I'm hearing thoughts of harming others and noises because I'm sexually deranged I think I'm either transexual or lesbian
Sorry, to clarify, do you consider yourself to be "deranged" because you may be lesbian or transexual?
It sounds like you're describing auditory hallucinations, but you mean this is the thing causing you the urge to cause harm?
This is schizophrenia and possibly psychosis. It's doctor or hospital time.
It's the right thing to do when there might be a danger to others. That's not an easy thing to live with
