put on in the background. I like a lot of European crime-fiction tv - but I dont like dubbing, so i use subtitles. But I cant do that while painting. Good thing with netflix/disney/etc is i can put something on and if I dont like it, change it to something else.

I have watched a lot of the english-language crime-fiction also, especially British ones. But also various NCIS (original first seasons 1-4 my favs still), all the various Dexter, all the criminal minds... and lots of random ones I dont always recall what they are.

Oh, I just realised I could watch Would I Lie To Ypu while painting - although sometimes watching people's expressions on their storytelling is pretty funny.

We rotate houses, so we end up sharing the provision of food duties. 😊 in the past ive sometimes done easy stuff like air-fryer chips and fish fingers. Once I made vegetarian sausage rolls. I've made a lentil dish before.

I have some fancy pasta in the cupboard i bought for the group at some stage, but I am also trying to avoid pasta/bread/high-carbs due to my insulin-resistence (and hoping to keep it in check so it doesn't become T2 Diabetes).

I have some very tasty healthy recipes that I tried a few weeks ago (when I did that mass cooking week) - but they take a lot of prep work, so theyre out of the question currently.

I dont feel like doing a salad 😬.

I could do dipping-vegetables (Broccoli, carrot, fried-tofu.. trying to remember what else we used in the past) and dip them into a soy or peanut or cheese sauce or something.

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 managed to get round to reading your story. Thanks for leading me here hun.

Something got me curious - do you see your SI as a coping strategy? Cos that's what it sounds like to me... like an automatic thought that is comforting in its "Even if I can't change my life or control these events, I always have an exit strategy" kind of way. Curious on your thoughts!

Also, no obligation to go delving into this or opening any worm cans if you're not feeling up for it! Hope you've caught some sun today 💜

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 Hello my beautiful friend. I’m trying to catch up on posts here. How are you going now thet your mum is away for a few weeks?

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

@Jynx That is an interesting thought. I definitely think there is an ingrained thought-habit pathway, where it has become the automatic thought when something makes me too angry (e.g. injustice) - and that I think it perhaps a little similar to a coping strategy. But most of the time it isn't of that nature, its more dwelling there as a wish, if that makes sense? Forlorn in the sense of its what I want, but I am resigned to the reality of not getting it. Wanting something you know you can't have, and just resigned to that. Sometimes it can feel like an ache inside, wanting it.

It doesn't bother me that I have SI thoughts in response to extreme distress triggers - because I know that will pass, and that's an understandable thing to have those thoughts when something distressing has happened.

It bothers me that I have it chronically as an underlying longing though. I think it is because I have nothing else I want in life that is realistically possible.

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 thanks for sharing a little more to help contextualise things for me. I get the sense then that it's like there's two kinds? One in response to distress that feels more automatic, and one that is more like, constantly present in the back of the mind. That about right?

My next thought is around like, your belief system - what do you believe happens after we die?

You don't have to answer me, or explain in any great detail, it's more a prompt for reflection - I was just kinda thinking about like...well if one believes in an afterlife, death probably feels less foreboding. Maybe even a point of curiosity!

So I figure... there's potential in that if you understand a bit better how you conceptualise/understand your own mortality, you may be able to ascertain a little more about why it is a yearning. Does that make sense? I hope so 😅

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 doing OK all things considered @Cuddlebear . I had a long nap during the day today, hopefully that will help me be less worn out for the upcoming week.


Realising that tomorrow was a public holiday and thus only 2 work days this week was very nice. I don't feel ready to go back to work tomorrow, and guess what? I don't have to! lol.

But I do feel 'tied down' to being home with the dogs. I don't like leaving them alone; they love being with people (even if most of the time they sleep).

I have a double-good method at the moment re: food intake. Because I want to eat healthy to lose weight but also struggle with energy & motivation to cook for 1 person. I have bought some VCLD & LCD shakes/bars, and still have some frozen meals in the freezer plus the occasional meal with friends. So I should still lose weight because of using the VCLD meal replacements (which are nutritionally balanced), but hopefully not get too hungry because of a normal meal every day.

And as I try the different meal replacements I will see which ones I can tolerate the flavour/texture of 🤣. That is always the hardest part for me lol.

But I won't be able to do the clinical trial until a bit into next year because I can't pass the screening until I lose enough weight to be in range. But this will be less stressful than trying to lose it more rapidly within the next 8 weeks - which would require me to be very strict on VCLD without anything else. And that would be stressful and miserable. So I think I am making the right choice to miss the intake for the start of the year.

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

100% on both counts there @Jynx (the understanding of the 2 types of SI, and on the afterlife belief being less foreboding).

I am a Christian - but not a legalistic one. I do sometimes wonder how much I believe in god these days, but whilst I do find it hard to believe in a god sometimes I also find it very hard to believe that everything just created itself from nothing with no prompt. (But where does god come from? 😉 ). So I choose to still believe.

When I was a teenager my faith was absolutely an unfortunately negative influence on my SI - the concept of heaven is much nicer than earth. 😅 However I don't really think about the afterlife anymore. I don't think I will be conscious of being in an 'afterlife', and the idea of 'nothing' doesn't make me feel uneasy either.

The longing is more for me to just 'retire' from the world. Life is constant effort, there will be stressful, frustrating, disappointing experiences. From what I understand, most people have something to balance that with - something that they enjoy or look forward to or something that they are passionate about (be it children or a career). I feel like I don't have that other side of the scales (and don't ever recall having it). So I am putting in all this effort to stay afloat in life (working, self-care, etc) without any reason to. My current theory is that is the root problem - not having something to live for, and not experiencing the positive emotions in a way that balances the scales. (And I don't have a solution to this, and hence interest in PAT, because I do as much of the things I am told will help that I can - I eat regularly, I try to be reasonably healthy food overall, I do as much exercise as I can with chronic fatigue and degenerative-joint pain, I keep social contact, I volunteer in meaningful ways, I am highly regarded at work in a role that I know meaningfully contributes to the community wellbeing, I give myself rest time, I process my emotions & regulate, I do activities to keep me busy even if I don't feel positive from them (painting/crafts, reading, TV, DnD)). So many counsellors have said to me "it sounds like you are managing things well; you are doing the right things". I have been trying to take probiotics to see if that helps (so far no, but I probably only remember them 5/7 days). I'm on the best medication option from a psych's review earlier in the year. I've been trying for soo long to keep going, hoping things will stay neutral or maybe even improve somehow. But life doesn't "stay neutral", and neutral is no longer good enough for me longterm. I need it to improve - which is why I am hanging out with hope for PAT as a possible therapy, because I have tried many other things except for ECT (which I don't feel I am 'severe' enough to risk the side effects of memory loss, and I also just don't like the idea of such a violent shock to the body without understanding what it is doing). I've made a few financial-sacrifices to help myself cope (with pain and energy challenges), but I'm still not back to neutral.

Sorry, that was way more of an answer that you were looking for. 😅

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 have studied counselling and hearing that you copped the 'well you're doing all the right things' bs infuriates me. It's completely invalidating, as though you've checked all the boxes, now if you're not happy then obviously it's an issue with you. Blech. I'm sorry you had to navigate what that means for you.

To my mind, if I had a client who was dealing with this, I would probably start delving into those more existential questions - about spirituality and faith, meaning and purpose, identity and how it fits into the world, stuff like that. Ever been able to go more deeply with a therapist?

I hope that if you end up exploring with PAT, it helps you to know yourself better and to breathe life into those parts of you where your joy lives. It's not like your brain is incapable of it.... 'a very underused muscle that has atrophied' might be a good metaphor. But yeah, it's there, I firmly believe so anyway 😊💜

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