Help Psychiatric hospital ligature point?

[CocoToxBase]

I need some help… I am in a psychiatric hospital and I'm wondering if this chair in my room is a good ligature point. It's the only thing I have in my room that I can tie something around as everything is obviously sloped or will break with any sort of weight…

I have timed my 'checks' over the past 2 hours or so and they are currently:
12 minutes
15 minutes
17 minutes
13 minutes
16 minutes
19 minutes
11 minutes
13 minutes

^ seems to be around every 15 minutes but they make them unpredictable ofc.. Is it best if I wait until I'm on longer observations maybe half and hour or hourly observations and then CTB straight after an observation idk… I need some help.

I don't really have much with me to use as a ligature. I've got my clothes, a normal length charging wire and bedsheets/towels

 

[ejt]

Wow, I'm surprised you can have your phone there and go on the internet without supervision! They design these hospital rooms so it's really hard (if not impossible in many places) to CTB. Do you have a discharge date? Can you wait til after that? If you attempt, it's unlikely to work and they're unlikely to let you out any time soon.

 

[DesperateOne]

What are you in there for? And yeah even if there was some good ligature point (doesn't seem like there is) don't even think about it... You will risk brain damage since they *will* find you on their next visit. If you somehow manage to get saved without severe health consequences they will just extend your stay for months since you've just showed them that you made no progress and cannot be freed.

 

[HypoxicHeaven]

diy tourniquet around your neck
needs no ligature point
use your collarbone to hold the rod in place

 

[rozeske]

Anchor points should preferably be fixed structures not something that would move and fall over like a chair.
You will need atleast 30 minutes uninterrupted time to avoid brain damage. You also have to account the time needed to tie up your ligature and get in to position.

 

[DeadManLiving]

Excuse typos using voice to text will fix them later on, pretend you never noticed them meanwhile

Firstly, how long have you been there and do you have an estimated discharge date? Have you been evaluated yet and what country are you in? If you're in the US I'm not an attorney, but I am very familiar with the civil commitment process and can offer information to get you out of there quickly (e.g. coordinating a mass food hunger strike and other techniques including your rights in that if you are stable and no longer present a danger to self and have been stabilized, the hospital must release you immediately barring exceptional circumstances and you have the right to see an administrative law judge within 48 hours and you have the right to counsel at no cost if you cannot afford one, including a dozen other techniques and methods that will get you out of there faster than the speed of wisdom).

Don't do anything stupid that's going to make them keep you there for another 6 months or a year when you can get out in a day with the correct approach, and strategic techniques which I can discuss if you can share some background as to why you're there and whether you have already been evaluated and provided an estimated discharge date. Attempting to see TV without extremely careful thought and a psych ward is the worst possible decision because it will only protract and prolong your commitment to the maximum length in addition to the potential for substantially life-changing injuries such as brain hypoxia or even nerve damage that good leave you there in a wheelchair or vegetative state forever. You do not want that, it's not worth it so let's think this through better right than a rushed.

If there's anything you feel uncomfortable sharing here, you may DM me personally and I promise and guarantee to not redisclose or share anything, but with a better understanding of the facts I can give you the best objective strategy since I've been through the process many times and each time it's either resulted in a jury verdict trial in my favor against the facility, in another hospital I started a food and dry strike which blew out administrations windows because they couldn't intubate that many patience let alone 3 due to lack of training/supplies and because the legal department would face scrutiny from a civil liberty standpoint and Senior Management feared and audit and PR crisis which resulted in the mass discharge of 28 patients within 24 hours at a facility that I will not mention, the other facility I was in I was able to entice the staff to commit HIPAA violations which ultimately cross them $98,000 in fines from the OCR and extreme headaches that they would never take me as a patient subsequently. I have effectively become my State's most hated psych ward patient and no facility ever since accepted me beyond the initial emergency room hold.

If you must see CTB in the facility, make sure that you have a DNR or advanced directive. Since on ce you are in respiratory failure, they have to let you die. Secondly, who do you have on the outside that can bring in a talmud or religious text or soft cover book with one of those extremely thin razors glued to the binding edge or if not a razor, remember you could always just write it out with drugs on blotter paper.

The first facility I was at I was able to lock my room two turns of and twists the door clutch, it's easy. I don't know how UK doors work at UK psych wards. Post a picture of the door hinges and all components.

You'll want to create some significant incident diversion elsewhere, wait until some patient starts going berserk off the rails and or during change of shift you'll have an extra 5 to 10 minutes.

Your best bet is getting somebody on the outside to bring you fentanyl laced paper and OD. Basically any text or porous paper can absorb powders provided a highly concentrated solution evenly distributed and smeared, the paper will absorb the active constituent.

The other method of getting out of there as fast as you can is saying you have a neurological condition and an unsteady gait and you're not receiving the advanced level of care that you need and constantly slip and fall. If there's anything that hospitals fear more a patient slip and fall. Tell them that you have a neurological paresthesia and you are not getting the advanced level of care that you needed the facility and keep slipping and falling but make it look natural. They're not going to want a patient that's going to to the hospital on being there for a misdiagnosed condition that was psychiatrist instead of neurological.

As far as partial suspension you're going to have to get to know the staff the timetables and the shift changes and then wait for some patient to start going insane with a psychotic break or create some other condition where you have the time, tools and means necessary to execute effectively because the consequences of failure in this situation are the highest and most severe conceivable in terms of worsening you're a confinement status and considering how heavy those chairs are and the sharp corners not to mention the possibility of permanent neurological damage.

 

[CocoToxBase]

Firstly, how long have you been there and do you have an estimated discharge date? Have you been evaluated yet and what country are you in?

who do you have on the outside that can bring in a talmud or religious text or soft cover book with one of those extremely thin razors glued to the binding edge or if not a razor, remember you could always just write it out with drugs on blotter paper.

I don't know how UK doors work at UK psych wards. Post a picture of the door hinges and all components.

Your best bet is getting somebody on the outside to bring you fentanyl laced paper and OD.

As far as partial suspension you're going to have to get to know the staff the timetables and the shift changes and then wait for some patient to start going insane with a psychotic break or create some other condition where you have the time, tools and means necessary to execute effectively.

First of all thank you for your in depth reply it means a lot!

I have been in here for a few days. Because it's the weekend there are no doctors to evaluate me yet. In the UK, when you go to general hospital after a CTB attempt the staff need to make sure you are medically fit for a mental health review and from then they decide whether it's appropriate for immediate detention under section 2 of mental health act. You then get moved to a psychiatric hospital and the section 2 lasts for up to 28 days. You'll have weekly reviews with 4 professionals to discuss treatment plans and possibly discharge date. If they don't think you're going to be safe or treatment needs to be done while your in hospital then after 28 days they have a power to detain under section 3 of mental health act which you can stay in hospital for up to 6 months.

I haven't had my review yet but from previous times I usually stay in for around a month.

I don't have anyone on the outside to bring me in anything that could harm me, plus whenever anything is brought in staff so a thorough check through belongings and confiscate anything that could be used to harm yourself.

The staff come in at 8pm and do a 30 minute handover but there is always extra staff to still do observations. I've gathered I'm on 10-15 minute observations and at night times someone is sat outside my room to check on me every 10-15 minutes but sometimes it can be quicker. The ward is square shaped and I am in the far corner, I can usually see staff walking down the corridor to come do my observations but I can't see if they come from the right as my room positioning.

In my review I'll probably get escorted leave with staff or family and friends. I know a dealer I can get Ketamine, Ectasy pills, psychedelics such as mushrooms/LSD. I have around £150 to spend on anything to CTB. I'll be able to convince my family to let me go for a drive 'to go the shop' and I'll go get whatever I need from my dealer. But I'm not sure what drug to buy… I don't have access to F it's really hard to come across in the UK unfortunately. It's mainly party drugs that are fairly easy to get a hold of.

There is always a doctor available in this psychiatric hospital regardless if they're on a different ward. When I went into the clinic room I seen one of them big emergency bags the advanced paramedics have where it has every possible thing they need to keep someone alive - and possible more specific stuff for overdoses/ligatures due to the environment.

I'll post some pictures of my room. I can also control the temp in my room the lowest I can set it to is 15 degrees and if my window is open it's 0 degrees outside. The highest I can set it to is 29 degrees. Idk if that could be helpful if I do overdose maybe having it really hot or really cold could make a difference.

I'm thinking when I'm allowed 2 hours leave I can go get whatever I need drugs wise and take and time my OD. Surely if I take so much of one drug there's not much they can do. I don't even care if it's painful (maybe if ketamine is used then that'll cause disassociation anyway).

Also If I do OD the best time would be on handover at 8am or 8pm as this is the same handover shift for majority of paramedics in the area unless their on a weird shift. But I know if an ambulance is called at this time it can have some delays due to staff swapping shifts and even staff swapping shifts in call centres so there is most definitely slight delays.

I need to CTB in this hospital because it's legit torture in here please help me.

 

[Soc]

After doing some work on a similar ward, I was told that many patients order a takeaway and somehow get drugs delivered with their takeaway (under the pizza or something) Otherwise I don't think there's much chance as the place is designed to keep you alive.

 

[CocoToxBase]

I can get the drugs in myself by putting them in areas they aren't allowed to search

 

[CocoToxBase]

I'm guessing you don't want them to brainwash you into not wanting to self harm then.

I definitely do not want to spend more than a week in here never mind months of torture, isolation, no privacy, disgusting food, medication ect ect.. Being in here is just driving me to CTB even more.

I've been thinking and evaluating the whole of today and looking at potential ligature points but even if I do succeed in ligaturing there's a very high chance of me not succeeding or end up as a vegetable because of my 10-15 checks and sometimes they double check after a check and knowing my luck they'll probably find me setting it up..

The only way I can think of is to OD. But a massive amount of illicit drugs. I'll happily spend £200+ on MDMA, LSD, Ketamine. I'm thinking to take it on the 8am morning shift swap. I didn't get a check this morning from 7:50 to 8:25 due to the staff handing over and setting up for their shift. I could pretend to be asleep and as soon as I get my last check before handover, take everything and pretend to be asleep again. Obviously take the MDMA 30 minutes before to give it time to take affect.

Even if this fails and I end up in general hospital that'll be fine too. I know the hospital they're going to take me to and I know my way around the hospital due to my past work experience. There is a 6 story car park attached to the hospital via a pedestrian bridge. Once you're at the very top there is a certain way to get past the railings and CTB that way.

So I'm thinking take a serious overdose and if that doesn't work and I end up in general hospital - I'll just run off and jump from the multi story car park.

 

[stilhavinightmares]

Honestly, I would never try that in a hospital. You're pretty much guaranteed to get caught, and when you do, you'll be stuck there longer and have staff up your ass even more than they already are. They'll likely judge you more too. You could be easily "saved" and you'll just make it worse for yourself.

 

[CocoToxBase]

Honestly, I would never try that in a hospital. You're pretty much guaranteed to get caught, and when you do, you'll be stuck there longer and have staff up your ass even more than they already are. They'll likely judge you more too. You could be easily "saved" and you'll just make it worse for yourself.

but if I take an OD even if it doesn't kill me it gives me the freedom outside of the hospital to run off. Usually a health care worker will come to hospital with you and even if you do attempt to run they don't have any power to forcefully detain you. So that'll give me access to jump from the multi story.

 

[Little_Suzy]

It is not advisable to attempt anything at the hospital. Reach out to a nurse and request a sedative to help you relax and get some rest. Hopefully, you'll feel better soon.

I'm not sure what you prefer to eat, but instead of the daily menu hot meals, try requesting cold or packaged foods that you are familiar with.

 

[stilhavinightmares]

but if I take an OD even if it doesn't kill me it gives me the freedom outside of the hospital to run off. Usually a health care worker will come to hospital with you and even if you do attempt to run they don't have any power to forcefully detain you. So that'll give me access to jump from the multi story.

Hmmm interesting. That's very different than how it is where I live.

 

[h78272]

Would be best not to attempt ctb whilst in a ward, too risky and if caught you'll be detained even longer.