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This makes me wonder what the actual rate of suicides are performed under influence compared to completely sober. I have a feeling the latter is extremely rare.

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The percentage of suicides performed under the influence seems to be about 30%[0], so a minority of suicides, but still a sizeable number.

[0] https://www.nytimes.com/2009/06/19/health/19suicide.html

I dont think that is the case either. Alcohol has an influence but like with handguns, there are plenty who manage without both.

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