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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

@Flutterbug9 yep i know that "low risk because you care" problem too well, although perhaps wisely no one has ever *told* me i was rated low-risk --- but i know it from their lack of active intervention/referral or dismissiveness of the subject.

@Cuddlebear @Chasingsunsets @Flutterbug9

Seems that the call to my local public mh line may have actually opened a new door this time. It might have been a matter of the person i talked to (for over an hour) not being jaded (only been doing it 1yr), or perhaps because i had the assessment 12mth ago and i'm *still* having these feelings now, or because i have an (albeit a year) timeline. Theyve put in a request for the community crisis team to check in with me for a visit in the upcoming days. Dont really know what will come of that, but since i am not an immediate threat to myself (or anyone else of course, that has never been an issue though) i don't have any reason to fear involuntary problems. By all accounts i have as much of a voluntary plan for treatment as possible. Maybe nothing wil come of it, but maybe they will be able to link me in with some occasional additional supports - especially while waiting for the trial??

I know a number of people have had disappointing experiences with community teams. But i do also know a number of people have had positive experiences too. Fingers crossed the people who visit me will be caring & compassionate and "get it". At least i know that, come what may, you all are.

My mum should get home soon. Unless she stays for dinner with my grandma, i don't know. I'll chat to her when she gets home probably though, let her know i've been feeling this way. At the very least she can watch tv with me if i need a distraction, or give me a physical hug.

Wishing you all also had someone with you that could give you a physical hug too. 🤗 <-- virtual hug from me. I know that i am lucky i do, and i dont take it for granted. I dont wish to rub it in either, so i really hope it doesnt hurt for you hearing it. Know i want to pass that same type of hug and care on to you also.

I have a headache now, which i strongly suspect is dehydration from crying 😅. I should prob try to drink some water 😏.

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 Anhedonia is known to cause SI. It’s one of the hardest symptoms to treat from everything I have read an experienced. I have had it for over a year and it hate it. It’s the most difficult symptom. It’s a symptom of rhings like complex ptsd, depression and anxiety. You probably know all of this as you research well plus your mum is a psychologist.

It can be treated. There’s lots of trials going on to test it too. I’m glad you’ll be in one very soon.

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 You are an amazing person and owe it to yourself too.

Here’s a recent study looking over the literature.

https://www.nature.com/articles/s41398-025-03310-w

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 I’m glad you got home safely despite having SI while driving home.

I knew the fur babies would be delighted to see their human mumma!

Don’t worry about unpacking and washing you have plenty of time and it’s nothing urgent. It’s ok not to do it and to just pot around and rest.

I do believe you. You’re a very honest person and I believe what you say about how anhedonia feels for you. For many people it’s other things that make them want to live. Do not give up we will find a way to eliminate this awful situation. There will be a way. We will find it. I like the idea of a peer support course. You could do it professionally or volunteer. It seems to give you purpose and you’re terribly good at it already.

Im sorry this is taking such a big toll. Honestly I can feel your pain but I can also feel your inner strength and determination. I experience passive SI and sometimes active but for me it’s because I can’t handle feeling like this and just want it to stop. I am glad you won’t let yourself die. You’ve really become impirtant to me. I want you not only to live but want to live. I’m really glad you feel safe enough to express it here. By talking about your feelings we can help you carry this burden. If I knew you F2F I’d be there every step of the way and support you through your taper and the study you’ll join and beyond that too.

I still will do these things via the forum. You will survive and you will find the way to want to live.

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

@Flutterbug9 What a ridiculous assessment that mental health nurse made. I’ve also been told I’m low risk because I have my daughter and fur babies. These professionals have zero understanding and/or just don’t care enough to provide the support you need. It’s at the time when our brains are fuelled with these thoughts that what makes us want to live goes out the window. It’s not what we are thinking about at all. It’s when reaching out to a human becomes critical so we can be supported to see the foolishness of such a drastic irreversible decision. It’s not that we are crazy it’s our mind sending out those thoughts to the exclusion of everything else.

You know everyone I’ve met here likes helping people and we all suffer the same MH illnesses. Wanting to live in part for me is to help people.

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’m so glad that the local MH line has provided a visit support from community crisis team. My first visit from them had a mental health nurse, a social worker and a Dr to check my blood pressure etc. They can be very good. After that I had daily visits from mental health nurse and paramedic. I probably should call them again but I had one bad experience which really upset me and I cancelled the service. I was voluntary.

They can link you in with more FREE supports too. Even dieticians etc.

How are you feeling now? Did you get some hydration? Is your mum home? I hope so cause you deserve a big hug and someone to be there with you. You’re definitely not rubbing it in nothing makes me happier thwt you have your mum in the same house.

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 offering this reflection @Cuddlebear

There’s something deeply sacred in what you shared, it really shows how much compassion you have. Wanting to help others can be a powerful source of meaning, and it’s clear your presence here matters to people - through being a light for others who walk a similar path. That doesn’t make your pain smaller, but it gives it meaning. It says that even in suffering, your heart still turns outward, and that is no small thing.

Remember you are also allowed to be held, to rest, to receive. Even a candle needs shelter to keep burning. Your worth comes from the simple truth that you exist.

In this space, we walk together. Sometimes you guide. Sometimes you lean. Both are meaningful roles.

Thank you for being here, just as you are.

@RadAcceptance20

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

Sitting with you all @AlwaysMyself @Cuddlebear @Flutterbug9 🙏

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 . I have opened the link in my internet browser, so I can read it once I have gotten through my messages here (and can read it in bits and pieces, as it may take me awhile) - thank you, I really appreciate it. You know me well in that I like reading and learning things. 😍

I do wish I could know you face-to-face also, because I would love to be able support you in a more active and helpful way, as well as just to know you to hang out when I go to visit your city because I really like your personality. PS - then I'd get to meet Wilbur, the 2 cats and your parrot (oops I have forgotten the cats & bird's names! Was it your cats who are Zeus and Athena? Or was that some else's duo of pets?). Alas, unless we accidentally bump into each other in a city of many hundreds of thousands or millions of people and realise, we shall have to settle for here. And here is WAY BETTER than never having met you at all 😍.

Thank you for saying that you think I would be a good peer worker and that you already think i have good skills in that direction. it has always been important to me to be able to help and support my friends and other people i choose to offer to. I think I always saw my mum taking this role with her friends too, and I think how to support people was a common topic of conversation between us as I grew up and started being a support to my friends from young teenager years onwards. However most of what I know is only from my own experience-instinct, or learning due to my own MH research, or in some cases learning from my mother due to her work or if I had asked how to help friends (e.g. with anxiety, which I had not really experienced until a year ago).

Do you remember what things you enjoyed doing in the past, before the anhedonia took hold?

I would love to hear what you used to enjoy. 😊

For me, its less the activity that I think I felt enjoyment from in the past but the connection with people that i felt when I did it (e.g. paper crafts -- I liked doing it with friends, not by myself). But i often had a tendency towards things that "made" something - rather than say sports or video games or tv/movies.

@Cuddlebear @Chasingsunsets @Flutterbug9

Today I:

  1. Unpacked my suitcase from going away, and put the dirty clothes in my washing basket.
  2. Had a shower this afternoon. i didn't do it before going out to the cafe 😅 (which would have been logical), but I did it afterwards because whilst I was out I got the call from the MH team that they will visit tomorrow morning, plus also because I was feeling hot and sticky from sitting outside at the cafe and i dislike that feeling as much as I dislike showers 😂. (So don't feel bad about the times you don't manage to get yourself to take a shower... it had been 5 days for me... in summer! But you know what? I don't think it has hurt my body to not have had a shower, and my dogs don't care if I stink lol)

I am glad you did have some positive experience with the community team first @Cuddlebear , prior to that one who was very inconsiderate and rude to you. I think if you wanted to, it should be OK for you to call back and let them know that you discontinued it because of the negative experience with the last worker and that you would like to recommence their support but not with that specific worker. I reckon it's good feedback for them also to know that the last person was not respectful of understanding of your physical needs, because that could allow them to provide additional/refresher training to that person about holistic care (especially if a few people have mentioned incidents to them). But I don't say this as any pressure or expectation for you to!! Just encouragement that if you would like to and that it could be helpful, that I hope you feel strong/courageous enough to (or to ask your support worker to help you with the call) because I think it is very reasonable for you to do so. 😊

I also echo @RadAcceptance20 's wise words to you @Cuddlebear (thank you Rad!) :

"Wanting to help others can be a powerful source of meaning, and it’s clear your presence here matters to people - through being a light for others who walk a similar path. That doesn’t make your pain smaller, but it gives it meaning. It says that even in suffering, your heart still turns outward, and that is no small thing.

Remember you are also allowed to be held, to rest, to receive. Even a candle needs shelter to keep burning. Your worth comes from the simple truth that you exist."

I am glad that you created a space for the community to support you too, @Cuddlebear . But please also know that it in no way means you can't still post about yourself here. I will definitely be supporting you in both places (and anywhere else you tag me too of course!) -- even if I am sometimes delayed in responses.

I had a good sleep this morning. I got up, got dressed, then went back to bed because I felt worn out already 😅. Not the depression-tired, the exhaustion/burnout-tired. I got up briefly when the dogs got back from the walker, and then went back to bed again because I was still very tired. Then got up at 2pm (I had set an alarm). It was good to get the extra sleep, and it meant that I felt less irritable when going to meet people for coffee in the afternoon. I also don't feel too tired afterwards this evening, just "normal" amount of tired for the day. But I need to make sure to not have a late night, because I don't know what time the MH team will visit tomorrow morning (but thankfully they will call before/when they are on their way to give me notice).

I hope you all get a good sleep this evening (unless you are working night shift @Chasingsunsets because that could cause a problem with work lol), and feel OK in the morning. And if you don't feel OK in the morning, I hope you reach out and let us know so we can send extra love and support and care or whatever it is that we can do/say to help support.

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

Evening @AlwaysMyself, always lovely to hear from you!

Time has got away from me tonight for a big reply but I appreciate your check in as well much appreciated my friend.
I hope tomorrows appointment goes ok, the teams can be ahh alright (have there positives, long term stuff I’m not sure re some stuff but you are very on the ball and aware of your needs so I am sure things will be clearer when you see them 😊) happy to be a sounding board post session if you want, not sure when I’ll be able to get on but will respond when I can 😊. I am also very keen to hear about that specialist MH doctor you have planned!! I wonder with your current counsellor if you were planning on any different therapy style in the future too? Or if you are interested about any?

Thankfully no nightshift at the moment I’m still on a break 🙂. I also haven’t forgot about a reply post our long msgs hehe. That’s in the pipelines but I have not forgotten 🙏.

I bet the your dogos are over the moon you are back, hope your girl has stayed away from the cake mix in the pans 🤣 she knows where it’s at lol haha.

Take care and hope your night has been ok ☀️

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