I don't think you should count suicides. Just have a precommitment (don't write it down anywhere, obviously) that you would never use it on yourself in a situat

I don't think you should count suicides. Just have a precommitment (don't write it down anywhere, obviously) that you would never use it on yourself in a situation where it would more than slightly reduce your QALYs, so not terminal illness or a high certainty of being irreparably incapacitated.