just food for thought........breathing on the audio we conclude not incapacated, but............................contrary to most images of suicide, the belief that most are impulsive is untrue. Unnless psycotic, drugs, alcohol most folks who successfully complete suicide have battled not doing so for a very long time. That is why there is typically serenity once the final decision has been made.
You all would be amazed, when concerned about a pt , and begain a sucidality evaluation you would be surprised at the plans. How will you kill yourself? I have been stashing my meds. Where will you kill yourslef? I want to be sitting in my blue chair. What time of day ? I would like to go in the morning? What has stopped your from doing so? My husband. HOw many pills have you stashed? 48 Are you scared? No, not really I just hope it is peaceful. What do you think your husband will feel? Probably sad, but I am confident he will go on - he will be better off without me really. How long have you been thinking about this ? about 4 years etc etc
Previous research and popular conceptualizations of suicide have posited that many suicides are the result of impulsive, on a whim decisions. However, recent research demonstrates that most suicides are not attempted impulsively, and in fact involve a plan. ....recent research has indicated that most suicides are planned,
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2597102/