Please enter as much information you feel is necessary to complete the questions.

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* 1. Have you ever attempted suicide?

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* 2. What was your final deciding thought that pushed you over the edge?

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* 3. What one thing would have stopped you?

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* 4. Do you regret your decision to attempt suicide?

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* 5. What was your finial thought?

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* 6. Will you try again?

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