Motives

Up to 10 per cent of episodes of DSH are serious suicide attempts that failed. In other cases, the reported motivation is to escape from an intolerable situation or state of mind, an appeal for help, or an attempt to influence another person. Some patients cannot explain their motivation. Motivation is frequently multiple, mixed, and complex and changeable. Patients often say that they wanted to die when they did the act, but that this coexisted with other motives and feelings, such as a need to get out of an impossible situation. By the time they are seen, the wish to die has usually passed and the patient is focused on other matters.

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