National Suicide Prevention Hotline: 1-800-273-8255
National Suicide Prevention Website (With online chat): https://suicidepreventionlifeline.org/
I keep a list of coping mechanisms that I cycle through using, but I have favorites. If you take anything away from this, take this: Choose three healthy, effective coping skills you can use at any time, in any place, near anyone.
1. Choose Coping Skills that are healthier than your undesired behavior, until they're not.
- e.g., if your undesired is having panic attacks, choosing to have a glass of wine to ground yourself is fine in moderation (and if you're following legal precedents.) If your undesired behavior is alcoholism, choosing to have a bubble bath would be a healthier alternative.
- Always try to opt for the healthiest option, but if you need to pick the lesser of two evils, do so.
2. Choose a set of coping skills you can do over different periods of time. Something you can do in the moment, something you can do in the meanwhile, something you can do long term.
- e.g., you won't always be able to draw a bubble bath in the middle of a subway station.
- Your best coping skills, the ones that consistently bring you back from the edge, may not be feasible in some or even most situations, so having backups you can use any time is reassuring. For me, these are mindfulness techniques (breathing exercises) or thought exercises (going to my happy places. Yes, I have many happy places.)
For example,
- Short-Term: I like a cyclic breathing exercise where you breathe in for 5 seconds, hold your breath for 5 seconds, breathe out for 5 seconds, and then hold for another 5 seconds before repeating.
- Mid-Term: These vary, but I tend to keep these between 2- 20 minutes. Short walks, Watching a comedy skit, playing a quick game of hackeysack (that I keep in my backpack so I always have it), etc.
- Long-Term: Telling my therapist about this, Talking with family and friends, Planning ways to prevent this from happening and acting on those plans.
- e.g., trust appropriately, carefully, and set boundaries, but the most important thing here (for me at least) was letting people who were in my vicinity know the signs of symptoms of me getting worse so that they could call me out and I'd know it was time to seek medical help.
Stephen.