NSSI and twitter chat

Just read a blog about suicide ideation. The writer was able to distinguish that her thoughts were due to her illness rather and not have further thoughts about them. I wish I could do that in the moments I think about death but once I start going down that road, it is hard to do. It is hard to pull back. She wants to live, I still want to die. I don’t want to live this life anymore. It is just too painful.

Last night I was on a twitter chat about non-suicidal self injury (NSSI). It was interesting. I know I have been there many times in my cutting days. But the discussion focused on how to differentiate between NSSI and suicide attempt. For me, if I needed stitches, it was always viewed as an attempt and I was sent to the inpatient unit. The discussion focused more on law enforcement but they are not always first responders, unless a family member or someone close to the person who has cut has called for help in dealing with the issue. But that is a different scenario. Most NSSI people are just looking to release their pain and once they do, they get trapped into the cutting/burning because it becomes an addiction. It is very difficult to try and stop this type of addiction. I know because I once left a wound open for two months, repeatedly cutting until I felt no pain. But I was able to stop because it stopped giving me that high that I needed. Now I just have an ugly scar to remind me of that time period.

I like the fact that the President of the AAS (American Association of Suicidology) is a person that doesn’t like the “no harm” contracts that therapists often use to try to stop suicidal or self harm behavior. He knows they don’t work and would like to see more of a “life worth living” contract in this scenario. I wish I could meet him for the annual conference but it is in Los Angelas and that is way too far for me to travel and too expensive to boot. I hope I do get to meet him one of these days, just to say hello and have a person to person contact rather than an online one.

I was rather surprised to hear him talk about contracts. I wish I could remember his exact words, they were very cool. As I just came across David Rudd’s “no suicide contract” journal article, I thought about the wording that he used. It is similar but not quite so “life worth living”. In Rudd’s article he talks about a commitment to treatment contract for the use of suicidal persons. I suppose the same can be made for NSSI, with some modification but it would be really difficult as cutting is so difficult to treat. It just is a lot of pain and misery the person is feeling and also hate. Can’t forget that hate is a main factor in cutting, least it was for me. I hated myself so much I just wanted to destroy myself anyway that I could.