**Trigger warning** Stuck in world of sadness and Suicidal Ideation

Apologies for this long, ranting post, but I have to get it out of my head. I don't care if you read it or not.

For weeks now, I felt so incredibly overwhelmed with sadness; on the edge of tears constantly that never get released. I'm back on medication for depression which doesn't seem to be working after 3 weeks.

Nothing brings much satisfaction anymore, not even my job, which was one thing I had to hold onto to keep me going. And after yet another impulsive attempt and a trip to hospital last weekend, where I also take shifts, my professional conduct & capacity is being questioned by other staff and departmental managers. I don't blame them; I would probably feel the same way.

My SI is actually an acceptable 'coping mechanism' for my BPD when life gets to much, and I need to shut down. But now it's become a burden and problematic because of how often I've presented to hospital in the last 6months. Often if I feel 'safe' enough, I stay home and sleep it off. So now, after feeling like I've burdened health services to the point of annoyance, I feel like I have go ahead and made a proper effort because I deserve to be punished for that. I can't 'urge surf' these SI/SA thoughts anymore. I feel compelled to put them into proper action. Now that I have made that decision, I am scared, that if I really intend to go through with it, there's no coming back, no tommorows.

Why do I now suddenly care so much about dying, when I never did before with any other major attempts? I don't really know, but it's got me really rattled how stuck my mind is on making it work. I guess maybe I want to stick around for a bit longer. But this feeling of hopelessness is all consuming and strong.

I don't know what to do. I don't know who to turn to anymore, as the support services have heard it all before, so nothing they suggest helps. Not even my loved DBT skills help. How do you keep going when nothing helps, loved ones can't reach you, and it's just takes so long to feel any bit of right?