Just came back to add, though I apologize if this is too off topic, but I've wondered (with myself) where does for example, depression begin, is it even the reason, or simply overwhelming circumstances/ being alone in them, become the overwhelming force? Like, I have come to see (years before and now) people many years, even decades older, and men, unable to (also) know what to do if those circumstances were there that I faced (I think that was the 1st time I realized, hey, 'anyone' would feel as I do, for the most part.). Or is it even anxiety-based? I do give credit for those people with more resiliency as regards SI- yet I also know I've gone through so many things (persevered, or put blinders on through, physically mentally and emotionally beyond anything even near average demands) many things others would not. So Idk what to say? I pre-suppose part of the answer to the OP's question would be what are the underlying factors? I did read the most successful program was someone caring, actually. Which doesn't mean though the OP didn't care enough. Does there come a time when it's impossible to accept or believe someone else cares, or it's even possible? Idk. I've also heard it described as an emotional cancer. Wr don't blame people who suffer with or die of cancer, and we're more lenient of their fears and choices (even deleterious ones) and weariness in trying to cope with it. IMHO. If nothing else it's misunderstood, but that's understandable when you can't understand even yourself. It's definitely giving up, however it's couched, I think.