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Suicide is your #2? Murdered specifically by a family member is higher than cancer?
Mate, do you need to talk?
Generally speaking, people are bad at understanding the odds/chances of something in the real world applying to them.
Everyone should be terrified of cancer, it's the #1 killer. But nobody puts it on their list because it either feels obvious, or by not giving it the time of day people feel like they won't "get it". This sort of response from people is normal.
With that said, they specifically call out the way they're going to commit suicide, so yeah, you're still right to ask they're doing ok...