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Are you thinking of harming yourself?

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Stephernovas

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lol what a question. Everyone keeps asking me this, and I say “I’ll be fine”....but I lie. People are so easy to manipulate. They take your “it’ll be fine” way too easily. Is it just because it’s easier for them to handle instead of the possibility that someone is having that hard of a time? Like does the reality of death scare them that much?
 
Seems like they asked a point blank question. You answer it with a lie. And you want them to suspect you of lying, play games, and pull out the truth from you?

Generally, for most humans, facing death is difficult. For caretakers like therapists and the like, one of the hardest things for them to face is a patient dying.

That’s why they ask you point blank if you are thinking of harming yourself. They would like to work with you to prevent your death.

Does the reality of life scare you that much?

(And if it does, I can relate...and these folks are trying to help and they believe you. That’s not all a bad thing.)

How about a new experiment? Tell them truth and see what they do then.
 
it's not that it scares me, it's just so irrelevant. Even if I said yes, I'm struggling rn..what would they do? Admit me to the hospital and pump me full of drugs. That's all. Then they want me to return to this 'life'. It's so mundane. And before you tell me it's up to me to change that...I'm going to say guess what? It's been up to me for over 30 years. I'm tired.
 
I often say "I'm fine" or lie and say I'm not thinking of harming myself. I do so because I question where the line is. If I mention to someone how often I want to harm myself, it would be at least once a day. I feel people would get tired of it and eventually think I'm crying wolf if my thoughts stray from self harm to suicidal plans (ideation I have often as well). I have gotten to where I can now mention to a select few I trust if the self harm urges are very strong and I'm trying to fight them. I also now trust my therapist to mention if I had those moments and got through them or self harmed. I also can mention if I'm thinking of death, but I don't know if I'd admit if suicidal ideation moved to plans, if I'm honest.
 
I have to struggle through a lot of crap alone. It's me against worker's comp, it's me alone in doctor's or therapist offices...friends say they support here and there, but at the end of the day it's rare I get calls checking in to see how I'm doing. So, when things get tough to the point where I can't handle it, or start to tip beyond that point...all I can do is have suicidal ideation.

It started with feelings on being out and suddenly something would happen and I'd want to disappear. Wanting to disappear quickly trickles into isolation. Isolation turns into hopelessness. Hopelessness turns into ideation. I have repeated thoughts of even the word 'suicide', and envision a gruesome way to torture myself through the act.

So, when people ask, are you thinking of harming yourself? In a way, yes. But in a way, no. I'm not ready to act on them, but hell yes I am thinking about it. But that's not what they mean. The average person wants to know if intent and if I have set out a plan. The problem I have is that the crummy shit just keeps coming at me, and it feels like no one is helping me defend myself from it, or block the crummy stuff from reaching me. It's all me.
 
Stephernovas - that's exactly it. I think many truly mean "do you currently have an actionable plan to kill yourself at this exact moment?" You worded it very well... Do I think about it a lot, yes and no.
 
So, when people ask, are you thinking of harming yourself? In a way, yes. But in a way, no. I'm not ready to act on them, but hell yes I am thinking about it. But that's not what they mean. The average person wants to know if intent and if I have set out a plan.
Like you said in your last sentence, here - "are you thinking of harming yourself" is a really loaded question. But, saying "I'll be fine" is not at all a lie, if you are not planning to act. It's sometimes the best thing to say, especially to someone you don't want to get into a deeper level of disclosure with.

You're also right, about what is really being asked (even if they don't know this is what they are actually asking). It's:
Do you have a plan?
Do you have access to means?
Do you have a timeline?

And for some people, it's also OK to answer in this level of detail.

Sometimes, part of the struggle of suicidal ideation is (for the sufferer) in getting 'caught' between not wanting to downplay or minimize how intensely bad they are feeling, but also not wanting to have their options taken away from them. I think that's what you are saying here:
Even if I said yes, I'm struggling rn..what would they do? Admit me to the hospital and pump me full of drugs. That's all.
Yes, I'm struggling - followed by nothing else - could mean intervention. And that's not a bad thing.

"Yes, I'm struggling, but I don't have any intention of putting a plan into motion, and I know I don't want to die, I'm really wishing there could be some relief. I know death isn't the answer." - this kind of statement is really effective with both clinicians and laypeople. Just offering it up, as someone who lives with this internal tug-of-war about just how suicidal is 'dangerously suicidal'. It can help to be able to be honest about how much you are hurting. You just also need to be honest about where you are at, in terms of acting on a plan. And it's also very good to articulate that thought: I don't actually want to die. I'm not ready. That's very important.
I don't need anyone who doesn't know what they are doing messing things up anymore in the name of 'trying to help'
I hear that.

There is one person in my life who knows nearly the depth to which I struggle with suicidal thinking. They know as much as I'd trust a lay-person to know. And, I wasn't willing to talk with them about those feelings without also letting them talk to my therapist. Which was a little scary....but my therapist knows the real depth of all of it, and he's (a) very experienced/knowledgeable on suicide management, and (b) very experienced/knowledgeable about me.

I wanted to give that person a link to my therapist, so that they can understand how disclosure works between he and I, and so they don't have that pressure sitting on them of being 'the only one who knows'. If there was ever a situation where this friend was really deeply worried, and I'm not talking, they can call my therapist. I would rather have my therapist intervene, even if it means them calling emergency services for me - because we've spent enough time navigating these thoughts, and my T isn't easily frightened.

I'm sorry you're struggling. I know it's hard.
 
To my knowledge, asking direct questions when assessing suicidal ideation or intent is part of basic QPR technique, which stands for question, persuade, and refer for help. It’s also called gatekeeper training: https://qprinstitute.com.

I like the response/breakdown that @joeylittle gave. I think it implies the exploration that therapists and other helping professionals partake in when conducting assessments/discussing suicidality with clients. In my opinion, the “loaded questions” are intended to provide clients with explicit opportunities to become aware of, understand, and discuss true feelings. The answer to the first question let’s the other person know if he or she needs to follow up with the direct questions stated above.

I am also reminded of another loaded question: “are you okay/how are you?” Most of the time, my truthful answer is “I’m not OK, and I don’t know how to be”. However, I can also fake the answer… My therapist will often ask that at the end of a difficult session, and I have to be able to function, go about my day, so of course I am OK to leave the office. What does that really mean though? The question is a really big trigger for me, but definitely something to think about. ...
 
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the question a really big trigger for me

For me it’s when my therapist asks, “how was your week?”. Well, in all honesty it’s too overwhelming of a question for me to answer. So, most of the time I dick around and make her dig. It’s hard to get it all out or to even know where to start
 
lol what a question. Everyone keeps asking me this, and I say “I’ll be fine”....but I lie. P...

Depends on your definition of fine is.

When I attempted no body suspected that I would take this step, but I did.

Obviously it didn't take, so I spent a week in psych lock up....

So now I'm involved into more scrutiny as to my daily routine, and this sucks being watched all the time.

I just want the pressure of this life to ease up.....

G
 
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