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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

@AlwaysMyself We always have ethics approval from the Universities ethics committee and we always pay for participants time. It takes us around 6 months to develop ethics and then around 4 months wait while it goes through the approval stages. It is critically important to get that right.

I enjoy it even when it is upsetting. We cover areas of violence and abuse and these are very heavy experiences.


How is fur baby?

I think this link will work for that document I mentioned!

https://saneaustralia.my.salesforce.com/sfc/p/#2w000002lQUL/a/Mp000003HRYL/wrwLBJgkZfU7cqIr5sOvaHO7aS1pAMjsiYW.fcICbnc

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

They are heavy topics @Cuddlebear , but so important and such a worthy thing to investigate and contribute to learnings for improvements. Good on you for facing and handling the topics even when they are really confronting, uncomfortable, and sad. 💜

Furbaby is doing a lot better than this morning. But silly boy decided he wanted to come to the bedroom tonight, and after painfully getting up he came in and decided it was too painful to lay down here again and walked back to the loungeroom to lay on the matress there again I think. Silly sook he is.

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 Good morning 🙂 I hope fur baby is improved this morning and that the meds are helping.

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

He is doing remarkably better today @Cuddlebear 😊 thank you for asking. He's been getting up and down occasionally with very few verbal yelps (only one or two yelps) - which is a good indicator of his pain levels/tolerance. Silly sausage he is that he has been running sometimes in the house (but doesnt seem to hurt him, but trying to discourage still) and trying to entice our other dog to play! But of course a few times when she has responded to his playfulness she has pushed him in his spine/hip and gotten a yelp in response - but she is good and she stops when it happens. Its his fault for starting it though 🤣 but were trying to discourage them from wrestling or jumping or anything twisting. He did play a good game of "bitey face" with her laying on the bed and him standing on the floor, so she was at easy biting high without him needing to bend or twist. 😊 by nature they are hunting and/or protecting dogs by species background, so jumping on large prey and biting face/necks/legs is natural behaviour (and puppy play) for them.

This morning I am snuggled up on a couch with the quilt (heating broken, repair booked for Monday) and going to read the PDF. 😊 some quiet self-care i think, while both dogs are happy sleeping on the other couches. They have so much warm fur (snow breeds) they dont mind the heater is broken.

How are you today?

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 That is such good news that there is improvement today and that some bitey face was in order this morning. It’s so good they’ve got each other too for play and company.

You’ve had a busy week so that’s wonderful you can snuggle up and do some reading while they sleep.

I am OK. I’ve been going through a lot with my mental health as you know so I’m trying to work through anxieties physical symptoms. I have my support worker today 12-3 for food shop and errands. Just trying to get myself ready for that.

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

Glad you have some time with your support worker today. 🙂 are they good at helping talk and reduce anxiety too? Or mostly only help with the physical assistance?

One of my friends used to be a support worker, and whilst she was primarily for physical assistance (home, driving, shopping, etc) she also loved when she got to have coffee with her clients and provide social support also. 🥰

I was so happy/relieved when I read that you have found a place to live. Has that been both a relief and a source of anxiety?

I can imagine adjusting to a new physical layout as well as learning new location routes could be a difficult period of adjustment? Or is it something that doesn't worry so much?

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 just realised I didn't tag you in my post last week @Cuddlebear ! Oops! See post above this one for you. 🥰

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 haven't posted much on how I am the past week - since Mr Doggo had his pain bout. He's been fine since - crazy boy back to his normal dancing about. I've ok - nothing crisis, but not great either. So worn out emotionally, but not really for any reason other than fatigue and disconnection.

I've made a few positive steps for my future self. Set up some paperwork with an in-person crisis support in case i need/want it in the future. And have a first appt with a therapist tomorrow afternoon, so will see how that goes. Hopefully I will 'click' with them; It's interesting thinking back on past ones and noticing that those who I had a good trust with and easy openness were ones I clicked with from the first session. I'll always give it at least 2 sessions though unless something drastically bad were to happen - which is extremely unlikely.

Im still getting intrusive thoughts. And they still dont correspond to any existence of negative things environmentally. I guess I have a number of small stressful things going on, but none of it is "negative" - just errands/appointments to make. Perhaps its just the mixture of being tired plus lack of positive emotion driving the thoughts - but I don't have a solution for that. Work = fatigue (I'm already part-time); lack of enjoyment/pleasure = "normal" for me for over 20 years. Im trying to remind myself I have a holiday booked, but I don't feel any joy or excitement of anticipation. I feel dead inside like I couldn't care whether I go or not. Its like I trying to fabricate it, trying to make myself feel something positive. But I also do think I will enjoy it while im away because I love travelling and wildlife and that's the focus of this trip. Hoping the trip wont leave me tired after (ive built in rest days), and hoping it will break the emotional monotony. Otherwise i'm really not sure what the end of the year will hold. I guess by then I'll have a more confirmed knowledge of where I'll land with work (I have secure work, just a matter of which role I'll be in - but i'm not worried about that; most likely I will have options to choose from myself).

Not tagging people because I dont know if people are interested to know. And I know that if it were someone else I'd be interested to be tagged, but I guess I just feel disconnected with face-to-face friends/family so it makes it hard to feel that others care, even though I know people are here voluntarily.

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 sharing @AlwaysMyself . It souds like you are taking some positive steps to see change in your life even though things are so hard at the moment.

I'm hearing you about the disconnect real life can bring sometimes. I hope that this space can fill some of this disconnect as you work on your recovery.

Maybe it's okay not to feel joy over a booked holiday. I have a few holidays booked in, but I don't feel joy or anticipation either - I feel nothing to be honest.

Sometimes the should've's, could've's and would've's in life can put some expectations on us that may not need to be there.

I hope you find some space to allow yourself to be yourself.

We are sitting with you.

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 Good morning 🙂 I hope today is going well for you.

My support worker helps with physical stuff and I have them 9 hours a week. They can see how I’m feeling and they are empathetic. It’s different than a friend with support workers. You become very aware you are paying them for support so while they can see how you are it’s a different kind of relationship. I really like them and am grateful for the help.

Im relieved I got a place. It is causing a lot of anxiety this move. I was already not doing well so this just adds to everything. I’m overwhelmed to be honest and the fear of moving is awful.

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