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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

@Shaz51 the parts i wont say on the social thread...

The team can offer 2 week supports. But as we both recognise, i don't plan to end myself in the next 2 weeks, and i am very good at not acting on my wants when i have promised i won't. Thus i am not at immediate risk of harm within the next 6 months (unless i am unable to do the clinical trial).

Traditional treatment hasnt worked in the past - so a residential 2wk stay wont likely help, consider i now live with my mum who is home most days with me (just not this week). I already have a cleaner and use premade food bars, so that is as low-effort as possible (cant really get anything more "respite" for that).

What would help, but in reality is impossible, is company when i have times where i cannot keep thoughts out of my mind/attention - when i cannot distract myself by doing something. Thats when i need someone to sit with me physically.

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

love to be sitting with you at those times my awesome friend @AlwaysMyself 😍

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

Just a quick note (quick on my standards?) For appologies and explaination in advance if i'm patchy with replies and updates at the moment.

Started the decreasing of meds on monday (its now wednesday) and i was feeling ok first 2 days. But today after lunch started feeling really nauseaus (esp with movement). Have been feeling more crying-upset the past day too (esp today), but dont know yet if thats medication decrease or "just because" since i've also had a harder time over the past week prior to medication decrease.

This is to say, its currently harder for me to get online and even more so for me to be able to post and support others. I know this is ok and dont feel "guilty", but i wanted to explain so no one feels i am "ignoring" or get worried. Just because i may not be up to being on the forum at times doesnt mean i am not thinking of you and caring - please keep this in mind 🥰 @Cuddlebear @Flutterbug9 @Chasingsunsets @Shaz51 @MissGremlin @NightFury

I am reaching out to friends and support services when needed, esp until my mum returns tomorrow evening. @AuntGlow @Jynx . Even got a taxi to the local drop-in clinic this afternoon - put myself above the expense (go me! Small win!), as i cant drive when dizzy and nauseaus (I feel your "always restriction" on this @Cuddlebear - extra hugs.).

Im going to go lay down. Hopefully nausea and headache will subside soon. Will take pain meds as needed since i know the headache is from the medication decrease only.

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 oh sweetheart, i know how hard coming off of medications can be. Please take all the time you need and know that we will always be here for you. So proud of you for getting yourself to the walk in clinic too.

Sending you lots of love and hugs beautiful, you've got this ❤️

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

Ohh sending you lots of tender hugs my friend 🧡 @AlwaysMyself sitting with you ❤️

Hope it all settles down soon and when do you see the doctor again to see how it is going

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

Sounds tough @AlwaysMyself I'm sorry. I hope your body adjusts quickly and you can find moments to take gentle care of yourself.

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

Aww you are so kind and thoughtful @AlwaysMyself to want to ensure no one worries about you or feels ignored. I'm sorry that things have taken a rough turn, hopefully the nausea remains somewhat tolerable, and please do take all the time you need to focus on you and your needs. Proud of you for the ways you're looking after yourself in this.

We're here for you hun, you got the forums fam in your corner! 😊

⸜(。˃ ᵕ ˂ )⸝♡

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

Important thing is you @AlwaysMyself

as my MIL used to say “ health comes first”

Please take as much time, rest etc that YOU NEED

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

Morning @AlwaysMyself, how are you tracking today?
The decrease of meds is definitely a process isn’t it. Sorry about the side effects you are having.

No pressure from us on the forums, do what you need to do for you of course. Let us know what you’d find helpful from us.
I am also glad you have been able to reach out got to the drop in clinic yesterday.

sending hugs 🙏

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 lovely how are you feeling today? I’m sorry I have been unwell and not on forums. I

safe.

Im really proud of you for getting the taxi. I know how hard tapering can be so please take all the time you need and I will prioritise your tags to be a support too.

Thinking of you sending lots of love, hugs and healing.

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