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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 Good morning lovely. How are you doing today? Wow the high tea looked magnificent! I love the action shot of fur baby ticking into their meal!

Yes the cost of doing fun things is difficult for so many to manage. Like you I dream of a world where things were affordable and that community and mutual aid were seen as important things. Things in our society have moved away from building community and helping one another. Skill sharing in local communities is exactly what we need more of. I do some activities at local library when they are on but many are for kids. I’ve put in some feedback to request more activities for adults considering thwt many of us are isolated and lonely. Local library is a good place to bring people together.

I had a zoom yesterday with a friend which was enjoyable. It was really kind of her to be online and we chatted about things we both enjoy.

The withdrawal symptoms I’m getting are so uncomfortable to sit with. Today has been particularly hard so far. I’m feeling pretty lonely and my body feels yuck from symptoms. I’m hoping the forums will provide some company today.

Do you have much on today? When do the fur babies come home from your partners?

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

That was a good idea to let the library know if interest in adult-oriented activities too @Cuddlebear . 🙂 my local library also has child-oriented activities, but I dont tend to see adult ones advertised either.

The dogs will come home tonight (Sunday), so they have the big-house during the week while my partner is at work all day (and I will be Mon/Tues/Wed too). But I hope/plan to go to meet some people for a coffee this afternoon, since I dont have to feel guilty about leaving the big dogs home alone (and I'm spending all morning at home with my mum's dog, so it will be fine to have alone time for a few hours).

I'm guessing there is nothing the doctor can prescribe to help offset the medication symptoms? (Eg if nausea or headache)

I always feel more lonely if I am in pain or feeling physically sick - i think because its the time when I want comfort the most.

*many big hugs*

I'm trying to remember what are you biggest interests in life?

Would it help to chat about 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

Thanks @Jynx . That is interesting. I did a quick google and listened to a 20min video about Absurdism as per Camus's perspective as I relaxed for bed. It is I guess good to know that it is "acceptable" to believe there is not meaning or purpose in life ultimately (beyond what people determine for themselves). So often people go on about finding meaning/purpose - and i understand why it is important from a motivational perspective - but it makes me feel even more disconnected because I don't see any real meaning because I look too far down the path and determine its all meaningless in the end lol.

However it does still leave that problem of "why exist at all, then?"

And thats where the 3 you mention - enjoyment, satisfaction, and purpose - interplays.

If your purpose it just to accept that life is meaningless and enjoy your time here to your satisfaction, then that requires one to be *able* to experience enjoyment and feel satisfied with existence.

And that is where I fall down at the hurdle. I don't experience enjoyment.

I can be "satisfied" in the sense that I do good work and I am a good friend to people. But I don't experience emotional satisfaction for challenges/tasks in the way that people describe re: the reward cycle / dopamine, etc.

I do what I have determined I will do, and then I tell myself (tell, not feel) that I have done a good thing despite feeling tired and wishing I didn't have to.

This lack of ability to experience enjoyment in an emotional sense is part of why I am hopeful for PAT. Maybe it can activate some dormant part of my brain, stimulate it so that it can experience those feelings.

But if it can't... *shrug* then I'm at a loss as to what else to try. I think ive been trying to find positive experience emotions for the past 10 years! (The 10 prior being a more severe depression where I can see environmental factors were influencing, but i cant say that for the past 10).

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 Yeah I thought to let them know so maybe they would consider activities for adults. It’s great they have stuff on for kids. Just would be helpful to have things on for adults too.

That is a good plan for the dogs. Giving them space during the days you are both working. I’m also glad your partner does take them on weekend that gives you some space to do things without worrying about them.

There isn’t anything the doctor can prescribe. Except for a small dose of medicine that helps calm a bit. It’s better than nothing. I feel the same as you. When unwell it’s when we all need the extra love and support. I’m lucky I have Wilbur for some cuddles and kisses.

I am glad your partner does are able to meet some friends for a catch up today. I realise you are home alone too and that’s hard when you have mental health issues.

@Jynx spoke about some very interesting ideas. Having purpose to me is usually smaller things and not this big purpose that directs my life. My purpose at the moment is to get through this and look after Wilbur. Small but at least it’s something doable.

Honestly I’m stuck on what my life interests are. I’ve been going through changes in my 50’s and I find it hard to know what I like. I’m interested in stuff to do with space and planets. Think Brian Cox documentaries. I definately like to do things that help people and build community. I like learning about plants and flowers and learning about what other people enjoy.

Sending lots of big comforting hugs to you 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

@Cuddlebear

I've only seen a few Brian Cox videos, but ai have always found them interesting. He has a good way of explaining very complex things into ways that are easier for us to understand and comprehend the concepts of. 😊

It amazes me the photos they can take of space and planets, etc. How far the satellites can travel and still transmit back to us on earth! 😮 absolutely mind boggling.

I like learning about unusual things. I recall in high school learning about a plant that ate frogs. It would lure them into its funnel and then shut a leaf-lid on them and fill with digestive enzymes to break it down! Carnivorous plants interest me for the irony.

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

@AlwaysMyselfi too love how Brian Cox explains complex things in a way we can understand. I love how he too loves talking and educating people. He chooses such a good variety of areas to explore and the photos/videos we can access these days are extraordinary. I love nature documentaries too and just marvel at how amazing nature is. I read the other day that scientists have seen an indication that there may have been some type of life on Mars. It’s just a small possible indication and not a certainty. I’ll find the article to post in case you are interested.

I had no idea there was a plant that ate frogs! How fascinating and bizarre at the same time. I’ll have to do a google search about it to find out more. I do like learning about unusual stuff.


https://theconversation.com/could-life-exist-on-mars-today-heres-what-the-latest-evidence-says-265735

 

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 curious if you are diagnosed with ADHD? Purely because that is very on point for my own struggles with the dopamine-reward cycle. When I first got diagnosed and started researching, it was absolutely baffling to me to learn that people are supposed to get a good feeling after completing a task. Finish the dishes? Dopamine. Complete paperwork? Dopamine.

Me? Well I don't get dopamine when I do these things, I just get tired.

Another thing that comes to mind is whether there's a mind/body disconnect for you. One of my exes had this issue where due to trauma they had become completely disconnected from their body, and therefore their emotions. They told me 'deep down the only emotion I feel is frustration.'

I also experience dissociation and disconnection from my body, just not to the same extent. But I am looking more and more into incorporating somatic approaches into my recovery process for this reason.

Ever looked into Somatic Therapies?

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

Oohh that was an interesting read @Cuddlebear thanks. 😊 I didnt know they had found what they think might have been signs of former microbial life on Mars, or the idea that it could still exist in the subsurface. Very interesting!

I knew there was theory that there could be life on one of Jupiter's moons (Ceres I think?) Under its ice layer - but that apparently 15m deep! (This is from memory, I could be slightly wrong)

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

Jeepers this is this is going to be a long reply: Sorry …… it’s just something I’m currently struggling with…..
i see it like this :

the exhausting mental arithmetic—my needs = their burden"—because it’s something I lived with for decades while battling my own self-hatred.
( where is it ? )

Your belief that meeting your needs would be a "burden" is not a financial truth;

its like the ingrained psychological belief from a history that told you your needs are too much.

When you carry full on self-hatred (as I did for many years, only to find myself married to someone as damaged as me
you believe you must earn every bit of space and comfort.
We are constantly in the "Adapted Child" role,
That means : : sacrificing our needs to avoid being a problem.

So our logic which is if I don't work, I can't pay, therefore I am a burden treats your existence as purely like a financial exchange. .
What your thinking may be missing is this:
• The Real Currency is Love: For family, the ultimate burden is not the money or the cleaning; it is watching a loved one suffer in silence because they feel unable to ask for help. When you allow your family member to help you (and they are willing to do so, as you noted), you give them the gift of meaning and agency. That is not a burden; it is connection.
You have to conquer the belief that you must be "perfect" or "independent" to be worthy of support. You are worthy of care simply because you are human. Allow yourself to be loved, and you'll find the perceived burden dissolving into acceptance.

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

Huh, that is interesting re: your ADHD experience @Jynx . I don't expect I have ADHD as I dont have any difficulties with focus/attention (even on boring things) or any hyperactivity either.

I don't think I get the 'hit' from starting new things the same way that some ADHD people I know do. But I do find more interest in new or novel things - which is the closest thing I get to 'enjoyment' or positive experience.

Do you get an emotional hit from starting new things?

If i do get into the clinical trial, and not in the active group, the alternative treatment is an adhd stimulant. So that could be interesting to see what effect it could have 😅; i would be surprised if my brain responded in the way an adhd brain does, but it would be interesting from a dopamine perspective.

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