"Should it go to the selfish noisy manipulators like this woman, who tells lots of friends she's taken some pills, honest, to get them to all flutter around her again?" Manipulation is a horrible word - because it implies this behaviour is conscious & deliberate. I don't believe this is always the case. Sometimes people don't have the skills or know-how to deal with their distress any differently... Some people choose to label parasuicide as 'attention-seeking' Maybe so? But, I can't help but think that if that is the only way someone knows how to get help, that is very sad and indicative of deeper-routed problems. In my opinion, if someone reacts to life in those ways - they lack coping skills to manage life & that is as genuine a problem & warrants as much attention & treatment as the other scenarios you cite.