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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.

1604 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 Hello beautiful. I am really glad the procedure went well. I’m also glad that the first bit of news is positive that is that it doesn’t look like you have any stomach / throat damage. I’m hoping the results at GP will also be very good.

Wow the Auslan assessment was very quick! How did you go? Ah I didn’t realise re auditory issues. But it is good you have this skill language that helps with communicating with deaf community.

In relation to NDIS and DSP I will post a new post here on that and provide some links with further information and resources that might help. I need to look a few things up. My research area involves NDIS.

I can totally understand the worry you are having regarding costs right now. I’m so sorry this is so unfair and hard. Let’s see what we can figure out together. I’m sure we can find a way forward to help 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

@AlwaysMyself Hello my friend. I’m wondering if you’ve contacted Emerge? They may be able to advise on how to go about applying for NDIS or free organisations in your area to assist in gathering required documents.

https://emerge.org.au/

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 @Cuddlebear @rav3n @Chasingsunsets @Till23 . Short update (pretty tired and dehydration headache from crying lol 😅 pretty likely we've all experienced that before 😉) then one post to make on forum to someone from yesterday and im going to chill the rest of the evening. Dont worry that im not online, im doing a lot better.

Counsellor was good. Did a bit of what was on my mind today and a bit of planned stuff to discuss. Good balance. And a little inter-related.

Went to the safe haven after as i was still having very difficult thoughts. It was a good decision. Invited my mum to come too, to give her a bit of an update on the pressures im feeling around costs vs income supporting myself, and that whilst my gp giving me 1mth leave is a feeling of relief the limited feeling because of the uncertainty of a long period meaning i cant plan any longer term change/commitments.

She says she still wants to (and is able to) financially support me when i dont work - even if thats for life, even though she is retiring. She believes i should take 12mth off work regardless of if GP supports it or not.

I need to work on not feeling guilty/irresponsible for not working and not supporting myself and using her money. I know its her choice, her money, and she would prefer to keep me and pay for me than not. I know it intellectually, but its hard to accept emotionally.

I think i will make an appt with a gp recommended to me for MH specialty, even though they are super expensive. I think i need a GP who i feel understands and supports and advocates for my needs and takes an interest enough ask about what the situation is (e.g. why do i feel i need extended leave, not just a few weeks or month - my gp doesnt ask even that).

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 (and hello also @Chasingsunsets and @Cuddlebear)

I'm glad to hear you are a bit less emotional today.

Sorry I got a bit busy in the afternoon.

I would not have though ECT was a requirement for NDIS, but actually have no idea what criteria are.

I don't know much about CFS, but as I understand, there is currently no known cure for CFS and no evidence for use of medications, treatment is usually graded exercise and psychological and that is for symptom relief and relief of distress of having fatigue.

I think ECT in depression has possibility of relapse and there are side effects, especially cognitive I think.

However, I have heard funding via NDIS is often hard to get.

I can understand your concerns about your situation.

Do you have enough sick leave to cover your initial time off (that's if you even have sick leave).

Do you know when you will find out about NDIS outcome?

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 that Emerge resource looks great.

You would be much more knowledgeable than me regarding NDIS

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 Thank you for checking in here. I’ve been thinking about you. I’m so glad you are feeling a tiny bit better.

As a mother myself I would do anything for my child to keep them alive. Your mum loves you and is offering her beautiful child Whay she needs. There is no need to feel guilty thwt is what love looks like in action. You’re not being a burden. You don’t have to work when you are unwell. You have worked and volunteered and you give back in so many ways. Take what your mum is offering because it’s not only going to help you but it will help her too. She wants to do this for you and that’s a beautiful thing.

Yes absolutely rest and no rush to be responding to forum stuff. I’m glad you are home and safe. Love 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

Oh sorry @AlwaysMyself I didn't see this later post. I am glad your counselling session went well and you found the safehaven useful.

There is a new safe haven close to me, it has limited hours, other than that I don't know much about it.

It sounds like your mother is really supportive of your situation which is great. I'm not sure if there are any problems there, but from what you have written she sounds quite supportive.

I totally understand wanting to be independent and not relying on others, but sometimes accepting help from others can be very helpful.

Trying a new GP sounds like a good idea.

I hope you have a good rest this evening.

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 forgot to say that seeing a GP who specialised in mental health is a very very good idea. I’m going to do the same thing. Just trying to find one.

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 hope you are ok @Cuddlebear

I hope the tapering has slowed down for 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 @Cuddlebear and @Till23 🥰, feeling very cared for and supported by you both (and @Chasingsunsets who i know has been working long shifts). Still feeling easily tired so i am only coming on forum occassionally and selectively, which I know is fine - just letting you know why i'm a little absent. Happy of course for any of you to tag me where you need support and/or to draw my attention to specific posts you reckon i'd like - thats actually useful cos i dont have the energy to keep up with the social threads currently but do enjoy a good joke (or Silly Sock Space! Lol).

Going to a birthday celebration for youngun relatives today. I think they will like their gift (their mum, my cousin, says they will - got them some mini figures to paint which they do with their uncle).

I think i may as well put in an NDIS application, as long as reports from doctors won't cost too much to support it. I do need to book in an initial appt with the MH GP, i think sooner is better to get them on-board and advocate for me. Then i can always say to orgs later than im "not eligible" for ndis, rather than "havent applied" (and if i do get ndis even better but very unlikely). Will prob try to do ndis application in Jan when im not working, most headspace and emotional energy for it.

I have enough acrrued sick leave for about 3 months at my part time hours. And i will have a little annual leave accrued as well over that time. Depends how long GP will support sick leave for - but hopefully if i transfer to MH GP during dec/Jan, for MH related things, then they may be willing to extend even if other gp doesnt feel comfortable to. I can take up to 12mth leave without pay from work i expect - they often allow it even for people who just go on a travelling holiday or to try out a different job! So for genuine health reasons i dont think it would be denied. Means i would not be risking unemployment if i was well enough to work again - just a mental safety harness really.

@Cuddlebear how is tapering progress going? Did you end up decreasing again, or keeping at steady level for a bit longer to help stabilise?

@Till23 i plan to head over to your thread also when i can for an update on how you've been this week. May not get time before i go to the birthday though.

The UK webinar sounds really interesting. I'm always up for hearing what points ypu found most interesting or insightful or new, etc etc.

I feel very lucky that whilst i still have some effects from CSA trauma i don't have PTSD (or havent been diagnosed with at least by psychologists or psychiatrists). Always been so grateful i dont have flashbacks or intrusive thoughts of it.

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