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He discusses counseling but not medication. If the latter was never tried, I find this even more sad.

Talking about suicide is a taboo subject. And doctors and others in caretaker positions are legally required to alert the authorities if they suspect someone may harm themselves. If it is discussed, there is a reasonable chance the person discussing it will be sent to a mental institution, the experience of which may be less appealing than suicide.

I wonder what would happen if physical suicide could be replaced with social suicide, administered by something analogous to the witness protection program.




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