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As a fourtysomething man the reason is one of intent. I have no desire to kill myself, but I do know that if I chose suicide I would die.

So why does a fortysomething man have more intent?

They don't as such, but when they set out to die they manage to so. This is not a good outcome.

So the reason is not one of "intent", but of "effectiveness".

Well if I intend to do something then I do. I guess you could say I have learned to be effective with age.