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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

3.5 hours is a long time! I would be exhausted as well. @AlwaysMyself 😮‍💨

I can understand why that conversation put you in a heavy space. I wish there were more access to support without imminent or recent risk being the conduit - preventative care is also so, so important. 💛

We are always here for you and will embrace you in whatever state/mood you show up in - it's all welcome here. Big hugs.

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

I tried TMS abit over a year ago @Till23 . It would lilely be more affordable, as a portion of it can be covered by medicare rebates. However its generally 5-days-a-week for 6-7 weeks, for an appointment of 20-40 minutes i think from memory?

It's not very invasive which is good. For me (until i had a reaction to it), it was my "mentally quiet" relaxing time each morning 😆 - comfortable recliner chair. I didnt get any physical reactions thankfully, not even headaches.

I dont know what the cost of PAT would be privately, i dont know if the integrative psychotherapy can get a medicare rebate or not. The cost of medication isnt covered by medicare/pbs though. Plus the need to get it prescribed by a psychiatrist. I actually had looked up earlier today about if there is a pdoc who has prescribing rights local to me yet -- and there now is!! I have no idea what their waitlist times would be though - for if i dont get active treatment in the trial. I am considering reaching out to ask, in case i need to get on the waitlist now "just in case" for after the trial research has all concluded later in the year.

It might have been Mind Medicine who has a directory of prescribing pdocs for PAT, if that helps at all.

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 @AuntGlow .

Today is so-far OK mood wise. Which is very intriguing for me because it hasnt been SI-free, but giving myself some allowance to learn things hasn't caused me to spiral or get worse. I guess because i'm feeling more fair to myself? Im not getting upset at the internal contradictions.

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

This is such an interesting and wonderful reflection! It sounds like things don't escalate as much when you are able to sit with self-compassion and nuance around your experience? I can definitely see how learning and understanding helps to support your nervous system. What have you been learning today? @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

(Removed myself)

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 @AlwaysMyself ,

Thank you for sharing. In a way, reading your posts, it sounds like you are finding ways to help you feel more grounded and not spiralling.

Please know that if you feel you need to speak to someone directly, please call Lifeline on 13 11 14

SCBS 1300 659 467. Or if unsafe, please contact 000

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'm safe, @tyme - I'm waiting to try PAT in a few months. That's my goal-post I've commited to. Its just trying to.manage the interim of living with the choice to hang on and try.

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

If you're anything like me, goal posts and goal setting can be a real life saver. It can get me out of bed, get me out of the house, get me to have a shower.

We value you and your connection on the forums. We want to be able to support you too, when things are hard going. @AlwaysMyself

Please continue to look after yourself because you deserve 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

Trying to combine things from few posts then taking my sleep meds and going to bed. Recently I’ve been awake any time after 5:30am. This morning Ingot couple hrs sleep only, went to bed too late to take my sleep meds.

was interesting the info you have mentioned about the trial. Medication used in my trial infusions is a disassociative pain medication which is recognised by some parts of medical industry world wide as also being psychedelic medication or producing said side effects with all side effects ceasing quickly after infusion stopped.

im interested in finding out any other info you can (plus are ok to) share, from now right through to end of follow-ups as part of post treatment.

I’m similar with the planning aspect. Planning etc as soon as possible is beneficial for my head. If I dont plan, make notes etc 1) I’m likely to forget things. 2) increases my stress level, can also cause panic attacks.

if I say I will do something, especially help someone, I ensure I follow through and get the thing done.

im thinking this neighbour is a people pleaser. Never says no when asked if can do something. Regularly volunteers to do things anywhere in the village. Few hundred 2 and 3 bedroom units here, is not a small area. Gets in trouble with his wife for doing things for everyone else instead of thing.

fully understandable and reasonable to grieve a life, hobbies etc that the twisted hand of fate has led to no longer being able to do and is not like one had hoped or wanted.

due to differences in sizes, my Lego buildings won’t be beside the model train layout. (I’ll take some photos at some stage and share)

my eyes are getting tired, I’ll reply to your post on my thread another day soon

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

@Flutterbug9 definitely happy to share the journey on the clinical trial with you as much as I can (within their requirements and within comm guidelines of course). I was wondering what the injections were. I can think of one psychadelic that is used for depression & ptsd that is also a painkiller medicine. I always forget that it is an anaesthetic! If it could simultaneously help your pain and your mood that would be amazing. 😍

Fingers crossed for you! Let me know how it goes?

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