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Sorry not to have responded to this sooner ... often people with real suicidal intent don't "look" suicidal. They are calm, they are even sometimes happy. They have what they see as the solution to all of their problems. I have worked with a lot of genuinely suicidal people and a bunch more who know that they have to say the right things to get hospitalized, including the crack-a-cidal, the heroin-a-cidal, the jail-a-cidal, and the homless-sidal. We usually don't hear from the ones who complete suicide.
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