Difficulties or conflicts that may bring the person to believe that his or her future is without hope can trigger the psychological crisis resulting in attempted suicide/deliberate self-harm. Attempted suicide often is precipitated by disharmony with key figures, work-related problems, financial difficulties, or physical illnesses. Long-standing relationship problems or feelings of loneliness are especially common. People displaying attempted suicide/deliberate self-harm have weak social support systems/33ยป and they report relational difficulties as major problems in life. They show deficits in interpersonal problem solving, and they are well aware of that. Their future holds no promise. Their emotional status can best be described as a state of learned helplessness, a situation of a blocked escape, in which no solution exists for a perceived insurmountable adversity. This leads to the question as to why these persons have developed such helpless attitudes.

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