It's a form of it, although sometimes those thoughts can come along even when we're OK otherwise. I have them too from time to time, even though I probably would never act on them. Besides, I'm too chicken.....with my luck, I'd crash my car and live, only to wind up paralyzed in a nursing home and being turned every 2 hours, tube fed, maybe even on a ventilator. No thanks, I'll take my chances with pills if I ever get to that point of no return, which I hope I won't.