Three things:
One is my parents, with whom I am living. They made many sacrifices for me, including remortgaging their house to pay for me to do my undergrad at a prestigious university on the other side of the country. (I have debt from the education I pursued thereafter, so I can only imagine how much worse off I would be if I had needed loans for undergrad as well). Despite my MS, I can still help around the house to a certain degree, and my mom likes me to watch tv with her, and to act as a buffer when my Dad is annoying her, which is most of the time. ;) I sometimes feel like I should stick around and help as much as I can.
The second is access to a reliable method. I do have something in the works, but it's not quite as reliable as I would like. I worry that if I fail, I will be left incapacitated, in even more agony, and physically unable to carry out another attempt, or at least have fewer death options available. As a result, I suffer from "analysis paralysis" in settling on a method for my next attempt. Every time I think I have a solid plan, I envision all the things that could go wrong, and I go back to the drawing board, canvassing the various options all over again...
The third are these very odd, sporadic yet intense bursts of hope. Usually this happens when I am in a hypomanic state, but sometimes it comes out of the blue. I imagine myself somehow overcoming everything and having a redemption story about turning my life around in middle-age. It's vague, but I see myself going on speaking tours, advocating for mental health and MS research, and inspiring hundreds, nay thousands, of people! Sometimes it's less dramatic than that, and I envision myself somehow getting well enough to go back to school (and magically having the money to do so) and becoming a teacher, or getting well enough to work at a call centre somewhere, with just enough money to pay the bills, but it's 9-5 so I have time to myself. The hope tends to crop up right when I'm solidifying my plans, causing me to postpone my attempt yet again, just to see if the hope has any merit. Then it fades, and I feel stupid, as if I've fallen for the same trick for the hundredth time. Some might say that these bouts of hope are a sign that I don't really want to die, or even that I'm meant to stay alive. Or it could just be the "magical thinking" that my illness pushes me into…I don't know what, if anything, it actually means, but it has stopped me in the past.