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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

soo good to hear @AlwaysMyself

my corgi and her mum used to raid the neighbor's avocado tree and eat the avocados on the ground , their coats were beautiful

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 my dog is now returning the carrot to me 😂

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

ha ha sharing with you @AlwaysMyself , awwwww how sweet 😍

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

Hi @AlwaysMyself I see you are responding to posts a lot on the forums. I am sure it is much appreciated by all the recipients. However, I just wanted to remind you not to over stretch yourself and make sure you put your own oxygen mask first, that is make sure you look after yourself.

I wish I could also respond as much as I did when I first joined the forums, but I just cannot as I am trying to put on my oxygen mask.

I just posted on the Sane Services update to thank the PSWs and mods each of whom, I'm sure, do a good job but there are organisational problems, I didn't want them to feel disheartened. I thought your post on that thread was well balanced and well written (as your posts are normally)

This afternoon I had a consultation about TMS. I am apparently eligible for medicare funded sessions. I do not know if there is a gap, I suspect so, I just don't know how much. Apparently each session is for about 30mins but the actual TMS is just a minute or so. I still haven't decided what to do. The psychiatrist did say that you should have at least 3 sessions per week without breaks, so I have to see how I am going to fit it in anyhow. When I got off the telehealth appointment, I realised I had no one I felt that I could talk to about it.

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

Hi @Till23 , I am so glad you are able to share with you your enquiries into TMS. 😊 When it was doing it, my recommended treatment by the psychiatrist overseeing it was for 20min (left side only for me, as I have depression but not anxiety) and for 5 days per week for 7 weeks. (Although I had to cease after just over 3 weeks).

I've been pretty well this week, which is why i have been posting more on forums supporting others. But yes, this afternoon has been for a self-distraction rather than because I am well. I have tried to take notice in case increased posting has a pattern of leading to downturns, but so far it doesn't seem to -- its more that sometimes when I need a distraction from myself i come here to focus on others since focusing on myself will only lead me down a hole.

But i appreciate your reminder on this 🙂 it is timely and good, and very much a sign of care.

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 Today turned out same as any day. Trying to push myself to get chores done whilst having no interest or motivation to do anything.

trying to remember what is safe for me to say on the forums and what is not. Being aware certain things I can’t say on the forums without risk of getting safety check email (again).

I agree with Till23 100%. Nice you support and take on role similar to PSW on the forums. Important thing is ‘balancing act’ factoring in your own health and easily heading toward burnout. Happy to have general chats with you plus if need to vent etc. Hope you know you don’t need to take on PSW role with me

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

Hi @Flutterbug9 I'm not sure if I have chatted with you before. I have seen you post things, unfortunately I am not on the forums very much these days. Also I have not had the mental bandwidth to respond.

I do not know your diagnosis/es, but you seem to also have anhedonia. I know @AlwaysMyself has discussed this and I also have it, the severity wavers, currently it is pretty bad.

The forums have changed a bit since I started being here, which is about a year now. I hope it gets sorted out. I have chatted with some lovely and supportive people on here and there are some interesting people I reckon. Of course getting to know people is constrained by the privacy factors.

I have recently pulled back a lot, I used to be a bit like AlwaysMyself responding to lots of people, not as much as AlwaysMyself, but unfortunately I feel I cannot do that currently. I hope you find lovely people here and have the conversations you would like.

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 am glad you have been pretty well this week, I hope that continues as you prepare for the trial. I totally understand the distraction aspect of being on the forums and I have limited myself at times to make sure I was actually addressing things I needed to do.

With the TMS it's interesting that there is a lot of difference in the times you had and was suggested to me. I will have bilateral for depression and anxiety. It was suggested I could have it daily for 7 weeks as well, but depending what I could fit in. I need to keep training for my sport as I have some big comps later in year. Also exercise is good for MH.

It was funny because the pdoc said it's good to have something you enjoy and I said - well I don't but I do it for social exercise and it's a distraction. The pdoc then said it's good to have a distraction and a social thing.

For me, because it's a team thing, it makes me go, because I can't let the team down, so that's another good aspect about it.

I have to say I haven't see a PSW post since rubee earlier today, I hope everything is ok.

I hope you have a good evening

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

@Till23 , @AlwaysMyself , @Flutterbug9 , @Ru-bee , @Cuddlebear 😍

There is one PSW here @Oaktree

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 @Till23 you are both friends (in my books), i want to be here for you both in the good and the bad times. As a person my core values are around meaningful connection, honesty, caring, authenticity, etc. Which is why having the ability to deeply connect with people like yourselves and being able to be a positive factor in other people's lives is an important thing for me as a person - whether i am well or unwell. When i first noticed my depression getting worse 4 years ago i knew i was lacking purpose and connection as a major part of it - that's when i started my volunteering with youth mentoring. It can be symbiotically beneficial. Although this year i have not signed up for the mentoring because i need something more flexible/adhoc. The forums are good in this way - i can be adhoc around how I am, my appointments, my holidays, etc. It gives me a way to both connect and care.

It is curious when i read a lot of people mentioning around being careful of what they say (bans, safety checks, etc). I really wonder, it really must be up to the individuals mod-ing at the time. I've only ever had 1 email that checked if i was OK and it was because they also needed me to change the way I had said something that implied possible future-risk. But that was many many months ago. I know i've posted a few things that have bordered the line of what i can and cannot say (somehow those things i've been allowed to say? Even if i chose to remove parts myself later when ive realised it was too hard for someone to read. And i feel a bit sorry when i read people noting that some peoples posts are blocked/edited but then other peoples arent... im not sure what situations it refers to, but i can only imagine i could easily be one of those who werent blocked but for consistency should have been?). But yet nothing i have posted this year has caused any form of safety-check. I guess having the trial as my goalpost is perhaps enough of a reassurance for the team that I am safe, despite my daily thoughts - which is true, i am.

I hope i am not treated differently to others here. We all are equal. I would not like people to feel that i "get away with" saying things others cant ☹️. I would prefer consistency for everyone. And i obviously dont see what doesnt make it through moderation to know what others may post that isnt allowed.

I suspect a lot of it depends on the framing and careful wording. 🤔. But i have no evidence to that, just a gut feel.

I'm glad you're still doing your sports @Till23 😊.

My TMS clinic was really flexible to fit around my work and appointments - but i guess it was also really close by, only a 15min drive, so i didnt have to spend a big portion of the day to fit it in. I would do it before i started work in the morning and then head into the office after.

Its good they can be flexible with how many or few days a week of treatment to do 😊 makes it much more accessible, and can still have good results i expect.

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