A lot of people are simply unwilling to listen to our thoughts and feelings. They are not even capable of feigning an attempt to understand perspectives that may clash with theirs, because they want to dig their heels in the mud and solidify whatever preconceptions they hold about life being optimistic and fair.
Now, some people genuinely do care, but they are few and far in between. Many do not have lived experience of suicidality, so it is nearly impossible for them to see the world through our eyes. They can't fathom it. I know a person who works for a ctb hotline- and yeah, this individual genuinely does want to help people- but can't seem to grasp the fact that current interventions will not be helpful for a sizable chunk of the population.
Unless you've been put through the system yourself and seen its faults with your own eyes, you will be somewhat blind about the glaring failures. It is very easy for someone who has never dealt with the healthcare conglomerate longterm to advertise it with zeal, as they don their rose tinted glasses.
It is easy to defend these institutions when you haven't personally been wronged by them. Many anti-choice individuals will never experience the "help" for themselves. When it isn't their medical problems being neglected, their stories being invalidated, their faces being spit in by authority, they will remain skeptical of what we have to say.
In a case like mine, I am objectively and ubiquitously useless to both those around me and wider society. I require help from others and I find little joy in life because I suffer with several disabilities and a mounting pile of adverse life experiences. Those closest to me have frequently gotten angry because I don't improve and enjoy existence, yet they refuse to let me go.
I have to spend every waking moment being punished for the way my body is, but don't get a say in whether or not to terminate the hellshow I'm forced to play a part in. It often seems contradictory that people force me alive and punish me for being suicidal, yet acknowledge at the same time that my quality of life is poor and I'm never going to have an easy life.
I don't think a lot of people understand this dilemma, where you are making other people's lives worse simply by being alive, but aren't allowed to exercise your bodily autonomy whatsoever and put an end to the pain.
So you're trapped in an ever spiralling avalanche, where you lose more and more connections, opportunities, and pivotal experiences that make life worth living in the first place, but those who could care less are demanding you stick around for the grand finale of dying alone in a hospital or care home.
Many people are scared that if they speak out on this issue, they will lose their own livelihoods. Because advocating for bodily autonomy is a very unpopular position these days. It is not glamorous to admit that some people suffer unnecessarily and needlessly, and that life is not always a blessing.