I'm gonna quote House M.D for my answer: "Almost dying changes nothing. Dying changes everything."
It might not be inherently manipulative, but it's indeed useless. One of my worst fears is failing suicide and having to deal with the thought of what others think of me; do they think I'm manipulative, attention seeking, a coward? Those things, nobody close to you thinks that once you actually die, because they're too busy grieving/would feel guilty to think those things. Plus, even if they did, I wouldn't have to know because I would be dead.