and mind reading are thought to indicate a higher likelihood of suicidal behavior. Command hallucinations are often considered indicative of suicide risk, but the empirical evidence for this is equivocal. Another psychiatric illness that is a high risk of suicide is schizophrenia. The risk is particularly higher in younger patients who have insight into the serious effect the illness is likely to have on their lives. The primary and necessary mental state Federico Sanchez called idiozimia (from idios "self" and zimia "loss"), followed by suicidal thoughts, hopelessness, loss of will power, hippocampal damage due to stress hormones, and finally either the activation of a suicidal belief system, or in the case of panic or anxiety attacks the switching over to an anger attack, are the converging reasons for a suicide to occur. Suicidal ideation Suicidal ideation refers to the thoughts that a person has about suicide. Assessment of suicidal ideation includes assessment of the extent of preoccupation with thoughts of suicide (for example continuous or specific thoughts), specific plans, and the person's reasons and motivation to attempt suicide. Planning Assessment of suicide risk includes an assessment of the degree of planning, the potential or perceived lethality of the suicide method that the person is considering, and whether the person has access to the means to carry out these plans (such as access to a firearm). A suicide plan may include the following elements: timing, availability of method, setting, and actions made towards carrying out the plan (such as obtaining medicines, poisons, rope or a weapon), choosing and inspecting a setting, and rehearsing the plan. The more detailed and specific the suicide plan, the greater the level of risk. The presence of a suicide note generally suggests more premeditation and greater suicidal intent. The assessment would always include an exploration of the timing and content of any suicide note and a discussion of its meaning with the person who wrote it. Motivation to die Suicide risk assessment includes an assessment of the person's reasons for wanting to die from suicide. Some are due to overwhelming emotions or others can have a deep philosophical belief. The causes are highly varied. Other motivations for suicide Suicide is not motivated only by a wish to die. Other motivations for suicide include being motivated to end the suffering psychologically and a person suffering from a terminal illness may intend to die from suicide as a