Abstract Background The internal suicide debate hypothesis assumes that in a suicidal crisis. individuals are involved in an internal struggle over whether to live or die. Reasons for living (RFL) and Reasons for dying (RFD) are important individual reasons for staying alive (e. g. https://www.roneverhart.com/10-oz-Black-Thermal-Plastic-Molcajete-Bowl-5-1-4-x-5-1-4-x-2-1-2-1-count-box/