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but many survivors of suicide attempts decide not to repeat their attempts

I survived a suicide attempt at age 17. I'm 53. I'm still frequently suicidal, in part because of an incurable medical condition, in part because the world is a shitty place, full of really shitty people.

I have not made a second attempt. There are myriad factors there. One is that if I'm stuck here, it's better to be stuck here without extra medical bills and people assuming me to be incompetent. My life is hard enough without those additional burdens.

To be fair, this is survivor bias in the purest sense. There is an elegance in respecting one's choice, but most suicidal people are instead in need of sincere help and understanding, the ideal policy is likely to assume it would be regretted in the scheme of possible futures.

I haven't repeated, and I am ... satisfied to happy now. But that doesn't mean that it was worth going through that part of my life that drove me to that point to get to where I am now.