I have been experiencing persistent suicidal ideation/mutilation impulse for a long time now but I have so far successfully avoided either trying to kill myself or mutilate myself. Things have not been going well lately and whenever I ask my psychiatrist for any additional help he always ask when was the last time I tried to kill myself, like that is a prerequisite to get any additional help. So, I am left in a position where I either have to lie to my doctor and have something on my medical record that I really don’t want there or apparently I am on my own with no additional support. I’m just really tired of all of this…