First of all: what does SSRIs mean? Then: thanks for being open although I was a bit shocked to be honest. I walk to A&E or get a taxi, by the way, I don't call an ambulance What´s the difference, what does it matter? You do have to go to A&E that´s bad enough. No matter if you go by taxi, by bus or by plane - fact is you shouldn´t need to go to hospital because you do that to yourself and (I know that must sound silly to you but..) you should be able to look after yourself. Otherwise you need professional help and someone who does it for you, seriously I really hope you´ll learn to cope and I wish you all the best I don´t know what you experienced and I don´t wanna know because here is not the place for talking about those things All I know is that you need help and I hope you will cope The times I have taken paracetamol overdoses I have had full knowledge that I may die if I do not get the parvolex infusion. This means that, when I take the od, I am already probably considering going to A&E So you don´t do it because you wanna die, you actually wanna have to go to A&E because you feel save there? You feel looked after as well? And you do get attention then don´t you?;-) You also said you do it to punish yourself, right? Do you also do it because you hate yourself/your body in a way? My theorie is that sometimes when people do those things they´ve got a disordered relation to their body (if you know what I mean). When they call an ambulance, go to hospital or whatever there are actually people who care about exactly that "thing" they "lost" in a way, their body. That´s what it is all about. They themselves can´t do it because they hate their body, they´ve really lost it in a way as well as the relation and the feeling how to look after it. They need the nurses, the doctors, the paramedics because only they can give them the feeling that their body actually counts!