While intra-familial conflicts can overwhelm a person's coping capacities, especially that of a teenager, the extremity of a completed suicide is usually the end result of a dangerous and deadly mental disease such as, for example, mania, or auditory hallucinations.

26) However, the DSM-IV specifically notes that clinicians assessing for schizophrenia in socioeconomic or cultural situations different from their own must take cultural differences into account: "In some cultures, visual or auditory hallucinations with a religious content may be a normal part of religious experience (eg, seeing the Virgin Mary or hearing God's voice.

He reported no medication side effects, and he had experienced no auditory hallucinations for approximately 15 years.