Attempts to end one's life by use of excessive amounts of medication may be executed for many reasons. Active self-destructive behavior usually results from the patient's perception of an overwhelming catastrophic event in his life, in conjunction with the lack of appropriate coping strategies, and is visualized as a means of escape from the sensed threat to himself. Suicidal patients are frequently ambivalent about wanting to die, and may have visions of last-minute rescue.The suicidal person may feel despair (putus asa), guilt (rasa bersalah), shame (malu), hopelessness, boredom (bosan), depression, weariness (kelelahan), or dependency, and when the point is reached when the person perceives that life no longer has meaning and despair is overwhelming (sangat putus asa), the patient acts on those emotions (Comer, 1998)
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