This is a story about treatment and therapy...

I write about my own personal experiences of depression, anxiety, suicidal thoughts, suicidal plans and suicide attempts, because that's what I would want to read if I was in crisis. There's a mountain of material on the web about the symptoms of mental illness, dealing with a crisis, coping with suicidal thoughts, counselling, crisis support, mental health teams, crisis teams, doctors, healers, witch doctors, shamen... and all the rest of it.

It's all been done to death.

So, here's what I'm doing: I write.

I've tried absolutely tons of medications, and all of them have undesirable side-effects, and ultimately didn't bring me a good long-term outcome. I refuse to accept that I simply haven't found the right medication, at the right dose, in the right combinations: personally, I've exhausted that avenue, and found it to be a fruitless exercise. That's not to say that medication won't work for you, and you shouldn't try it, but it didn't work for me.

I tried counselling and behavioural therapies. Nope. Probably OK if you're just 'a bit sad' but if you're reading this then you're probably well beyond being 'a bit sad'. That's not to say you shouldn't try therapy. Everyone's different. However, for me personally, I don't think 45 minutes a week is going to fix all my problems, sorry.

It's important to acknowledge, though, that following the treatment routes which have been resoundingly proven to be ineffective, can be a useful distraction which will eat up a few years of your life. Although I can say with certainty that the long-term outcomes are not attractive, in the short term, there's a lot to be gained from the process of learning about all the different medications and trying them out: it'll keep you busy!

Also, we shouldn't underestimate the power of having a kind non-judgemental person, listening to your traumatic story. Being heard is super important; super healing. Having somebody tell you that you did the best with the hand you were dealt, can be incredibly important, to forgive yourself and start to feel better about being unwell; not so guilty or broken.

I write because it's unlimited free therapy. Instead of only having 45 minutes a week with a therapist, my therapist - the blank page upon which I write - is available 24 x 7 x365, and I can spend as long as I want in a therapy session for free. The free part is not to be underestimated: therapy is really expensive (although it might be money well spent if it works for you). Also, the blank page is the world's best listener: it never interrupts, misunderstands, disagrees, challenges, contradicts, argues or otherwise talks back, which is *perfect* as a therapist.

Given that therapy is pretty much just guided introspection, there's no reason why you can't learn the techniques to explore your own thoughts and feelings, without a guide. Now I'm in the habit of sitting down in front of my blank page every day, I find it really easy to explore whatever's bothering me, or to dig into baggage from the past... whatever I want - it's my time and I'm paying for it!

From personal experience, not professional qualification, I really urge you to write on a regular basis, therapeutically. It's helped more than anything else I've tried, by far.

Of course, we would all love to find an authority figure - a doctor or similar high professional status person - who we can put our faith in to 'cure' us and take care of all our problems, but the reality is that depression and anxiety are modern epidemics, and medicine has failed to provide effective treatment; the problems are getting worse, not better. Ultimately, we are - unfortunately - personally responsible for our safety and wellbeing. Much though I wish there was a magic person in a magic building with magic beans, like a doctor in a hospital with some pills, it's turned out to be a massive disappointment... we're on our own.

Of course you should phone the crisis hotline if you're on the brink of committing suicide. Of course you should go to your doctor and take their advice. Of course you should seek professional help. However, if - like me - you've tried all that and found it to be a dismal disappointment, then I imagine that's why you're here, right now, reading this.

Try writing. It helps.

Tags: #suicide #depression #mentalhealth

This is a story about storm clouds...

I often assume that after a lengthy period without abusing drink, drugs, medication and other mind-altering substances, I'll reap some rewards. I tend to think that a period clean and sober will bring good health, and in turn, that life will improve. It's certainly true that drugs have brought nothing but chaos and turmoil into my life, making it completely unmanageable, as my mental health problems are exacerbated. Eliminating most psychoactive substances has certainly turned my life into something which looks - to the outside observer - to be stable, productive, functional and indeed, at times quite enviable. To all intents and purposes, I look, smell, sound and act like a normal member of mainstream society.

Internally, there's nothing to help me cope with the intrusive thoughts; the traumatic flashbacks.

In the comfort of my own home, as I've already written about, I yell out, grimace and flinch, as I'm assaulted by all kinds of post-traumatic flashbacks. I have horrible nightmares. I suffer lengthy periods of skin-crawling agonising anxiety, where the hands of the clock are barely moving; it lasts for an eternity.

There are no rewards for being clean and sober; only suffering.

It's unthinkable, lifting the lid when there's so much trauma. It's insanity to have it all hitting me like a freight train, every single second of every single day, even when I'm asleep.

I like to think that my brain is mending itself. I like to think that by reliving those traumas, my brain is kind of re-organising itself and exorcising stuff. I allow myself to yell out, flinch and grimace, because it seems better to let it out than to fight it and attempt to suppress it.

Thinking about it, there's mountains of stuff. There's an unimaginable amount of stuff.

The memories - the bad memories - come thick and fast, intruding into whatever I'm doing, unless I'm really working hard; really concentrating on something. I have so few distractions that there's plenty of time for my brain to throw a relentless torrent of terrible, dreadful, awful traumatic memories at me, which are so bad that they're physically painful and cause me to cry out in shock.

I don't think I'd have been able to cope without medication, but now I've lost that crutch, it feels like I stored up years worth of terrible stuff without dealing with it properly. Now it's all hitting me, seemingly all at once.

I'm unusual, in that I'm one of the least psychoactively altered people - I don't have any tea, coffee, coca-cola, fizzy drinks, nicotine, cannabis, alcohol or medication. I don't eat, drink, swallow, smoke, inject, snort or otherwise ingest anything mind-altering. That's very unusual. To give you an example, out of hundreds of people I work with, I'm the only one who doesn't drink tea, coffee or other caffeinated beverages, and my teetotaling makes me even more unusual.

As a friend said to me, quoting a popular Tweet: I'm raw-dogging reality.

It's really brutal. It's really awful. I don't recommend it at all. It's not nice. In fact, it's thoroughly unpleasant and intolerable. Don't do it. It's not worth it. It's not healthy, it's hell.

Why am I doing it then?

I have the unshakeable belief that I can achieve mood stability by avoiding all mind-altering substances, including the things we don't usually bother to think about, like tea and coffee. I feel a lot more stable - mentally - having given up everything. I'm trying to regulate my mood by doing other things. I'm hoping that I develop some healthy habits.

Certainly, after a couple of weeks teetotal, I have a lot more energy and enthusiasm; I'm a lot more active; I sleep better. These are not things to be sniffed at. Alcohol and depression combined to create a very sedentary lifestyle, which was horrifically damaging to my health. I was drinking myself to death, even though I appeared very functional and otherwise doing very well in life.

So, I'm suffering the dark, horrible invasive thoughts, driven to find out whether my brain will eventually rid itself of the toxins and settle down. Certainly, there are health benefits, but I am suffering a great deal.

Tags: #mentalhealth #bipolar #depression #anxiety #alcohol

This is a story about Kim and Kanye...

This is not a story about Kim and Kanye. I don't know anybody called Kim and Kanye. I wrote the title of this essay and the little introductory line because apparently it was newsworthy that somebody wrote something on Instagram. Anyway, I realised that I haven't written much about bipolar recently.

I have a diagnosis of bipolar, but I don't particularly have any symptoms which are bothering me. I've been unmedicated for years and yet I'm fully functional. This is not to say that I think anyone who does use medication to help them with their bipolar is wrong to do so, but it doesn't work for me.

I sure as hell have a mood disorder. I'm suicidally depressed a lot of the time, but I also have periods of extremely high productivity. Sure, I'm very good at managing my condition, such that my friends and colleagues don't really know I've got a major mental health problem, but it doesn't mean it's not causing me any difficulties, despite appearing symptom-free.

I suppose the main problem I'm dealing with is the risk to my life. Being suicidal so often is pretty dangerous, and it's landed me in hospital - in intensive care and high dependency wards - a whole bunch of times. Still, I don't want to be medicated. If I die, I die. I'd rather not have the side-effects of powerful psychiatric medications.

Did I mention how functional I am?

Until I'm not.

I can cruise along just fine for very long periods of time, but then I crash. I always crash. Crashing is inevitable.

I don't think medication is the solution to the crashes. "Mood stabilisers" do not do what they claim to be able to. In fact, "mood stabilisers" can be highly destabilising, as I've found many times from bitter and unpleasant experience.

Certainly, anti-depressants are destabilising, always pushing me manic or at least hypomanic. I want them - obviously - because it's so horrible to be suicidally depressed all the time, but I know they're too destabilising and will cause my life to become chaotic and unmanageable.

So, I struggle along with commonly available mind-altering substances, like alcohol, which is a dreadful substance but I've become very experienced with using it to limp along through life.

I'm persevering with so-called "clean living" where I use a number of techniques to achieve more mood stability, naturally. I keep very strict bedtimes. I keep very strict meal times. I eat a balanced diet. I exercise. I limit my alcohol intake. I avoid all drugs and medications. It seems to be a winning formula. Also, money. Having plenty of money, a low-stress job and secure housing, are all very important pieces of the puzzle. If any one single thing is wrong, it throws my world into chaos and instability; it makes me unwell.

It's pretty dull really, the current story of me and my bipolar. Things are kinda under control and the things I'm doing to keep myself stable are - by design - super boring.

Tags: #bipolar

This is a story about the insidious creep of alcoholism...

I decided that I was putting on weight, and that I didn't like that; I wanted to get fit and healthy. At the start of the lockdown I was drinking every day - 7 days a week - and I started drinking straight after I finished work each day. I was drinking far too much; it was excessive.

I went teetotal for a couple of months. My liver needed a break. In fact all of my brain and body was extremely grateful for a break from intoxicating liquor. I'd like to say that I felt great after a couple of months of non-drinking, but I didn't. However, if I had carried on drinking at the rate I was, then my health would have suffered immensely, and I would be very depressed about being overweight. As it stands now, I'm not happy with my weight, but I'm not unhappy either.

After my lengthy period of tee-totalling, I decided to try to drink in moderation. I was going to allow myself to drink 1 (one) bottle of wine per week, on a Saturday night, as a treat.

Keeping the amount of wine I have in the house to a minimum is a good idea. If I have it in the house, I'll drink it.

Soon, all my plans went out of the window. I decided I was allowed two bottles of wine per week - one on Friday and one on Saturday - but I foolishly decided to buy both bottles at once, and then ended up dipping into the second bottle on Friday night, and buying another one on Saturday.

The weekend just gone, I ended up drinking about 4 bottles of wine, although I did share some of it. I drank on Sunday too, which is against the rules.

I've paid a high price for heavy drinking. My sleep has been appalling. I've been tormented with invasive thoughts, stress and anxiety. I've had a dreadful tic - an involuntary vocalisation like Tourette's - due to the extreme change in brain chemistry. My brain is not in a good state to segue from stone cold sober, to very drunk, and back to stone cold sober - it's far too anxiety-inducing. I was stuttering and almost unable to speak at one point, due to the anxiety induced by abruptly stopping drinking. I don't get the shakes, for some reason.

But is it alcoholism?

Well, given that I am managing to minimise the harm that alcohol is doing to my health and my life, it is not alcoholism. I meet neither the medical definition, of physical dependence on alcohol, nor the other definition, which says that a person is an alcoholic if harm is being done to them by their alcoholism. Alcoholics are also not able to start and stop drinking at will, obviously.

I've definitely failed at drinking in moderation, though. Alcohol is definitely a crutch; a medication. I don't have a good relationship with alcohol, even if I am able to avoid its harm.

I need to find some other kind of [healthy] outlet.

Tags: #alcohol

This is a story about crutches...

Trawling through my photos from the past three and a half months, I found very few which would be suitable to accompany what I wanted to write today. The photos on my phone are mostly of my cat(s) and not much else. However, this photo does - rather cryptically - allude to what I am now writing about.

When I started the lockdown, I decided that I wasn't going to bother with a desk or an office chair at home; that I would muddle by with my laptop on my lap. I decided - wrongly - that it wouldn't be worth the effort of setting up a proper office at home.

As I already wrote a few days ago, I started the lockdown drinking copiously. Every day after work, I would pour myself a large glass of wine. I would estimate that my alcohol consumption was somewhere in the region of 8 to 10 bottles of wine per week.

As I already wrote a few days ago, I started the lockdown physically dependent on medication. Every night I took sleeping pills. Every day I took tranquillising sedatives.

Then, it became obvious that there would be dire consequences to my physical health.

I didn't want to finish lockdown as a fat alcoholic pill-popper with a hunched back.

Because I delayed setting up my home office, I didn't have a lot of choice for a desk and an office chair, hence why the ugly garish monstrosity - pictured above - has become part of my home office. The desk is super ugly too. However, it's good to have a more professional set-up instead of reclining on my sofa.

The health improvements to my life don't feel like they're paying dividends. I still feel overweight, unfit and I still crave alcohol. Ostensibly, I feel much the same as I did when I was guzzling booze, popping pills and spending 16 hours a day reclining on my sofa. However, we must acknowledge that there is a very significant difference between an alcoholic pill addict, and somebody who drinks in moderation at the weekends, and is entirely medication free. That I have stabilised myself and found almost liveable and almost bearable sustainable routine without my crutches, is not an achievement which should be underestimated.

The backdrop to the past four months has been the global pandemic which has claimed hundreds of thousands of lives, and threatens the livelihoods and living standards of hundreds of millions, if not billions of people. If there was ever a time to feel insecure about money, work and housing, it would be now.

I wouldn't describe myself as a particularly anxious person, but the past 5 years of my life have been spent with the threat of destitution hanging over me. I've been forced to generate vast amounts of money each year in order to protect my credit rating and employability, as well as to simply pay rent, bills and service debts. The amount of money needed to escape my predicament was so vast that I was forced into high-risk high-stress situations, which were potentially high-reward. Eventually, perseverance paid off. There was no other choice: a crappy salaried job would have inevitably led to bankruptcy; the books simply didn't balance with some crap paying job.

So, I've suffered 5 years of incredible, immense stress. I've suffered 5 years of living on the edge of ruin.

When the pandemic started to get very bad in Europe my mood improved considerably. The havoc wrought by the pandemic has brought the stress and suffering that I was enduring into the lives of vast numbers of my fellow people. Suffering collectively is far more bearable than suffering alone.

At some point, I want to stop talking about the difficulties in my past and to talk about the future. I want to put some distance between my past and the present. I want to have a period of wealth and security, which clearly delineates 'now' from 'then'.

I note that my abysmal childhood became unimportant when I started to have success and get ahead in life, in my late teens and early twenties. My rapidly growing bank balance, exotic travel, status symbols - like houses, cars and boats - and adventurous hobbies, felt like I could forget about past transgressions against me: the bullies and abusers were rotting, and I was thriving, so I wasn't bitter and angry; I had broken free from the misery of the past.

My rage at my parents - which has been a repeated theme of the past 5 years - and sad memories of a ruined childhood, which has caused me vast amounts of problems... all becomes irrelevant again, as my health and wealth are regained, and my quality of life improves manyfold.

Yes, my crutches are going to change from alcohol and medications, to be luxury holidays and other trappings of wealth, but I don't care. Alcohol and medications lead to misery and death - they're a dreadful trap, which leads nowhere positive.

I still have suicide as my 'retirement plan' but that's a simple matter of practicality, given that I'm now unable to be likely to accumulate enough wealth to enjoy a comfortable retirement before my health starts to deteriorate. It's something I'm going to have to learn to live with. Or rather, it's something that's going to kill me. C'est la vie. C'est la mort.

Tags: #alcohol #medication #debt #suicide #parents #bullying #childhood #lockdown

This is a story about the Coronavirus pandemic...

Many people planned to come out of lockdown with new hobbies, fitter, healthier, happier and myriad other unachievable unrealistic things. I think that we have mostly come out of lockdown fatter, more unfit, poorer, more insecure, lonely, isolated, bored and generally worse off.

I started the lockdown drinking very heavily and eating McDonald's breakfast every morning. I decided that if we were going to be suffering the misery of being under house arrest, then I would treat myself. Quickly I realised that I was going to end up with clogged arteries and morbidly obese. I was eating takeaway several nights a week and not doing any exercise.

I started the lockdown physically dependent on sleeping pills to get to sleep, and using two different tranquillising sedatives to cope with unbearable anxiety. I decided it was too much hassle to try to keep stocked up with the medications I needed during the lockdown, and I calculated that I have enough left to be able to taper myself off. I didn't want to run out of medication suddenly in the middle of a pandemic.

I started the lockdown working on my sofa, fully reclined. I realised that my posture and back would be ruined by working in such a position for 8 hours a day, followed by many more hours on the sofa after finishing work.

Things had to change.

I thought the lockdown would last a month or two, but I must admit that I didn't think it would drag on beyond a quarter of the year. I tried my best to psychologically prepare myself for the lockdown lasting for months, but I was hopeful it'd be all over after 6 to 8 weeks.

I bought a desk and an office chair.

I weaned myself off the sleeping pills and tranquillisers.

I cut down my drinking, and even went teetotal for 6 or 7 weeks.

I started exercising. Not, like, exercising exercising. Just going for a 10km walk every day. Enough to keep me a little bit active, but nothing crazy.

I stopped getting takeaways. All those takeaways were costing quite a lot of money, when they were all added up. Sure, I felt like I could justify spending the money to enjoy some nice food, as compensation for the doom and gloom of the hundreds of thousands of people dying all over the world, and the restrictions to our freedom... but it wasn't healthy and it was costing a packet.

I paid off all my debt. This wasn't so much a planned thing. It was something that just happened to co-incide with the lockdown. However, it feels pretty damn good to have some savings now. I have a net worth again, which feels good. I have some financial security, even if it is pretty negligible. It had been a very long time which I'd been struggling to get my finances sorted, and it's a big relief to be back in the black.

My life is extremely austere and simple. I have my house, my job, my cat, my car; that's it. My health is probably OK. My weight is OK, although I am carrying some extra weight I'd like to shift, as a consequence of lockdown. My finances are OK. My job seems OK. My housing situation is sort of OK. My kitten is great, although my cat is lost... overall OK. My car has a big dent where an idiot crashed into it during lockdown, in a virtually empty car park, but there are more important things in life than having a shiny perfect car.

All things considered, I think I'm one of the lockdown winners - I'm emerging in far better shape than I went into lockdown. Some people have lost their job, or are about to lose their job. Some people have struggled with alcohol and food. Some people have struggled with mental health. In almost every area of my life, things have improved; I look reasonably well positioned to weather a difficult autumn and winter.

Although losing my cat was the worst thing that happened, it has forced me to connect with my neighbours and the wider community, so I have even managed to live a far less isolated and lonely existence under lockdown, than I was living before - I speak to far more people; I'm more connected and socially engaged.

I thought that if I retreated inwards, living and communicating through my blog and social media, then I would find it impossible to get through the lockdown. It looks like a reasonably good decision, to have taken a break.

It helps that it's summer - of course - which lifts my mood and generally creates a more pleasant and favourable backdrop for life, but I feel hopeful that I've got a decent position of health and financial stability to fight through the autumn and winter. I just need to book some holidays now... I've worked non-stop since early January, when I was discharged from hospital.

Tags: #debt #medication #work #lockdown #cat #kitten #weight #car #house

This is a story about the control of information...

As is often the case, something I have read or watched has prompted me to write. Today, I felt the urgent need to write about methods of killing yourself. I felt compelled to document every single method of committing suicide, which I could possibly think of.

The reason why I would write this down is that the thing which most often draws visitors to my website is something I wrote about suffocation - asphyxiation - as a means of suicide. People also come who are desperately trying to cure themselves of their problems with mental health, alcoholism and addiction. People visit my website for all kinds of different reasons, but as a source of information on how to kill yourself, my site is one of many millions. Our libraries are full of books which explain in exquisite detail how people have ended their own lives, since we took pen to parchment, or chiselled runes into rock. For those who seek, they will find.

I've noticed a lot of criticism of the owner/operators of forums where suicide is predominantly discussed, and prominent popular indviduals who have large social media followings have been criticised for their participation in the online discussion of suicide which has coalesced around their digital persona.

We have to be very clear about something here: people need and want to talk about suicide. Making it a taboo subject, and ridiculous fantasies about book burning and the modern-day digital equivalent - banning websites - fails to address any of the underlying causes of why people take their own lives.

People don't kill themselves because they're encouraged by others, online. People don't kill themselves because they're able to easily find the information about the methods of suicide. The reasons why people kill themselves are as complex as the individuals who end their lives prematurely, and to point the finger of blame is pointless; futile.

While it might be true that we see 'outbreaks' of suicides which cluster together geographically, almost like a conventional viral, bacterial or parasitic infection, passed from person to person, this does not mean that newspapers, magazines, TV & radio stations and the modern digital equivalents, should never talk about suicides, or the methods. There is no evidence to prove that journalistic guidelines have in any way reduced the likelihood that fellow friends, classmates and other people in the vicinity of a suicide, will commit suicide themselves. We are missing the point: if one person in a particular area of the country, of a certain age, living a certain lifestyle, is compelled to end their life, then why should we be surprised that there are many others who are living on the edge too? It is absolutely untrue that the media and the internet is in any way shape or form responsible for pushing and/or prompting people to end their lives.

We also have to answer the difficult question: is it ethical to force a person to live a miserable and unbearable life? Is it unethical to force a person to endure unending suffering?

A documentary I was watching particularly annoyed me when a so-called expert came onto the program to say that suicidal thoughts are usually fleeting, and quickly pass; they essentially said that depression is temporary - in a particularly dismissive manner - and that we should shut up and put up with it. This made me furious.

People don't end their lives whimsically. Suicides are meticulously planned. The formation of the idea of killing one's self is something that has taken place during years of terrible suffering. I say that it is unethical to act in any kind of way to prevent a suffering person from achieving relief from the terrible torments which they have decided are too unbearable. It's their life at the end of the day. It's selfish to ask them to keep living an intolerable miserable suffering-filled existence... for what reason? So that you don't feel sad? Get over yourself. Get a grip. Have some compassion. Show a little empathy.

I believe strongly that suicides are 100% preventable, and that we should aim for zero suicides - nobody should ever commit suicide. However, the solutions are well beyond the scope of this essay, and ask the reader to think the unthinkable, such as improving people's lives, instead of fobbing them off with cheap anti-depressant tablets and abysmal "behavioural therapy" courses developed and delivered by a group of people with the collective IQ of a slug. The evidence is clear: suicide is the number one killer of men under the age of 50, and the suicide rate in young girls and women is growing faster than ever before. Yet, the approach remains unchanged: ineffective medications and ineffective psychological therapies. Also, the circumstances get worse and worse: youth unemployment soars, personal debt soars, global warming and climate change rages out of control, and the chance of having a fulfilling happy life diminishes by a vast amount every single day.

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So, you came here for the good stuff, right?

OK, here are all the ways you can kill yourself, separated into some different sections.

Poisonings and Overdoses

Almost every substance which a normal person can obtain will result in a slow and painful death. Anybody can find a poisonous mushroom or plant - such as deadly nightshade or hemlock - which will kill you, but it will be extremely unpleasant. It's possible to purchase a large quantity of paracetamol, for example, which will easily cause fatal liver failure, but this is a particularly slow, painful and unpleasant death.

Deaths by overdose are hard to achieve with so-called 'safe' modern medications. Your doctor is unlikely to prescribe you enough opiates to allow you to kill yourself, unless you stockpile your supply, and slow-release formulas can make it hard to commit suicide using swallowed tablets. Barbiturates, which are the number one choice of doctors who wish to commit suicide, are never prescribed. There are deadly medications, such as warfarin, but to obtain them is almost impossible.

Were you able to obtain a poison such as strychnine or cyanide, your death would be surprisingly slow and painful. Potassium cyanide particularly, would not be a pleasant easy death, unless combined with a large dose of sedative and a painkiller, because it essentially induces a heart attack.

Blood Loss and Other Trauma

The body has developed very advanced mechanisms to cope with severe lacerations, and blood vessels will spasm and contract to contain loss of blood. The arteries are generally well protected by the anatomy which has evolved to keep us alive.

Generally speaking, cutting the jugular vein(s) is a reliable method of suicide, but there are many variables: the blade must be sharp, the aim must be true, and the cut must be made with force and certainty. It's more likely that you will end up with a profusely bleeding laceration than a lethal wound.

Cutting one of the carotid arteries must surely be the most reliable way of killing yourself with a knife or razor blade, but detailed anatomical knowledge and a willingness to undergo immense pain, while conducting this surgery on yourself, makes the task almost impossible.

Plunging a sharp object in-between your ribs and into your heart or one of the biggest blood vessels in your body will kill you very quickly, but the chance of you hitting your target is low.

The Japanese Samurai favour disembowelment as an "honourable death". Do not recommend.

Self-immolation would be incredibly painful, and your death would be caused by suffocation: the flames would consume the oxygen from around your body, and your lungs would be burned so badly they would not function. Definitely do not recommend.

Falls From Height

Yes, these will kill you. There is a well documented case of a man who survived a fall from the Golden Gate Bridge, which is about 67 metres (or 220 feet for those who prefer imperial units). In rock climbing terms, that's about 1 rope length, and there are lots of documented cases of rock climbers who have fallen from the top of a cliff and survived.

This is all about the height, and the surface you're landing on. Maximum height and solid landing surface = more certain death. I would say that 8 storeys or more, landing on concrete, rock or something similar like that, would guarantee 'instant' death. Bear in mind that you would need to jump and also endure the fall, which would both be very traumatic, but it would be a 'quick' death versus a poisoning or overdose, for example.

Hanging

Most people who have hanged themselves have died from asphyxiation, and have suffered an incredibly awful death. Death by hanging has a high success rate, but we should be mindful that the final period of that person's life was unimaginably terrible. To asphyxiate elicits one of our most primal panic responses - the hypercapnic alarm response - and we know that many people who have hanged themselves have taken 30 to 90 minutes before they have finally expired. This is one of the most unpleasant deaths I can imagine.

For a hanging to be a quick death, the neck should be broken or the body should be decapitated - either outcome achieves the desired outcome, which is a quick death. It would be advisable - although I advise nobody to commit suicide, of course - to err on the side of caution, and ensure that the 'drop' is sufficient to break the neck at the very least, and if decapitation occurs, then it's far preferable to the alternative: a lengthy asphyxiation.

Electrocution

Most modern domestic and commercial electrical systems are fitted with systems to prevent electrocution, and as such you would be unlikely to be able to electrocute yourself by, for example, dropping an electrical appliance into the bath-tub while you were in it.

In the interests of a full and frank exploration of all the available suicide options, I must tell you that it's possible to obtain a lethal electrical current by simply removing the cover of your fuse box, where there are live parts which do not have the protections which you have throughout your house or other premises.

Touching a live electrical conductor will hurt, a lot, but it won't kill you. In order to kill yourself by electrocution, you must first grip something which is earthed - such as a copper water pipe or the earth clip for your house, usually marked with green and yellow striped insulation - and then touch the live source of electricity with your OTHER hand. Then, the electrical current will flow across your body, through your chest, and your heart will either be very badly damaged or at least enter ventricular fibrillation, where it is unable to pump blood, causing you to lose consciousness immediately.

It's possible that you might only receive a 'mild' electrocution, leaving you with very bad burns, tissue and nerve damage, but otherwise alive. For this reason, it's probably inadvisable for anybody except a trained electrician to commit suicide using this method.

Asphyxiation, Drowning, Suffocation etc

As I wrote before, the hypercapnic alarm response, which is your body's natural reaction to high carbon dioxide levels in your bloodstream, will cause incredible panic and suffering. As such, drowning yourself by attaching weights to your body and jumping into water, would be a terrible, terrible death. Do not recommend.

To attempt to suffocate yourself, perhaps by putting a plastic bag over your head or other somesuch thing, would result in the elicitation of the hypercapnic alarm response and you would tear the bag off your head, driven by instinct. Your primitive survival instincts would override the neocortical modern brain, which we have unfortunately evolved, leading us to want to commit suicide in the first place.

In order to asphyxiate in the manner which we would all wish to die, which is painlessly and peacefully, the solution is simple: we must breathe a gas which contains no oxygen or carbon dioxide. To breathe the gas from your oven puts your neighbours and firefighters at risk, because a gas explosion will be the likely result. Instead, a bottle of helium can be purchased inexpensively, for the usual purpose of filling baloons. Instead, the helium should be used to provide a steady supply of gas to some kind of 'hood' which you wear. By breathing an inert gas like helium, you will quickly lose consciousness and death will follow within some minutes, as your body and brain are deprived of oxygen.

Other

There are things which might work, but are more likely to cause you incredible pain and injury, such as injecting yourself with a bubble of air.

You could obviously starve or dehydrate yourself to death, but this would be time-consuming and result in a slow and painful death, with much suffering.

For those who live in places where firearms are easily obtained, I don't know why you're even reading this: if I could get hold of a gun I'd already be dead, I'm sure. That's not to say that gun control is preventing my suicide; merely that there are easier ways to kill yourself in a country like the UK, but I foolishly have opted for methods which were unlikely to kill me, such as poison, overdose and cutting veins.

The number of ways to cause your body a traumatic injury are innumerable, but an example might be to turn off the airbag on your car and then drive without a seatbelt at 100mph into a concrete pillar which is supporting a bridge.

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As you can see, the options are multitudinous and you really don't need me to list them. You already knew almost all this stuff, and if you didn't, it was available on a million websites; it was one single Google search away.

As for the charge that I am encouraging, endorsing, glamourising or enabling suicide in any way whatsoever, you are barking up the wrong tree. Look again at the suffering. Look again at the causes of that suffering. Look again at the options available to the victim of that suffering. If it was possible for a suicidal person to endure any longer, they would. If there was an easy option, like a magic pill from a magic doctor who lives in a magic building, then we would see suicide rates falling not climbing. The medical establishment claims to want to preserve life, and it claims to be empirical and evidence-based, yet all the evidence shows that medicine is failing abysmally to deal with the number one killer of men under the age of 50; the fastest growing cause of death of young girls and women. Medicine can f**k off - it's had plenty of chances to do something about the suicide and mental health epidemic, but instead it has rested on its laurels and dished out useless pills, and allowed intolerable living conditions to grow, flourish and proliferate.

If you think my article is somehow dangerous and irresponsible, I suggest you seek your first recourse with those who claim to be practicing so-called medicine, when all the evidence shows that the medications and treatments prescribed are entirely ineffective, and the mental health epidemic and suicide rate are the number one public health emergency, yet your doctor is doing nothing about it - they have their head buried in the sand.

For those of you who came here looking for information on how to commit suicide, I empathise. I've attempted suicide several times. If you want to talk to somebody who lives with suicidal thoughts on a daily basis and has tried every conventional treatment you can possibly imagine, who won't try to "talk you out of doing anything" or otherwise patronise you, my Twitter DMs are open and my email address is publicly available.

If you're suffering, I'm sad about that. I wish people didn't have to commit suicide, but sometimes they do, because the suffering is too unbearable.

Still thinking about killing yourself? Please read my essay on how to kill yourself.

Want even more? Please read about why I am planning on committing suicide.

Tags: #suicide #depression #medication

This is a story about remorse...

There's a lot of good reasons why we don't steal people's medication.

Firstly, theft is illegal. There is no defence against the crime of theft. You could rob a bank and claim that you were going to give the money to charity, but I'm afraid that's no defence. You could claim that you didn't know theft was a crime, but ignorance is no defence. You could claim that you were keeping somebody safe, by stealing something of theirs that was dangerous: perhaps you stole a fast motorbike, and your defence is that you wanted to prevent injury or death. Unfortunately, while these arguments might give the court judge cause to be more lenient in their sentencing, the crime of theft is a clear-cut thing: you simply need to permanently deprive the owner of something that they own, and you have committed a crime. No defence. It's a crime. It's that simple.

Secondly, some medications require you to have a prescription to have them in your possession. There are lots of medications which are controlled drugs and as such, to have stolen those medications would mean that you have committed a second crime: possession of a controlled substance, without a prescription. Again, there's no defence for being in possession of a controlled substance without a prescription, unless you have signed documentation proving that you are authorised to collect a prescription from a pharmacy, on somebody else's behalf.

Thirdly, some medications will cause seizures and death if the patient abruptly stops taking them. Many medications raise the seizure threshold, and when medication is stolen and the patient is forced to abruptly cease taking the pills, then the seizure threshold is lowered so substantially that the result is very bad seizures - grand mal - which can cause physical injuries as well as death. This would be gross negligence, or gross negligence manslaughter in the event of a death.

Fourthly, while incredibly ignorant people might think that they are being "helpful" by stealing medications, if their fantasies are incited by other people - abusing a position of respect and making misleading representations that they know what the f**k they're talking about - then those people become part of what's called a joint enterprise or common purpose crime. It doesn't actually matter who committed the crimes - all the parties in the conspiracy are equally guilty.

Fifthly, it does not even matter if the crime(s) are actually committed or not. If there was a conspiracy to commit a crime which was never acted upon, then that conspiracy can still be prosecuted as a crime.

In short, don't steal other people's medications, or even plan or advise to attempt such a thing, because you are breaking at least four laws. Criminal law is not based on precedent and interpretation. It's open-and-shut: you clearly broke the law, so you must be prosecuted and punished.

Because I suffer from Bipolar Affective Disorder, I am prescribed lamotrigine, which is an anticonvulsant. Epileptics are prescribed lamotrigine, because it raises the seizure threshold. It is extremely dangerous to stop taking lamotrigine abruptly, whether you are epileptic or not, because you are likely to have life-threatening seizures.

My ex-girlfriend, with incitement from 5 others acting in a criminal joint enterprise, conspired to steal a large number of different medications from me, with no fewer than 3 of the medications being likely to cause seizures, injury and death, when I discovered the theft and was unable to take my pills as normal. The theft was a smash-and-grab, where there was clearly no consideration for the immense harm that was likely to come to me, but also, medications were stolen in a manner that clearly proved that it was an act of incredible stupidity; utter recklessness and shocking ignorance.

Would you rummage through the drawers and medicine cabinet of a home in which you were a guest? If you were so incredibly rude and privacy-invading as to do so, and you happened to find items which were embarrassing, would you tell all your friends? Would you humiliate the poor person who trusted you to act with the duty of care towards their privacy, which they were owed?

It shocked me when a friend sent me a message asking about a particular medication - which it later emerged had been stolen - and was mocking and humiliating me about this. My most private, confidential, embarrassing, secret and sensitive medical information had been abused in the most horrible disgusting way. Without a single care about violating my dignity, humiliating me, embarrassing me and betraying my confidence, my ex-girlfriend carelessly boasted to her co-conspirators about the medications she had stolen from me. This medication can be bought over-the-counter in any chemist, without a prescription, has no abuse potential and has no potential to cause an overdose. Why steal it? Why boast to her co-conspirators she'd stolen it?

I did get an apology from my ex-girlfriend, but I doubt she feels any remorse. I suspect it would take criminal prosecution for her to realise that her actions were wicked and wrong, and there was no excuse for the risk she placed my life in, the violation of the sanctity of my private home, the violation of my dignity, the humiliation and embarrassment she caused me by violating my confidential medical details. She's a horrible person, although I will say that without the incitement of the co-conspirators in the criminal joint enterprise, she would have been less likely to commit the crimes - although this does not forgive her behaviour, nor absolve her of her crimes.

Getting an apology out of the ex-friend who was a co-conspirator in the criminal joint enterprise, who then began to criminally harass me, sending me numerous unwanted offensive messages, emails and letters, which caused me a great deal of humiliation and embarrassment, violated my dignity, and was particularly intimidating regarding the confidentiality of my private medical details.

My ex-girlfriend's mother did feed my cat while I was in hospital, which was very kind of her, and I want to thank her, but when I arrived at my ex-girlfriend's house and demanded the return of my keys, the atmosphere was not conducive to saying thank you for the mother's kindness, which she had shown to my cat.

I suppose when you are faced with an individual who has threatened to pursue criminal charges against your daughter, the parental instinct probably kicked in and she would have denied that her daughter was a murderer, even if she'd seen her plunge the knife repeatedly into the victim's body.

Anyway, this is a simple message: don't steal people's stuff, OK. Especially medication, which is a matter of life-or death. If somebody tells you that it's "OK" or "the right thing to do" then they're wrong - they are inciting you to commit a crime, and they themselves are co-conspirators in that joint enterprise crime too, and will be prosecuted equally under the law.

Tags: #law #medication #relationships #friends #theft #crime #police

This is a story about annual events...

I sometimes forget that I have a 1.3 million word repository of 4 years of my life documented in exquisite detail. Given that I have chosen to manage my mental illness - bipolar disorder - without medication, it's extremely useful to have everything written down. Memories are easily corrupted. It's easy to romanticise the past. Past traumas can be forgotten. Pain fades from memory. By having everything stored digitally like this, it's easier for me to avoid getting stuck in a cycle of boom and bust; making the same mistakes again and again.

Mental illness combined with some dreadful circumstances which exacerbated the problem, like an abusive relationship followed by an inevitable divorce, plunged my life into utter chaos. I was homeless and slept rough. I was sectioned and kept in secure psychiatric institutions. I very nearly lost everything.

Today is both World Homeless Day and World Mental Health Day. The two things go hand-in-hand, but the choice of day was a coincidence, I expect, although ironically it's quite apt.

There is a powerful relationship between mental health and other problems, such as being able to work, having money problems, having relationship problems, homelessness, drug abuse, alcohol abuse, self harm, suicide and crime, amongst other things. To say that drug addiction causes mental health problems, for example, is a mistake of confusing correlation and causation. To say that mentally ill people are more likely to become homeless is a mistake of cause and effect. As you might imagine, not having a secure, dry, affordable, pleasant place to live is toxic to good mental health - how can anybody be expected to have any kind of sense of wellbeing when one of their most basic needs is unmet or under threat?

We might dismiss housing concerns, believing that local councils and "the government" ensures that nobody goes homeless, but it's lazy and ignorant to believe that housing is not the number one concern of people in crisis. The root of all problems is not mental health or drugs, or Brexit... it's housing.

The proportion of people's wages spent on rent or mortgage payments, has steadily risen, while wages have fallen in real terms. Vast numbers of people are on zero hours contracts or work in the 'gig economy'. Unemployment figures do not tell the real story: millions of people live under constant threat of eviction; homelessness.

Do I really have to spell this out?

Living with the constant threat of losing your home is incredibly stressful.

People are working all the hours they can to try to make ends meet, and they are still only one or two missed paycheques away from being chucked out onto the streets. One hiccup and they'll be homeless. Living with that kind of daily threat creates intolerable anxiety.

If you put somebody under an enormous amount of pressure and stress, for a very long period of time, it will negatively affect their mental health. It's inevitable that the lack of affordable housing in the areas where there are job vacancies, would create a mental health epidemic.

In London, where there are the most jobs, the housing is also the most expensive, over competitive and overcrowded. Yes, there are lots of jobs in London, and they're better paid than elsewhere in the UK, but the housing is terrible quality and massively overpriced, plus there are heaps of people competing for the few place to live, and the nice places to live are virtually unattainable except for the mega-rich.

Where I currently live, I pay a fraction of what I used to pay in London, and I have a lot more space, but when my contract ends I will struggle to find another one nearby - there simply aren't as many jobs in the area, hence why far fewer people want to live here and why the cost of living is lower.

This is capitalism in action. This is supply and demand. Capitalism is maximising how much money it can extract from our pockets, before we all go insane and/or kill ourselves. Capitalism is highly efficient at creating the maximum misery, in its pursuit of the maximum profit. Capitalism is not about freedom or choice. Capitalism is about the immoral destruction of human lives, in order to deliver relentless 'growth' at the expense of our quality of life.

I'm one of the lucky ones. I have emerged from that dreadful chaotic period of mental illness and homelessness, and I now enjoy a reasonable standard of living, but I am painfully aware of how insecure my existence is; how quickly I could be turfed out onto the streets again. I'm acutely aware that my mental health cannot be taken for granted, and the pressure to keep earning vast sums of money, month after month, to line the pockets of an idle capitalist, is incredibly toxic to my mental health.

Tags: #homeless #mentalhealth #bipolar

This is a story about repetition...

Drug addicts and alcoholics know a lot about relapses. What dreadful consequences they suffer when they fall off the wagon. Am I immune from such things? Am I the first person in the history of humanity to outsmart addiction? No. Of course not.

Readers who have followed any of my story might wonder if I've started drinking again, or have become addicted to sleeping pills again. No. No I have not.

I went to the supermarket yesterday - a big fancy supermarket with lots of lovely things to choose from - and it was difficult to stay away from the alcohol aisle, but not impossible. The whole point about being an alcoholic or an addict is that you're powerless over the substance(s) that you're abusing. I do not offer my successful self control as evidence of my immunity to addiction and alcoholism, but it does prove that I'm in control, which cannot be said of those unfortunate wretches who are in the grip of active addiction and/or alcoholism.

Rehabs are full of charlatans who claim that they have a magic cure for addiction and/or alcoholism, but all recovery comes from within - how bad do you want it? I'm not saying that those who are killed by their addiction and/or alcoholism didn't want to be clean and sober, but they clearly wanted to be drunk and high more than they wanted to avoid their inevitable demise, or else they wouldn't have died. Unfortunately, the self-reinforcing draw of addictive substances can overpower the best of us, and although I do view addicts and alcoholics as "victims" of a disease, it's also demonstrably clear that people who have no problems with drink and/or drugs - including those people 'in recovery' - were simply lucky enough that the scales were tipped marginally in their favour.

My life has potential which would be churlish to deny. It's not fair for me to say "everything is ruined so I give up" when clearly I have high earnings potential, and with money comes opportunities to escape a miserable life and get a better one. Sure, I can get overwhelmed and decide that I don't have any energy left to keep fighting, and I would quickly be wrecked and ruined by our over-competitive coercive and exploitative society, which would dearly love to trample me underfoot, but I stand a better chance than most people of escaping the rat race.

Yep, I cheated a couple of times this week. I used a sleeping pill on a couple of nights to help me force my sleep pattern into the one which capitalism demands. I used a sleeping pill to combat the incredibly negative side-effects of social jetlag, caused by the toxic demands of office hours, contrary to human health and welfare.

Did I relapse? Nope.

What does relapse even mean for me? I've never been an alcoholic.

What does relapse mean in terms of mental health episodes? My mania-driven achievements are widely celebrated and cheered on by the capitalists who've been assisted by my immense productivity, which has been almost superhuman, but has come at great personal cost. My mental illness has been on public display for many years, yet my paymasters don't care because I'm delivering the goods - so long as I keep up the successful results, my violent mood swings are tolerated, and the results of my manic episodes are highly prized by all involved, especially by those who provoke me into doing high-pressure projects with unrealistic deadlines.

I hope - eternally - that the repeating patterns are not on a downward trend. I attempt to learn from each mood cycle, and to hold onto the gains and not give up so many losses. I try to limit the downright outrageous negative consequences of unrestrained mania, and I try to fight through the devastating depression that follows, forcing myself to keep inside the artificial constraints of some reasonable tramlines, knowing that it will be ultimately beneficial for me and help me to escape from the boom and bust... most importantly to escape from the bust!

Self medication with the occasional sleeping pill is infinitely preferable to routine intoxication with copious amounts of alcohol, although it's easy to convince myself that neither has any long-term ill effects, clearly my health will suffer if I drink heavily on a regular basis, even if my wealth and professional reputation are not impacted.

It's all a bit boring really. Uneventful. I'm very good at putting one foot in front of the other, I just don't like it very much, especially when going on a journey I've done a million times before. There's not much pleasure left in renting a house, moving my stuff, starting a new job, impressing new colleagues or delivering a project which is exactly the same as every other project I've ever delivered in my long and illustrious career. I just do it for the money.

Some might accuse me of being a dry drunk but they are idiots. Every day that I struggle through the rat race puts a significant amount of pounds, shillings and pence into my pocket. Every day that I force myself to do the intolerable shit that I have to put up with, is a large step closer to freedom. I have no need to adopt a significantly different life at the moment, because the life I have is staggeringly lucrative, which unfortunately means that it's the quickest route to financial independence and housing security, which is the most important thing for my health and wellbeing.

Sobriety between now and the end of October is something quite welcome - it will help my health immensely. Working between now and the end of my contract, on Halloween, is something that will help my wealth immensely. It's incredibly dull and boring, but it's got to be done. It's easy, but it's repetitive. When was the last time that you put up with a shit job that you hated? Probably never. When was the last time you spent years doing boring, repetitive, easy stuff? Probably never. You just wouldn't put up with it.

Tags: #alcohol #bipolar