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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

641 - 650 of 1,604

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

Thank you also @Chasingsunsets 😊. And I also really appreciate and honour you opening up to me here, I know you have been a little hesitant to - and can imagine that it would be especially hard when negative experiences have lead to not trusting people. So a big thank you from me and acknowledgement of courage from me. 😊

Oh, sorry, I didn't mean "what does it look like for you" in a sarcastic way 😅 - but I am glad you didn't get upset with me in how you read it! I more meant what does it mean for you in terms of what treatments/help you will or won't accept because they are not within your control/self. But you do also make a good point about reflecting on whether or not it is serving your best health vs protection.

I can completely understand your lack of trust with doctors (and especially medication advice from them!) with that experience!! That is horrifying; I am so sorry. That would be traumatic. I hope that doctor who prescribed too high learnt from it and always double-checks their MIMS before prescribing now!!!! I am very impressed you are still able to try medications after that experience - that is a testament to your strength and ability to frame that what happened will not be "all doctors" / "all prescriptions". I personally find comfort in knowing that I can double-check max dosage advice online, along with negative drug interactions if I am concerned. And then I can bring up my concerns to my doctor (or sometimes chat to a nurse friend about them first, like I did with my concerns about taking a prescribed NSAID whilst also having GERD - turns out the one I was prescribed does not exacerbate GERD so then I felt safer to take it 😊, and confirmed this with the specialist gastroenterologist when I saw them).

I think I've mentioned before once or twice that for the past number of years I have been working within the public health industry. Before this work I had assumed hospitals were quite safe for patients - you know, nurses and doctors know what they're doing, right? 😅 Working with nurses and hearing their stories, as well as talking to doctors/nurses in the Quality & Safety area (because I would help them create reports to monitor safety aspects) really opened my eyes to how many things can (and sadly sometimes do) go wrong in a hospital. Humans are definitely not perfect or infallible! What also hurts me most is when I hear stories where the nurses or doctors have not listened to the patient when they try to self-advocate because they know something is wrong (perhaps they haven't been given their medication, or they are feeling worse, or they notice an air-bubble in a drip, etc...). If I ever am admitted to a hospital for an acute issue (and need drips, etc) I will be letting a nurse-friend/family know in case I need their opinion if I am concerned and they can help advocate / raise hell for me if something is seriously wrong.

I see any form of psych support that helps as "therapy" - it doesn't have to have a specific label of a specific treatment type for me. My first helpful psychologists didn't do a specific "therapy" type with me -- they listened to me, and based on what I said and their feel for me as a person they responded with tools that they thought would be beneficial -- whether it be from a CBT, DBT, mindfulness, 'tapping', etc theory. I guess the downside of this is when doctors ask "have you done DBT?" I often haven't known how to answer, because technically no I have not done a formal DBT program, BUT I have learned the skills and coping techniques that are promoted in DBT (I found this out by reading DBT materials) so if asked I say that I know DBT techniques, and CBT, and mindfulness... I haven't done EMDR because I have not been treated specifically for trauma (although I have done some reprocessing work with one psych which did help), but I know a bit about it because I worked for a psychologist who trained in it. Unfortunately that psychologist went a little overboard with their love of EMDR in my perspective (or at least when talking about it) which put me off it initially 🤣 but I have heard many positive reports of EMDR from people who have done it, which is really encouraging to hear and helped me change my limited view of it. 😊

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

Hey @pangolin, thanks for your post and all your kind words, I hope what I was mentioning wasn’t too heavy. I have to point out I have met and been in touch with some incredible health professionals also, so not all bad 🙏. HNY, I hope you have had a good day, I also love your forum name! Is it after the pangolin animal? If so which type is your favourite? I love that they roll into a ball like this ☺️ and I also really just love animals!

 

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

Haha I was thinking this @AlwaysMyself that it was a lot I was sharing! I hope it’s not been too much on your page 😜 but definitely happy to re focus on you! It’s nice to have in depth chats, I definitely appreciate it! Thanks also for your kind words and creating the space to discuss ☺️.

Oh nah I interpreted it as a genuine question you asked 😊, i definitely need to become better at trusting people and their plans, like you can’t really be your own doctor (when you aren’t one 😅) and the patient- one it’s a lot of work, two you can lack objectivity and three I don’t have the expertise. I have many barriers though re seeking and receiving treatment not just that story so can make it quiet difficult at times. I probably should start by finding another GP.

I learnt from a young age as-well that I have to look after myself and my family so it’s not a new thing to feel support isn’t there whether it be from family/ health professionals so that’s ok, it’s just how it is I guess.

Yeah always worth doing your own research, unfortunately I had had that medicine many times before however this time just given too much re injection so I didn’t even know. Anyway happy to break from this topic for a bit 😊

Yesss I do recall you mentioning you worked in the public health industry. All very interesting. The safety and quality area would also be so interesting I think!!

Oh I think it’s a really interesting topic re self advocacy (sorry I can’t think of another word to use other than ‘interesting’ 😂 sorry for the over use of that word lol) for some reason I have found it has definitely been easier to be heard/ listened to with my physical health problems (probably due to the evidence you can refer to re scans and blood tests) and definitely not really heard or listened to in the mental health side really.

You are your best advocate and to know you essentially have no voice sometimes in the MH side sometimes is a bit concerning. Long story re physical - but I have had to ask for reports to be redone as not comparative (the whole reason I have them done for monitoring of changes) specialists agreeing it’s not comparative and not chasing it to get a better interpretation, let’s face it everyone is too busy- so it is up to the individual to be on their game and get what you need as no one is going to do it for you unfortunately. Sad as not everyone knows or can understand what they need so they can’t advocate for themselves so this is heavy to think about I guess.

However I have also come across some awesome health professionals so not all bad 😎☀️

In the MH system, definitely came out worse with a few more traumas to add to my list. I know they think they are “looking after you” but are they when you come out with further traumas? Just an interesting thought, this is all regards to the MH act and methods of restraint etc. Won’t expand on this for now but just thought I’d briefly mention and find it interesting.

Yeah you are so right re any psych support is therapy. Interestingly the therapy I was hoping to do was EMDR, did a lot of research before doing it. ‘The body keeps the score’, it’s certainly true for me I think re just the meaning of those words (can’t say I recommend the book, content super heavy however it has some good points at the beginning). I go into involuntary movements and flip into flight or flight freeze at times so that’s been interesting to navigate. However just as the psych and I were going to start the first potential topic for the next session I had an adverse reaction after a nap post session and remained in that for quite some time, different to my normal trauma responses and was with me for a couple of days. I think my main core feeling is being scared and fearful- this has been for my whole life just not really having a sense of safety.

Anyway a break from me! 😎

How’s your day been? What have you got on for your 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

Hi @Chasingsunsets ,

Was out with a friend all yesterday afternoon & evening, and then gave myself a break from the forum this morning after my late night and busy days. Popping on to reply whilst I have 30min before my video-appointment.

I am more than happy for this thread to be a safe place for my friends to also share their story, struggles, achievements, etc and seek help too. Whilst sometimes its a downside that new threads in this Space (SH &SI) don't show on the forum and thus get missed by people, the upside is that very few people see the threads unless they've gone looking via a person's profile - so it's sorta a quieter place people can post without wanting everyone to see if they want. 😉. I think @Chasingsunsets and @Cuddlebear don't have your own specific thread where you get consistent support for yourselves or your story (or not to my knowledge?) so I love that I know you can both come here & post what's going on and share safely, as you both know I care. So please, always feel free to post about yourself here -- I like that it's not just all about me.

I think a good GP is important, because they are the "primary care" and referral base in our health system. Until the past year I've felt my GP was OK because when I had a physical problem he would refer me for a test or to a specialist, although over the past year I have found he has lacked the patient-education (eg self-management advice) component of follow-up when prescribing or post-testing to be disappointing. And with MH I guess the positive is that when I've asked for a referral somewhere or suggested re-prescribing a temporary medication a previous psychiatrist prescribed for a specific situation many years ago, he has supported that and done so. However I have found the GP lacking in interest in MH treatment and limited in his knowledge of what services/supports there are other than the MHCP (i've had to do all the investigation of supports myself then ask for a referral). I found there is a MH-only GP within my region, so I have a booking with them - but it's a 3 month wait to see them. I hope they are good! They charge a lot of money (beyond the medicare rebate). Very very few GP in my region bulk-bill unless a child or concession (but even that is becoming rarer, and they just do discount-price instead).

I use the word "interesting" a lot too. 😊 I feel it better describes my response to things that "enjoy", because I have become more of a thinker than feeler (whether due to anhedonia or medication-induced-blunting, who knows).

Do you find it tiring to have to self-advocate? I do.

Even in the small things - I need an "evidence of diagnosis" from a psychiatrist, so I called the public health where a psychiatrist did a review & report back to my GP in early 2025 and asked if they could do a short statement of my diagnosis from that assessment to use. No, they can't/don't do that; but my GP will have the letter/report they sent which might have it, and if it doesn't have it then my GP can contact them to request it. End of story, not further advice/help. Remember I said my GP doesn't bulk-bill? So I try to avoid how many appointments I need with them, but also wanted to get the ball rolling with preparing paperwork before my next appt in a month. Because I knew the health system I asked if I could get a copy of the report myself through 'access to medical records' (and it would also be useful to give to the new MH GP in a few months); they said yes and gave me the phone number to call. But they weren't going to mention this option if I didn't specifically ask! And instead of telling me that I need to fill in an online form on the website, they gave me a phone number which I then had to wait 1 week for a call back only to tell me that I need to complete the online form & email it to them. What a waste of a week and the Med Records team time to have to call me back to tell me that themselves. Turns out the medical records can take "up to 30 days", so I will just wait to see my GP since it is now only 3 weeks away.

I feel it takes so much effort to acieve so little.

I don't know much about the MH Act and Seclusions/Restraints in how it is actually used/implemented in the hospitals, as I have never been an inpatient. However I know a little about it from my work role in creating reports for monitoring & legislated reporting of seclusions & restraints. I am glad there is very strict reporting requirements about it, although I do not know how well it is monitored externally as to the accuracy / full-inclusion of the reported data. But I can be glad to know my local health system takes it seriously and uses S&R as little as possible.

I have heard of the book "the body keeps score", but not read it. I think someone mentioned to me that it is of a similar theory/concept to one I read as a teenager (mother-psychologist's bookshelf lol) called "Waking the Tiger" which I found very interesting & made a lot of sense to me about how animals process trauma and muscle-release/movement as an important part of that.

(If it's OK to ask, but also OK if you don't want to talk about it - just say so 😊) Did the reaction you had give some insights still into your trauma and things to talk on to help process it? Maybe it is good "pre-EMDR talk therapy" 😋😊. I am glad your psychologist sounds like they are flexible to take it at your pace and change based on how your body/mind respond, and not on their own pre-determined schedule. 😊

Hoping to rest this afternoon and maybe do some of the paint-by-number again. I feel very emotionally/socially tired, so I am not sure I will respond much to forum posts from yesterday/today yet. I do make sure to put my need for that rest first, else I will not be in the best place to support others anyway. Sunday I will drive home.

Got to head off now for my video appt. See @Chasingsunsets and @Cuddlebear around when I'm next on. Please do both let me know you are are going, I very much care and likely won't see updates/post unless I am tagged into them (or they are here, I always read all posts on this thread 😊)

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 that sounds like fun @AlwaysMyself! What did you guys get up to?

yesss definitely do what you need you support a lot of people here on the forum 🙏, you don’t need to support me though but can be up to in-depth discussions sometimes and always here to support you- after all this is your thread 💚

But thanks for having me all the same it’s very kind of you, know if you need a chat always a tag away and got a little bit more time atm as not working which has been nice!

will get back to you with the rest ☺️ wanted to give you a bit of a break and room for you aswell 😊

Is your appt a video appt drs appt? (You don’t have to answer of course) I hope your appt goes well. 🙏💐

found a pic for you and @Cuddlebear @Shaz51 🙏

 

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

@Chasingsunsets Thank you. That was a beautiful affirmation. I’m so glad you can see me as light. Like a twinkling star! 🌟

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

Yess @Cuddlebear of course, you have been such a good friend and always checking in And supporting everyone 💫💛

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 It sounds like you had a good day out with your friend. I’m really happy you are getting to see people in Sydney and have some time together. It’s always good catching up F2F especially when you live far away from one another.

Thank you for letting me be in this thread. It’s a safe space and it means I can keep with how you are and what you are upto.

I couldn’t agree more that a good GP is so important because they are primary care. Finding one isnt so easy and especially when you have complex medical stuff going on. Many are not at all up to date with the latest science on MH and other conditions too. There’s also the bulk billing issue and that is a real problem even for people who work. In my view all GP should bulk bill. They make a very comfortable living and it’s critical for a healthy society. I’ve had to do a lot of my own research to take to my GP and self-advocate. I hear a lot of stories from others having to do the same thing. My GP lacks educating the patient. He thinks going for a walk will cure all my MH. I literally walk daily. I don’t think he takes it seriously. He has no clue on other supports for MH. I find this an issue across the board. I find it exhausting self advocating and my GP isn’t particularly fond of patients who show evidence of things thwt might work. A lot of doctors feel superior to the patient and even when the patient raises a very good scientific based point they’re not overly fond of it.


In Victoria even when a patient doesn’t need to be declared involuntary they do it because it makes it easier for them. There’s literally no oversight of any of this or support for the patient to over that that decision. I’ve seen many people come out of psychiatric on drugs they don’t actually need and drugs thwt have serious ramifications and turn them into zombies. Going in with depression and anxiety and put on off label medicines anti psychotics etc. The public health system in Victoria for mental health is in crisis. People die from medical negligence.

That’s something new I learned about you in regards to using the word interesting! I’ll keep that in mind.

How was your Telehealth appointment? I hope it went well. 🙂

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 @Cuddlebear If prefer I don’t post on this thread please let me know.

ive been reading the posts about local GPs, have similar experiences. Previous GP during one short appointment diagnosed me with depression and placed me on an SNRI. Moved address and changed GPs. Current GP decides which patients need to pay and which are bulk billed, one good thing for me at least. GP is also palliative care Dr, very caring nature and has referred me to specialists for non-MH items. When comes to MH, I find I’m the one that does all the research. Even after doing research and requesting referral based on my research, my requests have been denied. She doesn’t believe in Telehealth appointments with MH specialists. Has acknowledged appears my meds need reviewing/changing, says is not something she can do (I don’t know if meds review can be done by GP or not). Last 12mths plus has been exhausting and frustrating having my request for referral denied more than once

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 @Cuddlebear how was your walk today? I saw you went to the beach and the pier! That would have been beautiful! A nice day for it!!

Yesss a good GP is definitely worth there weight in gold!! I did have a really good one but she was only on a 6 month rotation and left 😔 but she was incredible and very refreshing to have someone good. I also agree about bulk billing! Too hard when they don’t. I am glad mine does, I don’t think I’d go really if it wasn’t bulk billing tbh.

I am very interested to hear how @AlwaysMyself goes with the GP specialist in MH- I hope it goes well.

Sorry your GP isn’t what you hoped Cuddlebear, it can definitely be exhausting I feel you there. There are good ones that do pop up though and I am always keeping my eye out if there is a new good one that’s come to town!! 😊

What’s on for you over the next couple of days?

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