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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

hello and hugs @AlwaysMyself 😍

how are you going today xx

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

Yeah, i understand the feeling of wanting to cry and not being able to also @Cuddlebear . And can also understand the body holding on until it feels it is safe to "let go" and cry when you see your therapist.

If i have both thoughts and feelings it is harder to do something that takes focus (like painting or listening to a podcast). But if its only feelings, that is easier and the focus can make any thoughts that crop up to be less prominent - but i have to get in early for that.

I do make a lot of mistakes with my paint by numbers when i am struggling to focus due to thoughts or feeling though 😅. Accidently painted some white parts black, etc. Then had to try to paint over it multiple times to undo it lol. Done that a few times 😵‍💫.

I find it... challenging and confusing... how the NDIS tries to separate out between funding "disability supports" but not medical (because of medicare). Because sometimes the supports required *are* medical, but due to the nature of it being an enduring/permanent disability then medicare does not have suitable coverage for it. It does my head in and i dont totally understand it. E.g. why physiotherapy is a "disability support" when it is allied health, yet psychology is a "medical treatment" even though it is also allied health. Oh, but if it is autism and adhd and how to adjust behaviours and cope due to that, then its not "medical" and it is "disability"?? I just dont understand how they define these things.

In reflection, i feel it is a shame that the Medicare MH service don't seem aware (?) or willing (?) to promote/recommend the SANE services. I didn't mention to them that I use this forum. They did not mention it to me as a potential peer-support for complex MH. They also did not mention the Recovery Club program either.

I am not sure why this is. Curious if our wise and knowledgable @tyme knows if this is a deliberate thing that SANE is not advertised via Medicare MH clinics, or whether this is a local-centre oversight that i could then be helpful to give feedback around the existance of. 18mths ago when I was looking for supports initially it was never mentioned to me, but would have been really beneficial (before i got worse further especially ther 12mths after until i found it myself).

I feel a bit selfish not mentioning to them which online support group i attend (and they didnt ask), because i know the group works best when there are not too many people wanting/need to talk at any 1 meeting. And part of me worries that if i recommend it to too many / too big places that it would grow the size of the group too much to be managable.

There is a few of us interested to do the group facilitator training though if its offered in Aus at some stage again, which would then increase the capacity to have more facilitators (or co-facilitators) online which would be accessible to any Aus. I think that would be good because then it could be promoted more places as a service for non-clinical support. I'm evem happy to pay for the training out of pocket because of how beneficial i have found having the group is.

@Cuddlebear @tyme

Is Recovery Club meetings mostly conversational-based? Or more like a "talk with questions and answers"?

It might be worth chatting about whether it would be a worthwhile additional peer support / concept reminders for me. But my main concern would be around any anonymity concerns for people that i know on forums who are also in RC and would be worried about mentioning things that connect them to their forum profile. I wouldnt care if someone connected me, but i would not want someone else to fear that and it restrict their openness to engage. 🤔

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

@Shaz51 i have gone out for coffee twice today lol 🤭😅. Once in the morning with my mum and her friend, and then later this afternoon with my retiree cafe-friends lol.

Had a rest during the middle of the day, as i got sleepy from watching tv (after the shopping, when i was then tired and grumpy like an overtired toddler lol - except i dont have a tantrum and just keep it to myself lol).

Feeling tired again from the second coffee outing. 😴 but had a 30min rest on the forum so far. Maybe i can go sort a box of computer cables in my study whilst i watch a tv show on the laptop. 🤔 that should make me feel like i have done something productive today (i havent done my laundry oops, maybe that too) whilst also being seated.

How has your day been @Shaz51 ?

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

not much , spent the day at home @AlwaysMyself

did the load of washing clothes

and a load of bed sheets

all dried , put away and bed made

had some rain today , still very hot here so the aircon is on

Hubby spent the day with his computer and photos he has taken

he has put all the photos of my tea pot collection on one memory stick

been here on the forum most of the day and 3 cups of coffee

@tyme , @Cuddlebear , @Flutterbug9 , @Chasingsunsets

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 ,

RecoveryClub group meetings are topic-based. It's not so much question and answer. In the past, they went through a recovery topic and people are welcome to respond if they want. Some have cameras on, others don't. It's quite common that participants use the chat the share their thoughts.

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

A very productive day for you @Shaz51 ! 😊🥰

Glad to hear hubby is amusing himself with the photos and computer 😊.

How many teapots have you got? 😍 do ypu have any favourites in the collection?

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 have counted 135 tea pots @AlwaysMyself

do ypu have any favourites in the collection? -- no I think i like them 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

@AlwaysMyself

I can totally understand what you mean about crying. I can see how it would be easy to make mistakes on paint by numbers while crying and more focused on feelings too rather than which colour on which part! Having thwt safe environment is very important.

Regarding NDIS a medical condition is one thing but medical conditions create disabling environments too. Medical conditions and disability frequently go hand in hand. Same with allied health. Due to my foot amputation and being blind I have podiatry in my plan. As I can’t make sure my feet are in good shape and can’t can’t own nails etc.

The fact that Medicare might cover part of it all of some treatment is irrelevant and the NDIS legislation is perfectly clear on this. On January 14 2026 we had a major win in Court. The Court found that it doesn’t matter if Medicare provides care and that is not a reason to deny care and supports through NDIS. This is a major win. You can read more about it via this link. https://www.legalaid.vic.gov.au/access-ndis-safeguarded-federal-court-win

So basically looking at mental illness despite the fact Medicare covers it in part is not a valid reason for NDIS to reject funding or cut it or not accept a participant on grounds of mental illness. This includes psychiatry etc. It applies to all conditions I’m just giving an example here.

“The Federal Court clarified that NDIS eligibility does not require people with disability to prove that other services can’t meet their support needs first.

The Federal Court determined that the original ruling by the Administrative Appeals Tribunal (AAT) applied the correct legal test when finding that 69-year-old Sherri Sutherland, represented by Victoria Legal Aid, met access requirements for the NDIS.

It found that access to the NDIS ‘did not require an inquiry into the question whether the supports required by Ms Sutherland would or could be provided by other service systems outside the NDIS’.

Access to the NDIS should be available to any person who meets the already stringent eligibility requirements,' said Associate Director Sam Sowerwine from the Economic and Social Rights Program at Victoria Legal Aid.

'The NDIS should not be a system of last resort that is only available for people with disability whose needs can’t be met anywhere else.'” (Legal Aid)

The fact is that the government is cutting people out and reducing funding in packages saying we’ll get a mental health plan. This has now been found to be illegal.

In recovery club it’s conversational based around a topic Eg Finding Meaning or Finding Joy. Privacy is protected by only using a first name or a made up name. You don’t have to have video or voice in and can use the chat function to communicate. You’ll likely know who I am as I sometimes post a picture of Wilbur. But you’ll only know my username which isnt Cuddlebear. You cannot contact people as no contact information is provided. Even when you do the same topic more than once it’s always different. Each person brings their lived experience. I do find it very helpful and have missed it a lot since it finished in December. There’s also online resources and you can book for 1:1 peer support outside of the meeting via the portal for recovery club which is separate to the forums.

Yes I’d be interested to know why SANE isnt mentioned too.

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

Oh my goodness I had no idea that in your area you didn’t need a referral. We do and it totally is disgusting to be honest. Also only 2 and both in the city. You should not need a referral and they should be all over Victoria. There’s no chance I’m going to ED. It’s horrific and traumatic.

Yes it would be awesome if the program you are involved with had a peer support training to expand the service. Frankly I think education should be free via tax payer. I’ve always thought this. And we certainly need peer support workers in every single service and in ED 24/7. Every service must have peer support in adequate numbers and a diverse community of peer support too. The disability Liason in hospitals in Victoria only work from 8am to 4pm Monday to Friday. Too bad if you end up in hospital outside those areas and need help.

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

@Cuddlebear ! I didn't know about the NDIS debacle! That is a HUGE win! I remember I was always told that only if you have evidence that you've accessed and tried all these services and it doesn't work, THEN you can apply for NDIS!

However, just say this means more people are eligible for NDIS. Does that mean the 'bucket' of money just have to be shared with more people so people get even less than they are already getting?

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