It could be that being diagnosed with an illness, even with excellent treatment, symptoms can become a self fulfilling prophecy. If you believe you are at incr

It could be that being diagnosed with an illness, even with excellent treatment, symptoms can become a self fulfilling prophecy. If you believe you are at increased risk for suicide, maybe you start thinking more about that and it comes to fruition. Or maybe you take some meds, which make you better 99.9% of the time but that one time your flight is late or whatever and miss the dose and the rebound is twice as bad as never having been on them. Also ultimately suicide by definition is based on most harmful decision of life event rather than what a doctor is probably optimizing for which is best day-to-day ability to function. These are two different optimizations that can be at odds. Almost nobody would choose to feel worse 99.9% of the time to reduce the risk in that 0.1% of the time they're suicidal.