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This question contains references to self-harm or suicidal thoughts. If you or someone you know is struggling, please reach out to a crisis helpline.
Answer by Dr. Laura
PhD Mental Health Nurse & Sexual Assault Nurse Examiner
Thank you for trusting us with this difficult situation. First and foremost, I want to acknowledge how incredibly painful and confusing this must be for you. Being confronted by someone who has harmed you, only to have them threaten self-harm when you don't respond as they want, creates an overwhelming emotional burden that no one should have to carry.
When someone who has caused harm threatens self-harm or suicide while blaming you for not forgiving them, it creates an incredibly difficult situation that can feel overwhelming. This type of interaction often represents a form of emotional manipulation that adds another layer of trauma to what you've already experienced. What you're describing is unfortunately common in the aftermath of assault. When perpetrators use suicide threats, they're often employing what trauma specialists recognize as a powerful control tactic that shifts attention away from the harm they caused and instead forces you into a caretaking role.
Responding with anger or harsh words when pushed to your breaking point is a human reaction, especially when confronted by someone who has deeply hurt you and is now attempting to make you responsible for their wellbeing. Many trauma survivors describe feeling cornered in these situations, where neither response feels right - staying calm seems impossible, yet reacting strongly brings its own guilt. The fact that you're reflecting on your words shows tremendous self-awareness, especially given the extreme pressure you were under.
It's important to recognize that you are not responsible for another person's choices regarding self-harm. Mental health professionals consistently emphasize that while we should take threats seriously (by alerting appropriate emergency services if needed), the decision to self-harm ultimately belongs to the individual making that choice, not to those around them. This dynamic can reactivate trauma responses, potentially triggering fight, flight, or freeze reactions that might include saying things you wouldn't normally say.
The dynamics between survivors and those who have harmed them are complex. Setting boundaries - even firmly - is not only acceptable but often necessary for your healing process. Many support professionals recommend limited or no contact with those who have caused harm, especially when they continue patterns of manipulation or blame. As you move forward, try to extend to yourself the same compassion you might offer to a friend in your situation. Healing from trauma is rarely a straight line, and navigating interactions with someone who has harmed you requires tremendous emotional strength.
Consider reaching out to support services that specialize in trauma recovery. They can offer guidance specific to your situation and help you process these complex emotions without judgment. Your well-being matters, and finding healthy ways to process these experiences is a crucial part of moving forward. Whatever you decide about future contact with this person, prioritizing your safety and well-being is not selfish—it's necessary. Thank you for trusting us with this. You are not alone.
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Grounding activity
Find a comfortable place to sit. Gently close your eyes and take a couple of deep breaths - in through your nose (count to 3), out through your mouth (count of 3). Now open your eyes and look around you. Name the following out loud:
5 – things you can see (you can look within the room and out of the window)
4 – things you can feel (what is in front of you that you can touch?)
3 – things you can hear
2 – things you can smell
1 – thing you like about yourself.
Take a deep breath to end.
From where you are sitting, look around for things that have a texture or are nice or interesting to look at.
Hold an object in your hand and bring your full focus to it. Look at where shadows fall on parts of it or maybe where there are shapes that form within the object. Feel how heavy or light it is in your hand and what the surface texture feels like under your fingers (This can also be done with a pet if you have one).
Take a deep breath to end.
Ask yourself the following questions and answer them out loud:
1. Where am I?
2. What day of the week is today?
3. What is today’s date?
4. What is the current month?
5. What is the current year?
6. How old am I?
7. What season is it?
Take a deep breath to end.
Put your right hand palm down on your left shoulder. Put your left hand palm down on your right shoulder. Choose a sentence that will strengthen you. For example: “I am powerful.” Say the sentence out loud first and pat your right hand on your left shoulder, then your left hand on your right shoulder.
Alternate the patting. Do ten pats altogether, five on each side, each time repeating your sentences aloud.
Take a deep breath to end.
Cross your arms in front of you and draw them towards your chest. With your right hand, hold your left upper arm. With your left hand, hold your right upper arm. Squeeze gently, and pull your arms inwards. Hold the squeeze for a little while, finding the right amount of squeeze for you in this moment. Hold the tension and release. Then squeeze for a little while again and release. Stay like that for a moment.
Take a deep breath to end.