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Happy to have a positive influence :)
Yeah sleeping pills are incredibly non-toxic. Easy to blackout on and behave in incredibly erratic ways that we never would imagine ourselves acting while sober. But unfortunately they are not remotely effective for ctb
It has a lot of cons if you have GI issues. It leaves those of us in bad state. Especially those of us too brain damaged to understand the directions for other methods. I will forever be stuck here in pain.
Why not combine SN (or any other method) with "heart switch", described in PPeH? Combination of methods always increases the chance of success. Heart switch - first. In 30-40 mins - SN or whatever else you chose.
Thank you, that was the final drop that made me lose any hope for a successful ctb with my plan and start looking for better alternatives. I've read a lot of failed od attempt stories in internet and slowly came to realize that my perfect plan was actually a pretty bad, extremely unreliable and now you've confirmed it. All that time and effort tho... it's really hard to let go of that idea...Preamble
I see a lot of posts on this forum mentioning drug poisoning and/or cutting/stabbing as a method of choice.
I want to caution these methods for a few reasons. I respect the right to choose any method but I'm concerned that those using these methods may not be fully informed on the serious risks or incredibly low effectiveness of these methods.
Re: Ineffectiveness and Risks
Indeed, research by Harvard has placed drug poisonings at about 2% effective, and cutting/stabbing at 1% effective. Other studies have placed both drug poisonings and cutting the arms/legs at only 6% effective. Note that these are aggregate statistics including all drug poisonings, meaning that drugs in the PPH (e.g., SN, N, etc.) are still reliable as they aren't represented accurately by these statistics (they are outliers). However, most drugs outside the PPH that I see people mentioning a lot – such as antidepressants, antipsychotics, anti-inflammatory drugs, and the vast majority of OTC or prescription medications – are well-represented by this statistic.
Meanwhile, the number of potential adverse and painful experiences from drug poisonings or cutting – which often involve long-term complications or injury – are considerable. Cutting bears the risk of infectious disease, traumatic organ damage, hospitalization, and more.
Drug poisonings bear the risk of traumatic brain injury, serotonin syndrome, non-fatal seizures (e.g., antidepressants), liver failure which is incredibly drawn out and painful (e.g., medications containing acetaminophen, ibuprofen or paracetamol; many prescription opioids that are combined with anti-inflammatory drugs come to mind), and various psychosomatic effects ranging from nausea, chills, sweats, headaches, hallucinations, tremors, convulsions, muscle pains, abdominal pain, the list goes on...
Part of the reason that these methods are ineffective is because with drug poisonings the potential to vomit up the drugs and fail ctb is incredibly high. Likewise, with cutting one is very likely to pass out before they can make deep enough and a high enough number of cuts to reliably die.
For these reasons, drug poisonings and cutting can not be considered reliable or peaceful. The only benefit is accessibility but accessibility isn't very meaningful if it just means waking up traumatized in hospital with serious long-term injuries.
I recommend against these methods due to the considerably low efficacy and very high risk of these methods. If one chooses to attempt them regardless, consider an anti-emetic to reduce vomiting and be sure you are informed on the high-risk low-benefit nature of these methods. Even with anti-emetics or methods to reduce/prevent vomiting, drug-poisonings should still be considered unreliable.
There are far lower risk, more effective, and accessible alternatives such as gas (AKA exit bag), charcoal, SN, etc.
Re: Spontaneous and Poorly Planned CTB
The majority of people I see attempting these methods tend to be the ones making spontaneous attempts at ctb. Unless someone is hunting you down to do egregious things to you and time is of the essence (or whatever similar corollary), then please plan your suicide thoroughly with adequate deliberation, materials, etc.
I know it sucks because our fundamental existential dread just wants us to fucking die already; I can relate. But there can be serious consequences to under planned or spontaneous suicide attempts that just make the dread and suffering worse. Take the time to plan and be mindful rather than hastefully ctb.
The benefits of psychospiritual preparation for dying are enormous. While we prepare, I urge people to take the time to meditate on how to ease oneself into dying gracefully. Savour the small joys, even if they are rare or only come during moments of simultaneous pain. Go slow and be easy on yourself. I say this with utmost care to reduce suffering.
May you find peace in living or dying
-Rhizo
Yes, same I was planning to do a Caffeine OD but after looking and doing math with certain things it seems like a hard thing to achieve..
Exact thing I said, its super unlikely to to die from ODing on caffeine.
Knowing the safety of methylxanthines (such as caffeine), I would guess that the efficacy of caffeine for ctb would be considerably lower than the figures (2-6%) mentioned in my OP.
Phenobarbital would be an exception as barbiturates are listed in the PPH. Barbiturates of all types are much more reliable.
I think people consciously choose painful methods to punish themselves because they feel they deserve it. But most others prefer to go peacefully. Quick/painless death is denied in most countries or becoming increasingly difficult, so it is leaving people with fewer options. That's why some suicidal people out of desperation have to turn to painful methods like hanging/cutting/stabbing/jumping/poisoning etc, because guns, drugs, etc are banned.
Yup. I know someone who had their SN taken away so now they're looking at hanging or jumping.
I don't know enough about it. I have no doubt it could work as people have died from it.
Amitriptyline seems like it works. Thoughts. What is best otc anti vomit pill ?Yeah sleeping pills are incredibly non-toxic. Easy to blackout on and behave in incredibly erratic ways that we never would imagine ourselves acting while sober. But unfortunately they are not remotely effective for ctb
It's probably a good thing since theor safety prevents a lot of accidental overdoses. But it definitely makes our lives harder...
Amitriptyline will work if you consume a very high dose but it causes death by cardiac arrest which will be very painful. I recommend reading the section on cardiac switches/amitriptyline in the peaceful pill handbook to avoid this pain.
How do I get it prescribed from a Dr what do I say without sounding suspicious? For prescription anti vomit drug
I only have Xanax is that ok?
Tell them you have migraines that are accompanied by nausea. This has worked for other people.
Is nausea with migraines a thing? What are all the nausea meds with rx? So Pepcid ac won't work? I have enough amitriptylineTell them you have migraines that are accompanied by nausea. This has worked for other people.
Check out the SN megathread. It talks about effective antiemetics. The peaceful pill handbook (PPH) also discusses it.
The PPH is highly encouraged for anyone considering ctb to read. Proper deliberation over numerous months is warranted for such a significant decision.
Xanax will work for blacking out. Take a "test" dose a few weeks/months beforehand to ensure the dose is enough to fully lose consciousness.
May you find peace in living or dying
Metoclopramide is what you want.
Check out the opioid megathread/guide I wrote up.
Butalbital would be another exception. Sh*t is weak as heck. I think like 20 grams is the LD50. Lol! You'd die of apap poisoning before that since the only feasible way of obtaining it is by getting a tencon or fioricet script.
They are relatively equivalent. Meto has more use by members on this forum, but their pharmacology is quite similar. I would use whichever one you have access to, experience with, etc.
Would hanging using a plastic straw rope be effective, I weigh around 54kg and I am a 5'5 person, would it work?Preamble
I see a lot of posts on this forum mentioning drug poisoning and/or cutting/stabbing as a method of choice.
I want to caution these methods for a few reasons. I respect the right to choose any method but I'm concerned that those using these methods may not be fully informed on the serious risks or incredibly low effectiveness of these methods.
Re: Ineffectiveness and Risks
Indeed, research by Harvard has placed drug poisonings at about 2% effective, and cutting/stabbing at 1% effective. Other studies have placed both drug poisonings and cutting the arms/legs at only 6% effective. Note that these are aggregate statistics including all drug poisonings, meaning that drugs in the PPH (e.g., SN, N, etc.) are still reliable as they aren't represented accurately by these statistics (they are outliers). However, most drugs outside the PPH that I see people mentioning a lot – such as antidepressants, antipsychotics, anti-inflammatory drugs, and the vast majority of OTC or prescription medications – are well-represented by this statistic.
Meanwhile, the number of potential adverse and painful experiences from drug poisonings or cutting – which often involve long-term complications or injury – are considerable. Cutting bears the risk of infectious disease, traumatic organ damage, hospitalization, and more.
Drug poisonings bear the risk of traumatic brain injury, serotonin syndrome, non-fatal seizures (e.g., antidepressants), liver failure which is incredibly drawn out and painful (e.g., medications containing acetaminophen, ibuprofen or paracetamol; many prescription opioids that are combined with anti-inflammatory drugs come to mind), and various psychosomatic effects ranging from nausea, chills, sweats, headaches, hallucinations, tremors, convulsions, muscle pains, abdominal pain, the list goes on...
Part of the reason that these methods are ineffective is because with drug poisonings the potential to vomit up the drugs and fail ctb is incredibly high. Likewise, with cutting one is very likely to pass out before they can make deep enough and a high enough number of cuts to reliably die.
For these reasons, drug poisonings and cutting can not be considered reliable or peaceful. The only benefit is accessibility but accessibility isn't very meaningful if it just means waking up traumatized in hospital with serious long-term injuries.
I recommend against these methods due to the considerably low efficacy and very high risk of these methods. If one chooses to attempt them regardless, consider an anti-emetic to reduce vomiting and be sure you are informed on the high-risk low-benefit nature of these methods. Even with anti-emetics or methods to reduce/prevent vomiting, drug-poisonings should still be considered unreliable.
There are far lower risk, more effective, and accessible alternatives such as gas (AKA exit bag), charcoal, SN, etc.
Re: Spontaneous and Poorly Planned CTB
The majority of people I see attempting these methods tend to be the ones making spontaneous attempts at ctb. Unless someone is hunting you down to do egregious things to you and time is of the essence (or whatever similar corollary), then please plan your suicide thoroughly with adequate deliberation, materials, etc.
I know it sucks because our fundamental existential dread just wants us to fucking die already; I can relate. But there can be serious consequences to under planned or spontaneous suicide attempts that just make the dread and suffering worse. Take the time to plan and be mindful rather than hastefully ctb.
The benefits of psychospiritual preparation for dying are enormous. While we prepare, I urge people to take the time to meditate on how to ease oneself into dying gracefully. Savour the small joys, even if they are rare or only come during moments of simultaneous pain. Go slow and be easy on yourself. I say this with utmost care to reduce suffering.
May you find peace in living or dying
-Rhizo
I would consult the hanging megathreads/resource threads. You can find them in the "resources" sticky at the top of the suicide discussion forum
