September is National Suicide Prevention month and I have some things I need to say.
I am not a clinician. I do not specialize in suicide prevention. I am not presenting research based information.
But I would like to share my experience.
I am someone who suffers from
ideation on a daily basis. Sometimes it is quiet in the back of my mind. Frustrating, but not consuming. Sometimes it is so loud it is all I can hear.
This looks often looks like:
rapid fire repetitive thoughts, rumination, and an ongoing, screaming argument inside my brain.
Most of the time it is passive, meaning I don’t agree with the thoughts in my head and I am not planning to act on them. There have been other times it has been active, and I have made plans, collected methods, and chosen when and where I would take my life.
I have made 5 suicide attempts throughout my adult life. Several of them were planned. I had been in crisis for an extended period of time and thought it through over the course of weeks or months. Some of them were impulsive, meaning I had an acute mental health crisis and acted quickly without premeditation.
The truth is, suicide is on my mind often.
I’ve had seasons where I kept a suicide note in my phone, just in case.
I expend a lot of energy surviving. Literally.
Many people have shared that most individuals who are contemplating suicide or suffering from SI don’t actually want to die, they just want the pain to end. This resonates with me.
When I am struggling, the appeal of death is that it feels like a relief from overwhelming pain. There is a part of me that has become very attached to this strategy as a solution to overwhelming experiences. I have only recently discovered compassion for this Part for trying to protect my system when there doesn’t seem to be a solution to what I am going through. That Part is real, and it is trying to do its job to keep me “safe” in its own way.
I have several mental health diagnosis that all seem in some way connected to C-PTSD and PTSD. I have struggled with anorexia for over half of my life. Suicide is the second leading cause of death for individuals with eating disorders.
My experiences of crisis have varied in their presentation. Sometimes I am high functioning. I make myself busy to escape my thoughts. I become very social. I am physically active. I am ambitious at work or school. I attend and plan various events. I reach out to others to offer support, finding solace in focusing on someone else’s problems to avoid my own. Sometimes I can’t get out of bed. I don’t shower. Simple tasks are excruciating and overwhelming. I cannot function. For me, being suicidal doesn’t actually have a “look.”
But there are some consistent warning signs I have identified over the years:
I feel like my brain is on fire. I feel numb. I feel stuck. I feel like what I am facing or feeling does not have a solution or “other side.” I don’t feel like myself. I am struggling to stay present or stay in my body. I am dissociated, or feeling detached from reality. I don’t feel like I can trust myself. I start considering or researching methods. I withdraw or isolate when I am unable to conceal how much I am hurting.
It’s National Suicide Prevention month and I’m seeing messages everywhere encouraging people to talk to someone if they’re struggling. It’s a nice sentiment. This seems like a simple step to get help. But I REALLY want you to hear this: the reality of having those conversations is risky.
It isn’t simple.
You risk involuntary hospitalization, which may seem to providers and loved ones to be a solution. But my experiences in psychiatric hospitals have been mediocre at best and traumatic and dehumanizing at worst. Yes, there are times where going to a hospital has provided me with physical safety in a crisis. There is value in that. But all my experiences in the hospital have been, for the most part, therapeutically negative.
You risk disruption and destabilization in your life caused by hospitalization or going into intensive treatment. Loss of routine and the everyday things that might provide comfort. Missing loved ones, pets, personal belongings, the safety of your home or bed.
You risk financial loss and insecurity for medical bills, loss of employment, or time off work.
You risk harmful reactions from those you confide in. I have been told I have a demon, or hidden sin that is manifesting as SI. I have been told that I am “just trying to get attention.” I have been told that I “don’t want to get better.” I have lost friendships entirely as a result of reaching out for help.
You risk the impact of your SI on your loved ones. Worry and fear for your safety. Frustration for years of being in and out of crisis. When I am struggling intensely with thoughts of suicide, I am unlikely to reach out to my loved ones. I do not want to cause pain. I am concerned about their emotional reaction, feeling the weight of that on top of the heaviness I am already carrying. I am naturally very sensitive to other’s emotions, and when my feelings are screaming, adding someone else’s feelings only turns up the volume.
Everyone seems to want to support those with mental illness. Until it gets messy. Until it costs money. Until God doesn’t fix it. Until it makes you uncomfortable. Until someone has been struggling for years and still isn’t “better.” Until it doesn’t make sense to you. Until that person doesn’t want your “solution” to the problem. Until mental illness gets in the way of family gatherings, and doing dishes, and showering, and paying bills.
I don’t have a solution.
But I have my experience.
So I want to share what has felt supportive to me when I am severely struggling.
Be there. Hold space for an experience that you may not understand. Sit in your own discomfort of listening to someone else’s pain. Try not to react with big emotions. Be regulated. That helps the other person to find regulation, and helps them feel like you are a safe person to confide in. Listen. Listen. Listen. Ask about the pain. What does it feel like? What’s the heaviest part? Are you planning? Be curious instead of swooping in with answers.
Help in practical ways. Provide meals. Provide financial support if needed. Remove barriers to help and care. Offer to drive someone to the hospital if that is what they need. Do some dishes. Pick up medication.
Do life. Invite them to go for a walk, share a cup of coffee, read a book on the same sofa. Watch a movie, go to stand up comedy, send funny videos. Don’t just show up when there is a crisis. Do life with them. Set a place at your table. Send a text when something makes you think of them.
Be honest. If you are not in a place to offer support, communicate that. Set clear boundaries. But own it as your own experience instead of blaming someone for struggling. Don’t just withdraw. If I ask for support and you stop responding to me and interacting with me, the conclusion my brain offers is that asking for support is not a safe option. I am too much. My pain is too big to share.
I also want to share personal strategies that I do to keep myself safe. Nobody shared these with me, this is how I help my brain cope:
“Not yet.” I want to kill myself, but I’m not going to do it yet. “I’ll do it tomorrow.” This is something I tell myself a lot. It reassures my brain that I only have to survive Today. And the trick here, is that tomorrow never comes. This helps in an acute crisis when there is desperation and urgency to die “right now.”
“Small” things to live for. This is key for me. If I try to think of “big” reasons to stay alive, it.does.not.help. Sometimes, it makes it worse. Loved ones, a dream career, finishing school, having a family, etc. Absolutely not. This is very overwhelming to me and adds to the pressure of “being ok” when I am anything but. These things feel impossible and unattainable in a moment of crisis. I believed for a long time that there was something wrong with me because I was not motivated by these things to stay alive. It might work for some people, but it doesn’t work for me. Instead, I focus on small things that provide comfort. My feet on a sandy beach, drinking a cup of tea or coffee, snuggling with my dog, cute videos of kids doing silly things, my favorite music. These are low stakes things to stay alive for. I remind myself I want to experience them again.
Writing. Especially poetry. Finding words and images that express what’s going on inside me. Describing the pain. Giving it a shape, depth, edges, texture. And then sharing it with those close to me so that I feel seen.
Taking myself to a public place. Being around people without the pressure to talk or socialize. A park, a store, a library. A setting where I know I won’t hurt myself because there are people around. Being around people who are doing everyday things can be regulating, and help me feel a little more human.
Staying in bed. Now this one is tricky. It’s not always helpful, but sometimes it is what is accessible. Staying in bed and watching a TV show until my brain calms down can be crisis management. I tell myself “don’t move” and wait it out. Sometimes a nap helps me feel a bit better. The trick with this one is that when I am in a state of “freeze” as a result of panic, staying in bed is NOT effective. Getting up and moving my body is more helpful.
Moving my body. I used to run, but I can’t anymore so I have turned to walking. Walking outside in a beautiful place, running an errand, walking to a coffee shop. Being in motion. Engaging my body. Getting the panic or depression or trauma moving through my body instead of stuck in my chest.
I don’t have a solution for how to “get rid of” SI. I have explored countless options. I have tried so many medications, modalities, and therapies. I used to believe that God would heal me, had healed me, or was in the process of healing me. I sought answers in many directions, trying to get to the roots of why I can’t “get better.” In my journey I have gained bits and pieces along the way. I continue to learn how to show love to the different parts that make me “me.” Parts that have worked so hard to help me survive. I have come, and am still coming, to a place of acceptance that SI is a chronic condition for me. Maybe someday that will change. But I’m not hanging my hat on that anymore.
When someone loses their life to suicide, the response is often shock. Anger. Confusion. That makes sense. But I feel a significant sense of compassion. I have been to the edge. I know what the pit looks like.
Everyone’s experience is unique. And as I mentioned before, I am not an expert. My hope in sharing all of this is that it will give you a glimpse into an experience you may not understand. And maybe it will help cultivate some compassion for the experiences of those around you. Everyone is carrying their own version of pain. So be kind. And don’t assume you understand. Listen. Listen. Listen.
And if you are reading this and you have lived experience with SI or other forms of mental illness, I hope you know you are not alone. Keep fighting. Keep staying.
All my love,
Jo




