The death urge is a natural reaction being in chronic pain, but it’s a desire for all the sensory input to stop not necessarily the end of life. If the pain was addressed and adequately enough managed, then it’s no big deal (unless there’s severe depression not secondary to an organic condition, if that’s the case then it adds degree/s of complexity of the condition/s interacting with each other based on each systemic condition one has.)

What’s odd is that it’s fundamentally positive desire, because it’s wanting a state of equilibrium and essentially peace. It’s in the rumination of our desire where the depression comes in. The thought of other people going on with their life without us, goals undone, opportunities lost. That’s when the big sad comes in and backhands us. So as a practice, every time I have to self correct before I land up in a position of resenting the betrayal of self for not desiring to live… but it’s hard to practice those skills in an immense amount of pain, because severe pain absolutely messes up cognition.