"I don't know when the idea of suicide first occurred to me. In some ways, it had been in the back of my mind for years. Yet, oddly, I would never have thought of it as an option. It was the perceived lack of options-the final, unacceptable solution to a grave and insoluble dilemma. I had always thought of it in the same way: If all else fails, if I have nowhere else to turn, I can do this."