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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

Im really glad the two of you are able to discuss the misunderstanded and shared desire to connect with each other that (ironically) impacted the situation. @Appleblossom and @Till23 you have both helped me (just in case you ever have self-doubt, read that again!). 😊

@Appleblossom i am laughing at your "I like water better" and very curious about how the other elements have made it into your piece! 😅

I like the reflection on how your litter-sibling cats love each other and play, but also have the occasional spat. I think that's very true of people too, especially the more time you spend with someone the more chances for things to crop up. Its how you handle those incidents to resolve them with care and curiosity (of what's going on for the other person too) that has the power to either bring people closer or push them apart.

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

Sorry that my poor behaviour seems to be taking over your thread @AlwaysMyself. I certainly did not join the thread to cause a problem on it. I am truly sorry.

Hope you have a lovely evening and rest of week etc

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

You dont need to apologise at all @Till23 , not to me. Im glad its been a place you can both talk it out.

And whilst I started the thread about my experience, I dont feel it has to "be mine" at all. Im glad its a place that you all can talk about your own challenges and feelings just as equally. To me, that's the mutual give and take of friendship and peer support in a community. And its also totally ok if someone cant give for while because of where theyre at, or if they need to pull back or be absent for awhile, etc.

And ps - please dont feel pressured to respond to my tags of you. Its always optional, and never with an expected timeframe. 🙂 i always want you to act in what is best for you and your health at the time. 💜

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

@Appleblossom @I like your sense of humour. 🙂

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 Hello how are you? How have things been this week? I got a message that you tagged me in another chat but that chat isn’t opening up well for me so I thought I’d say hi here instead.

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 🙂 a few of us have that problem too, and I can imagine its even harder if you're trying to use a combo of screen-reader and limited vision or zoomed in pages.

I think that was a post where I commented your chicken and Greek salad dinner sounded healthy and tasty. 🙂

Im glad to see you on the forums yesterday and today, because I was thinking of you earlier in the week because I hadn't seen you in the threads I was in, and was hoping you were OK/well. 🥰

Im doing OK overall. Had a really tiring week and was so exhausted last night when I got home from work. I think partly starting a new role (even though the topic are generally familiar, its still of course a bit more mental stress in the immediate term), but also also a really long day on Tuesday.

I went to my first online group peer support session (not through sane, but one that someone told me about that is specific to SI support). I think it was good, and i will try to go again when I can. But I did feel a mixture of positive and negative after it - so I will see how it goes another session before I decide about it.

How have you been?

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 Yes it’s been an issue for around a month very hard to navigate.

I have a Greek background so I have Greek salad with whatever I’m eating! lol. 😂 plus I eat a lot of feta even in curry. The chicken and salad was very nice last night.

Sometimes I can get into a freeze state and find it hard to go on forums / answer texts etc. This afternoon has been a bit better so here I am 🙂

It’s totally understandable to be more tired and a bit more stressed than you usually are now you’ve started a different type of project in IT at work. Plus sounds like Tuesday was a long day. How are you finding things so far? I realise it is early stages but I hope you are enjoying the challenge of a new project.

Peer support groups around mental illness including SI care helpful and healing but can also cause some distress/triggers. I don’t mean that something went “wrong” (though that too can happen), but rather more that the support groups around mental can bring up mixed emotions afterwards. I’m glad though that you did find good things there and that you are going to give it another go when you can.

I have found the SANE online zoom peer groups very valuable and soothing too. I’ve learned a lot in an emotionally safe environment which I’m very grateful for.

Actually I got a pdf from one of the groups about peer support and CHIME system. I can upload here if you are interested?

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

Because I only joined near the end of July, I just assumed the forum bugs where "normal" 😅. Good to know theyre only recent, as that means they should be able to find the cause and implement a code fix. 😊 sometimes can just take a while to figure it out if its intermittant as to what is causing it, or if its vendor-owned software for the vendor to update the fix.

I'd be interested to know and see more if you're able to upload the file @Cuddlebear 🙂

Im glad you've been finding the peer sessions helpful. 🙂 I think if I get into a hole again like I did earlier in the year and last year I'll sign up for the guided recovery or recovery club - but will wait until I feel i feel im not self-managing well enough since its time-limited.

100% on the mixed emotions. Was good that others had such similar thoughts and difficulties with daily life and work. But that's also quite depressing and discouraging because there isn't necessarily a "path forward" for improvement when its chronic - its the way our world is structured and the nature of life and illness. Sometimes there are small things we can do, and for me I am lucky that I am relatively well placed with my work that they do support mental health and workplace adjustments, which not everywhere does well.

The new role will have a big project that will take a long time (but no time pressure as long as it is progressing), with a lot of exploring/learning about how the clinicians use the system and how other states/territories also define the concepts in data, to establish a definition of what it means in practice for our area.

Along with that i will also have a few other smaller pieces of work, which will crop up as needed and give some variety too. 😊

I feel like ive been able to already give some useful context and advice from my previous role knowledge to the team, which is good too. And theyve been able to fill me in on some things which add to my existing knowledge 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

@AlwaysMyself I call it gremlins in the IT system lol 😂 Yeah hopefully they can find the problem and create a fix.

I agree with what you’ve said about chronic conditions. It’s particularly challenging with mental illness as it’s not like there’s 1 medicine we can take and it’s all resolved. You know what I mean? It’s certainly a learning journey in many ways finding what helps at a given point in time. Sharing experiencing and having some decent people around all help. I’m really glad your employer is good with creating an accessible workplace. A lot of employers are pretty crappy at it even when they market themselves as being inclusive etc.

I know when I’m working (researcher/lecturer at Universities) and I have a new research project I do get very tired. Setting everything up ethically for human research is a lot of work and exhausting but satisfying. Then offcourse conducting the research, analysing data, writing up the research paper for publication in scientific journals & activism for public policy changes all require long hours and a lot of hard work. Can be stressful but the team I work with are amazing and we have each others backs so to speak. I can tell from what you’ve described about this current project that you are working on that it is a big one and it will take energy and time. The good thing is it will have a huge positive impact on the systems used in the medical area and provide a much better/quality experience for staff and patients.

I’ll go see if I can link you to the paper I was talking about!

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 yes, setting up research studies with ethics approvals would be quite an effort i can imagine @Cuddlebear . Making sure you've thought of all the risks and how to mitigate them, all the paper writing im imagining there is a lot of that too. I haven't been on that side of it, only on the "Guinea pig" side of it lol. But I always look to make sure they have a HREC number issued before I participate - although I realise an illegitimate fraud could just write a dummy one, but an absence of HREC would make me suspicious.

When I lived in Sydney (many many years ago, so I dont mind saying I used to be there its so large) I liked to help out with Black Dog Institute research if I could. 🙂 being within cooee meant I could do physical-attendance-required research too. Sometimes it was quite interesting to hear the results too.

Is it hard to get people to participate in research studies or trials when there is no financial incentive?

I see sometimes that participation in surveys sometimes has a credit-point reward for students?! I assume this is to help boost participation numbers?

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