World Suicide Prevention Day 2015

World Suicide Prevention Day 2015

As many of you that read my blog every day know that I struggle with suicidality constantly when I am in the darkness of my depression. I know writing has been a source of comfort and coping in dealing with these strong feelings. I have not shared suicide numbers before because I don’t think they belong on my blog. But for those that are reading this, it may help someone to talk to or text to in a crisis situation. So please, take down these numbers. Put them in a place that is safe to you, a journal, a notebook, your contact list on your phone, anywhere you might think might be helpful in an emergency and call the number.

The first number is for US only residents 1-800-273-8255. Text support to 741741 again US residents only. It MAY take some time to get to through. I know when I texted the first time, there was a 40 minute wait. I know that might seem like an eternity to someone in crisis but please hang in there and someone will get to you. If the numbers don’t work (I am human after all), please leave a comment and I will fix it. It maybe be that it no longer is in service anymore (text number). There are other resources, if you are interested. Just do a google search to find them. Wikipedia might have some too. If I find some on Twitter, I will retweet them to my page. So far they haven’t sent any numbers or website to actually help those in need just to know the warning signs, which to me, is not too helpful for those with chronic suicidality.

No Breeze Stirs this Cauldron

“What I had begun to discover is that, mysteriously and in ways that are totally remote from normal experience, the grey drizzle of horror induced by depression takes on the quality of physical pain. But it is not an immediately identifiable pain, like that of a broken limb. It may be more accurate to say that despair, owing to some evil trick played upon the sick brain by the inhabiting psyche, comes to resemble the diabolical discomfort of being imprisoned in a fiercely overheated room. And because no breeze stirs this cauldron, because there is no escape from the smothering confinement, it is natural that the victim begins to think ceaselessly of oblivion”
― William Styron, Darkness Visible: A Memoir of Madness

The crash has started. I am once again thinking of quote that I hold dear to me when I am in a despair like state. I just emailed my psychiatrist telling her I am in despair but I am not quite suicidal. I can’t sleep because of pain and the pain meds have not kicked in yet. But the pain I am feeling now, is a different type of pain. It is psychache and there are no pain pills for that ache. My heart feels like it has been broken into a thousand pieces. I feel like I am being suffocated by this weight on my chest. Like Styron says, “there is no escape from the smothering confinement, it is natural the victim begins to think ceaseless of oblivion”. Except, I am not there yet. I am close to thinking of my oblivion but I think if I start thinking about it, I will act.

I started vacuuming my room a little bit at a time. I bought a hand held vacuum. I thought it was cordless but it is corded. No matter, it still does its job. Too bad it hurts me in the process. I can’t stand for too long before my hip goes out. It is this pain that I am feeling that the pain meds aren’t helping at the moment. They will soon, I hope. It is past midnight. I hate staying up this late because it can only lead to Hyde coming out when I am in this despair. I got to find my “Touched With Fire” book. It, I think, has the quote by Hugo Wolf about the heart being broken into a thousand pieces. I thought it was Byron but it’s not. I would like to have this quote on my quote page. I think it will be a nice addition.

I wasn’t expecting to crash this soon. I thought I would have a few days of “normal” before I headed to psychache land. I started writing in my journal. Five pages later, I got an idea for my next blog on “no-suicide” contracts. What got me thinking about this was that if I didn’t find the “Crisis Response Plan” how different my treatment would be with my therapist. No-harm or No suicide contract are stupid and have no validity. They are not even a legal contract in the eyes of the law (to the best of my knowledge) yet are used over and over again. Meds are kicking in so I can’t quite explain more as it is complicated.

I found the quote from Wolf, it is “I appear at times merry and in good heart, talk too before others quite reasonably, and it looks as if felt too. God knows how well within my skin yet the soul maintains it deathly sleep and the heart bleeds from a thousand wounds”. That is how I feel right now. I feel like I am faking being happy yet I so am falling apart and no one can see it. I feel utterly alone.

Earlier tonight, I was feeling fine. I don’t know what caused the downfall to occur. I was just writing in my journal and thought about writing this no contract paper and then I suddenly felt really sad. I got a notepad that has another quote on it, “people do not die by suicide, they die by sadness”. Anonymous

I think that is true. I have real sadness. Dark sadness that won’t leave me. It is like black storm clouds following me. And it came on just with the snap of your fingers. I wish I could snap my fingers again and have them leave. I am hungry. Maybe this sadness is caused by low blood sugar. I only had one thing to eat today, a half of roast beef club sandwich. I couldn’t finish the rest of the sandwich. It was too filling. I should have saved it but it was soggy and I had soggy sandwiches. Now I am hungry and want something to eat. Maybe I will have a pop tart. I don’t know. It’s getting later and later. I really just want to sleep. The hell with eating.

Preview of the nomenclature of suicide

Preview of Tower of Babel, Part 2 article

I just finished reading this ridiculous article that is supposed to clarify terms but instead complicates them more than anything. I know I am not a clinician, but if I were, I doubt I would use their terms that state and I quote “self-harm type I, II, III, suicide attempt type I, II, III” etc. I have read research articles that have been written after this article and NO WHERE do they define their terms as such. I am appalled. I just had to write about this. It will be in my paper when I write it this weekend, once I calm down a bit.

What was interested was they omitted the term suicidality altogether. Instead they called it “suicide-related communications”. I am glad I have short hair, otherwise I would be pulling mine out right now. Obviously, this article is not meant to be reviewed by someone with lived experience. It was blatantly obvious this was for a clinician, researcher, or other type of professional in the suicide field (e.g., medical examiner, coroner, or public health person). I probably shouldn’t stick my nose in it but I am going to anyways because, like I said, no one has yet to use these terms in the literature so I am going to go to town on this. I am just glad they didn’t have subtypes to the self-harm or suicide attempt. And by the way, suicide attempt type III is suicide! I will have the definitions in the paper this weekend. I just wanted to blow off some steam about this now so I could be a little bit more clear headed while writing.

In the conclusion, the authors wrote that there should be studies, international and multi-centered nationally, to try and see if these terms fit. That would take some doing, though how to classify a death by suicide after it was indeed a suicide, I am clueless. And the authors did write that it would be difficult to ascertain intent with individuals who were intoxicated by drugs/alcohol or who were psychotic, delusional, or dissociated. They did mention the word “demented” but I am not sure I have ever heard that term in a clinical setting. The authors didn’t speculate on that term, which I guess means it is implied that what it is meant by.

Also in the closing paragraph, Dr. Kay Redfield Jamison was quoted about nomenclature being essentially rubbish when it concerns suicide classification. I fricken was laughing at that. I remember the line because I read the book so many times. The whole article is rubbish. More to follow…

Waking up Depressed

Waking up Depressed

There was no weird dream, or any dream, really, that made me feel depressed when I woke up this morning. I don’t know why I feel depressed at this hour. The day hasn’t even started. I was reading about a friend of mine that killed himself a little over six months ago. A friend had written the most beautiful story about him. It was found out that my friend that died, actually did suffer from depression, something I didn’t know. I was never close to him. Just an acquaintance from long ago when our lives were just starting out. We never hung out while we were adults. I never really hung out with him as a young one either. But he was special. I had suffered my depression, in silence and alone. No one knew the depths of my depression. I always tried to keep it hidden from people. It just was not talked about.

My therapist and psychiatrist are probably the only two people on the planet that have seen my horrible, suicidal depressions. I can’t say that I am suicidal right now as I still am trying to wake up. I need breakfast and coffee. Maybe then my depression that I feel right now will lift some. I just feel really down and like the walls are closing in around me. I haven’t seen my therapist in two weeks because she has been on vacation. I see her Tuesday but that day seems so far away from now. I’m starting to feel hopeless that I will ever get “better”. I don’t even know what that means. People always talk about recovery with mental illness, but I have yet to experience it. My mood always seems to go from one extreme to back to my low level depression and stay there. I don’t experience job or happiness. I don’t know what those are anymore. With my disability check this month, I decided to “spoil” myself and get the Harry Potter book collection. I felt I had earned that since I just came out of yet another suicidal depression. I was to kill myself on the 17th of this month. It got foiled because I told my therapist and my psychiatrist I was suicidal. If I didn’t, I probably wouldn’t be here, writing this blog.

My depressions have gotten worse as I get older. They last longer and are deeper than they were when I was younger. I have been suffering from these depressions since I was 15, but probably longer than that. I didn’t receive the help that I need until I was in my teens. That was when I had enough and wanted to die. I still want to die. I can’t imagine living this life yet I just continue to exist. It is a painful existence. It feels like my heart is breaking into a thousand pieces and I don’t know why that is. I just feel really down. I have no interest in doing anything today, even though I have to go pick up my prescription. I am totally out of this medication that I need. I am also out of my vitamin D, but that should come in tomorrow. If I am able to borrow my sister’s car, I will try and go out today, but I can’t make any promises. It’s just a struggle to get dressed and ready to do things outside the house. It is tiring when you already feel like you have no energy or motivation. But I got to do it, even though I feel lousy. Maybe while I am at the pharmacy, I can go food shopping and get my favorite burgers. I haven’t had a burger in a few weeks. It is my favorite food, aside from pizza. BallPark came out with burger patties that are very good and easy to make. I like food that is easy to make as I can’t really cook. I need specific instructions/recipe to cook. I am not like my mother that just puts the oven on and cooks for a half hour and then say the meal is done. She did that the other night to the French fries and fish she was making. It was soggy. I would have cooked it a little more so it was crispy. But then she doesn’t have teeth so need soft things.

I made my coffee and had some left over Chinese food for “breakfast”. I didn’t feel like making eggs so I just had something that was already cooked. Even making the simplest things are hard when you are depressed. I used to love making an egg for breakfast, usually fried or scrabbled, with cheese on toast. But when you think of all that you have to do to make it, put the bread in the toaster, get the butter for the pan, crack the egg, season the egg, etc., it is tiring when you are feeling low. Even my coffee is hard when I am this depressed. I have to measure out the coffee, boil the water, get my favorite mug that I use, put two sugars in the cup. Pour the water after it boils. Wait 4 long minutes for the grounds to brew. I am ready for a nap and I haven’t even done anything strenuous. Lately, coffee hasn’t been doing its magic. It’s more like taking a sedative. I am up for a little while and then I crash and need a nap desperately. I don’t know why that is. And I am drinking quality coffee, Starbucks! It is the only coffee I will drink because it is the one that I can make using my French press.

I am looking forward to my therapist being back this week. I hope she can do her thing that gives me hope so it drives away the hopelessness away. Until then, I guess I will have to suffer through this horrible depression, again, alone.