Dying without death: the third wish in suicide.
A hypothesis is proposed that the nonpsychotic patient in the presuicidal state may have impaired reality testing in which the act of suicide is perceived as not leading to injury or death. Impaired reality testing may be enhanced by intense affects, drugs, and sleep deprivation.
D000328:Adult; D001293:Attitude to Death; D003863:Depression / Q000523:psychology; D004532:Ego; D005260:Female; D006801:Humans; D008297:Male; D011613:Psychotherapy; D007319:Sleep Initiation and Maintenance Disorders / Q000523:psychology; D019966:Substance-Related Disorders / Q000523:psychology; D013405:Suicide; D013406:Suicide, Attempted