Passive Suicidal Ideation in ADHD: Why Your Brain Might Feel This Way

Why ADHD Brains Experience Passive Suicidal Thoughts
Passive suicide ideation adhd affects many people with ADHD, but it’s rarely talked about openly. If you’re searching for answers about these difficult thoughts, here’s what you need to know:
Key Facts About Passive Suicidal Ideation in ADHD:
- What it is: Wishing you were dead or could “disappear” without making actual plans to harm yourself
- How common: Research shows 22.2% of teens experience passive suicidal thoughts, with higher rates in those with ADHD
- Why ADHD matters: Executive function deficits, emotional dysregulation, and rejection sensitivity make these thoughts more likely
- The danger: Passive thoughts can escalate to active planning, especially with ADHD’s impulsivity
- Hope exists: Evidence-based treatments and coping strategies can help manage both ADHD symptoms and suicidal ideation
Many people with ADHD describe these thoughts as wanting to “sleep forever” or hoping they “just won’t wake up.” Unlike active suicidal ideation, there’s no specific plan – just a persistent wish to escape overwhelming feelings.
ADHD brains work differently. The same neurological differences that cause attention and focus challenges also affect how we process emotions and stress. When life feels impossibly hard, passive suicidal thoughts can feel like the only relief.
Research from medical college students found that ADHD significantly increases the risk of suicidal behaviors, even after controlling for depression and anxiety. The inattentive type of ADHD showed particularly strong associations with suicidal ideation.
I’m Nate Raine, CEO of Thrive Mental Health, where I’ve spent over a decade helping people steer the intersection of ADHD and mental health challenges, including passive suicide ideation adhd. Through my work, I’ve seen how proper understanding and treatment can transform lives and provide real hope for recovery.
Who this guide is for
This comprehensive guide is designed for:
- Adults and teens with ADHD experiencing confusing thoughts about death or wanting to escape
- Parents and caregivers who notice concerning changes in their loved ones with ADHD
- Mental health clinicians seeking to understand the unique intersection of ADHD and suicidal ideation
- Educators and support professionals working with ADHD populations
What you’ll learn
By the end of this guide, you’ll understand:
- Key differences between passive and active suicidal ideation, and why this distinction matters
- Red flags and warning signs specific to how passive suicidal thoughts manifest in ADHD
- Evidence-based help options including therapy, medication, and self-help strategies
- A hope roadmap showing concrete steps toward feeling better and building resilience
Passive Suicidal Ideation in ADHD – What It Really Means
When someone with ADHD says “I wish I could just disappear,” they’re often describing something very different from what most people imagine when they hear “suicidal thoughts.” This is where understanding passive suicide ideation adhd becomes crucial.
Think of it this way: passive suicidal ideation is like wanting to escape a burning building, while active suicidal ideation is like having the specific exit plan mapped out. Both are serious, but they require different approaches and levels of immediate intervention.
Passive suicidal ideation typically sounds like “I wish I could just disappear” or “I hope I don’t wake up tomorrow.” There’s no specific plan or method – just an overwhelming desire to escape emotional pain. Active suicidal ideation, on the other hand, involves concrete planning: “I’m going to take pills tonight” with a detailed method already chosen.
The Columbia Suicide Severity Rating Scale (C-SSRS) helps mental health professionals make these important distinctions. While passive thoughts may seem less urgent, they still require professional attention – especially in ADHD brains where impulsivity can quickly bridge the gap between passive wishes and active planning.
What makes this particularly tricky is the ambivalence that often comes with passive thoughts. People experiencing them might simultaneously want to live and want to escape, creating an emotional tug-of-war that feels exhausting and confusing.
Passive suicide ideation adhd: core definition
Passive suicide ideation adhd describes those persistent thoughts about death or not existing that happen without any concrete plan to act on them. If you have ADHD, you might recognize these feelings as wanting to “just not exist anymore” or hoping you could “sleep until everything goes away.”
These thoughts often feel different from the intrusive thoughts that pop into everyone’s mind occasionally. Instead of feeling foreign or shocking, passive suicidal ideation can feel like a logical response to overwhelming circumstances. That’s part of what makes it so concerning – it can start to feel “normal.”
You might find yourself fantasizing about disappearing, being in an accident, or simply not waking up in the morning. There’s usually a sense that everyone would be better off without you, combined with bone-deep exhaustion from trying to manage ADHD symptoms in a world that often feels impossible to steer.
Unlike active planning, these thoughts don’t involve researching methods or making preparations. They’re more like a constant background wish for relief from emotional pain that feels endless.
How ADHD wiring amplifies passive thoughts
Your ADHD brain isn’t broken – it’s just wired differently. But those same differences that affect attention and focus also make passive suicidal thoughts more likely and more intense.
Default-mode network rumination happens when your ADHD brain isn’t actively engaged in a task. Instead of peaceful downtime, your mind often defaults to negative thought patterns. This can create a dangerous cycle where passive suicidal thoughts become your brain’s automatic “go-to” during quiet moments.
Rejection sensitivity dysphoria affects many people with ADHD, creating intense emotional pain from even perceived criticism or rejection. A comment from your boss or a friend not texting back can trigger overwhelming feelings that make escape seem like the only option.
Time blindness means your ADHD brain struggles to accurately perceive time. When you’re in emotional pain, it genuinely feels like the suffering will last forever. This distorted time perception makes passive thoughts of “not existing” seem reasonable when you can’t imagine the pain ever ending.
The emotion regulation lag in ADHD brains means it takes much longer to process and calm down from intense emotions. What might be a brief frustration for someone else can become hours or days of overwhelming despair for you, making those escape fantasies feel increasingly appealing.
Executive dysfunction can also make it harder to implement healthy coping strategies when you need them most, leaving passive suicidal thoughts as seemingly the only way to find relief from emotional overwhelm.
How Passive Suicidal Ideation Shows Up in ADHD Brains
When you have ADHD, your brain processes emotions and stress differently than others. This unique wiring can make passive suicide ideation adhd feel like a natural response to overwhelming situations, even when it’s actually a warning sign that needs attention.
Think of it like this: if your brain’s emotional regulation system is already working overtime, adding life stress is like throwing extra weight on someone who’s already struggling to carry their load. Eventually, something has to give.
Emotional storms hit ADHD brains harder and last longer. What might be a brief frustration for someone else can feel like a tsunami of despair that lasts for hours or even days. During these intense moments, thoughts like “I wish I could just disappear” can feel like the only way to find peace.
The overwhelm and shutdown cycle is particularly dangerous. When your executive function system gets overloaded – maybe from juggling too many tasks, dealing with rejection, or fighting through brain fog – your mind might just… stop. During these shutdowns, passive thoughts about “not existing” can actually feel comforting, like finally getting permission to rest.
Shame spirals fuel many of these thoughts. After years of forgetting important things, missing deadlines, or struggling in relationships, many people with ADHD carry deep shame about who they are. This shame whispers lies like “everyone would be better off without me” during vulnerable moments.
Research shows that about two-thirds of people with ADHD have other mental health conditions like depression or anxiety. This combination significantly increases the risk of suicidal thoughts. Scientific research on ADHD & suicide risk confirms what many of us have experienced – ADHD makes everything feel more intense.
Sleep disruption makes everything worse. ADHD commonly affects sleep patterns, and when you’re not sleeping well, both ADHD symptoms and suicidal thoughts get stronger. It becomes a vicious cycle where poor sleep worsens ADHD symptoms, which increases stress, which makes sleep even harder.
Daily-life scenarios of passive suicide ideation adhd
Passive suicide ideation adhd doesn’t happen in a vacuum. It usually shows up during specific, painfully familiar situations that feel impossible to handle.
Picture this: you’ve been working late every night for weeks, trying to catch up on projects. Despite your best efforts, you miss another important deadline. As you stare at your computer screen, the thought creeps in: “I wish I could just disappear.” Not because you want to die, exactly, but because facing another performance review feels unbearable.
Or maybe you’re a student who just got back a failing grade on an exam you studied hard for. Your brain immediately jumps to “Everyone would be better off if I just wasn’t here” instead of thinking about study accommodations or different learning strategies. The ADHD brain often struggles to see solutions when emotions are running high.
Relationship conflicts hit especially hard. After an argument where your ADHD symptoms – like interrupting or forgetting important plans – hurt someone you care about, thoughts like “Maybe they’d be happier without me” feel logical. The rejection sensitivity that comes with ADHD makes these moments feel catastrophic.
Work burnout scenarios are incredibly common. When you’re constantly struggling to keep up with neurotypical expectations, the exhaustion can feel overwhelming. Thoughts about wanting to “sleep until everything goes away” start feeling reasonable.
These situations feel so overwhelming because ADHD makes it harder to step back and see the bigger picture. When you’re in the middle of an emotional storm, it’s nearly impossible to believe that things can get better.
Warning signs & symptom checklist
Recognizing the warning signs of passive suicide ideation adhd can be tricky because they often look like “just having a bad time” or “being stressed.” But there are specific patterns to watch for.
Sleep changes are often the first red flag. Someone might start sleeping much more than usual, expressing wishes to “sleep forever,” or struggling with insomnia that makes everything feel worse. When sleep patterns shift dramatically, it’s worth paying attention.
Reckless behavior often increases. This might look like dangerous driving, experimenting with substances, or taking risks that seem out of character. The ADHD brain’s natural impulsivity combined with passive suicidal thoughts can create a dangerous mix.
Giving away possessions is a classic warning sign, but with ADHD it might be more subtle. Someone might start decluttering obsessively or giving away meaningful items while saying they “just don’t need stuff anymore.”
Hopeless statements become more frequent. Listen for phrases like “I don’t want to be a burden anymore,” “I just want it all to stop,” or “There’s no point in trying.” These aren’t just expressions of frustration – they’re glimpses into how someone is really feeling.
Emotional numbness can be particularly concerning. When someone with ADHD, who usually feels everything intensely, suddenly seems disconnected or says they “don’t feel anything anymore,” it’s often a sign that they’re protecting themselves from overwhelming pain.
The key is recognizing that these signs don’t happen in isolation. They’re part of a pattern that builds over time, often so gradually that the person experiencing it doesn’t realize how concerning their thoughts have become.
Why It’s Dangerous to Ignore: Statistics, Risks & Outcomes
When we look at the numbers around passive suicide ideation adhd, they tell a story we can’t ignore. Recent research reveals that 22.2% of teens between ages 13-17 have experienced passive suicidal thoughts. That’s more than one in five teenagers. The numbers get even more concerning when we break them down by gender – 28.4% of teen girls report these thoughts compared to 15.4% of teen boys.
But here’s what makes this particularly urgent: among young people with ADHD, these rates climb significantly higher. CDC data shows a troubling trend – indicators of suicidal thoughts and behaviors in teens have been steadily increasing between 2011 and 2021. The pandemic didn’t help, adding extra stress to already vulnerable minds.
What makes these statistics particularly heartbreaking is that behind each percentage point is a real person struggling to make sense of overwhelming feelings. Many don’t realize that what they’re experiencing has a name or that help exists.
Major risk factors unique to ADHD
The ADHD brain faces some unique challenges that can push someone toward passive suicide ideation adhd. Understanding these risk factors helps us recognize when someone might be in danger.
Unmedicated or poorly managed ADHD symptoms create a perfect storm. When your brain constantly feels scattered, when you can’t focus on what matters, when every day feels like swimming upstream – thoughts of escape start feeling reasonable. It’s like trying to run a marathon with a broken leg and wondering why you can’t keep up.
Medication complications add another layer of risk. Some people misuse their stimulant medications trying to feel better, which often backfires. Others experience mood changes when starting antidepressants – there’s sometimes a dangerous window where energy returns before mood improves, creating risk for impulsive actions.
Trauma and bullying happen more often to people with ADHD. Research shows that childhood abuse, bullying experiences, and family mental health history significantly increase suicide risk in ADHD populations. When you’re already struggling with focus and emotional regulation, these experiences can feel impossible to overcome.
The executive function challenges that make planning difficult also make it harder to see solutions during emotional crises. When your brain struggles with problem-solving on good days, a mental health crisis can feel completely overwhelming and hopeless.
Potential consequences if unaddressed
Ignoring passive suicidal thoughts doesn’t make them go away – it often makes things worse. The consequences can ripple through every area of life in ways people don’t expect.
Academic and career impacts often come first. When your mind is occupied with thoughts of escape, concentration becomes nearly impossible. Students drop out of school, professionals lose jobs, and people stop pursuing goals that once mattered to them. The ADHD brain already struggles with motivation – add passive suicidal thoughts and it becomes incredibly difficult to see the point of trying.
Relationships suffer as emotional numbness sets in. Friends and family notice the withdrawal, but they might not understand what’s happening. Social connections – which are protective against suicide – start disappearing right when they’re needed most.
Physical health declines as self-care becomes an afterthought. Why exercise or eat well when you don’t want to exist? This creates a downward spiral where poor physical health worsens mental health symptoms.
The most serious risk is escalation to active planning. Research shows that nearly half of suicide attempts happen without much prior planning – this is especially concerning for people with ADHD who tend toward impulsive actions. What starts as passive thoughts of “I wish I could disappear” can quickly become dangerous behavior during an emotional crisis.
Psychiatric hospitalization sometimes becomes necessary when passive thoughts escalate or when someone can no longer stay safe. While hospitals can be lifesaving, they’re also disruptive to work, school, and relationships.
The good news? All of these outcomes are preventable with proper recognition and treatment. Understanding the risks is the first step toward getting help before things reach a crisis point.
Coping Strategies, Professional Treatments & Self-Help
Here’s something that might surprise you: passive suicide ideation adhd responds incredibly well to treatment. I’ve seen countless people move from feeling hopeless to building lives they genuinely want to live.
The key is understanding that your ADHD brain isn’t broken – it just needs different tools and approaches than what works for neurotypical people.
Distinguishing fleeting vs passive suicidal ideation adhd
Before we dive into treatment options, let’s clear up some confusion. Not every dark thought means you’re experiencing passive suicide ideation adhd.
Fleeting intrusive thoughts pop up uninvited and feel completely foreign to who you are. You might think “What if I drove off this bridge?” and immediately feel shocked or anxious about having that thought. These unwanted thoughts actually happen to most people and usually disappear as quickly as they came.
Passive suicidal ideation feels different entirely. These thoughts don’t shock you – instead, they feel like reasonable responses to your pain. When you think “I wish I could just disappear,” it brings a sense of relief rather than distress. The thoughts stick around, coming back again and again like an old song you can’t get out of your head.
If you’re having persistent thoughts about death that feel comforting or logical, that’s when it’s time to reach out for professional help. It doesn’t matter whether you have specific plans – these thoughts deserve attention and care.
Evidence-based therapies & programs
The research is clear: certain therapeutic approaches work exceptionally well for people dealing with both ADHD and suicidal thoughts.
Cognitive Behavioral Therapy (CBT) helps you spot the negative thought patterns that fuel both ADHD struggles and suicidal ideation. Think of it as debugging your mental software – identifying the glitches and installing better programming. CBT for insomnia (CBT-I) can be particularly game-changing since poor sleep makes everything worse.
Dialectical Behavior Therapy (DBT) teaches you practical skills that many people with ADHD never learned growing up. You’ll find how to regulate intense emotions, tolerate distress without making it worse, and steer relationships more effectively. These are often the exact areas where ADHD creates the most challenges.
Acceptance and Commitment Therapy (ACT) takes a different approach entirely. Instead of fighting your difficult thoughts and feelings, you learn to accept them while still moving toward what matters to you. This can be incredibly freeing if you’re tired of battling shame and self-criticism.
For those with trauma histories, EMDR (Eye Movement Desensitization and Reprocessing) can help process painful experiences that contribute to both ADHD symptoms and suicidal thoughts. Many people with ADHD have experienced bullying, academic failures, or relationship difficulties that leave lasting emotional wounds.
Family therapy recognizes that ADHD affects everyone in your support system. When your loved ones understand how your brain works and learn better ways to support you, recovery becomes much more sustainable.
At Thrive Mental Health, our intensive outpatient (IOP) and partial hospitalization (PHP) programs are specifically designed for complex situations like passive suicide ideation adhd. Our flexible, evidence-based approach means you can get the intensive care you need while still maintaining your work, school, or family responsibilities. More info about our flexible IOP & PHP services.
Self-help techniques you can start today
Professional help is essential, but you don’t have to wait for your first appointment to start feeling better. These techniques can provide immediate relief when passive thoughts become overwhelming.
Thought-labeling creates crucial distance between you and your thoughts. Instead of thinking “I want to disappear,” try “I’m having the thought that I want to disappear.” This simple shift reminds your brain that thoughts are just mental events, not facts or commands.
The emotion wheel practice helps you move beyond feeling generically “awful.” When you can identify that you’re feeling specifically rejected, overwhelmed, or ashamed rather than just “bad,” you can address those emotions more effectively. ADHD brains often experience emotions as big, chaotic storms – naming them helps create some calm in the chaos.
5-4-3-2-1 grounding pulls you back to the present moment when your mind spirals into dark places. Name 5 things you can see, 4 you can touch, 3 you can hear, 2 you can smell, and 1 you can taste. It’s surprisingly effective at interrupting rumination cycles.
Digital detox periods can provide massive relief. Social media often worsens ADHD symptoms and feeds comparison-based negative thoughts. Even short breaks from screens can help your nervous system reset.
Body doubling – working alongside others virtually or in person – reduces isolation while making self-care tasks feel more manageable. It’s harder to spiral into dark thoughts when you’re connected to another person.
Safety planning involves creating a written plan for when passive thoughts become intense. Include your personal warning signs, coping strategies that work for you, support contacts, and steps to make your environment safer.
Mindfulness practices adapted for ADHD can help you observe thoughts without getting caught up in them. Peer support groups connect you with others who understand your experience. And don’t underestimate the power of lifestyle adjustments – regular exercise, consistent sleep schedules, and proper nutrition create a foundation that makes everything else more effective.
The combination of professional treatment and self-help strategies creates a powerful toolkit for managing passive suicide ideation adhd. You don’t have to use every technique – find what resonates with your brain and your life, then build from there.
Frequently Asked Questions about Passive Suicidal Ideation in ADHD
Is passive suicidal ideation “normal” if I have ADHD?
Here’s the truth: while passive suicide ideation adhd occurs more frequently in people with ADHD than in the general population, it’s never something you should just accept as “normal.” Yes, there are real neurobiological reasons why ADHD brains are more vulnerable to these thoughts – the emotional dysregulation, executive function struggles, and higher rates of depression and anxiety all play a role.
But understanding why these thoughts happen doesn’t make them less important to address. Think of it like this: if you had diabetes, you’d understand why your blood sugar gets out of balance, but you wouldn’t ignore dangerous levels just because they’re “expected.”
The same applies here. Passive suicide ideation adhd makes sense given how ADHD brains work, but any persistent thoughts about death or dying deserve professional attention. You don’t have to live with these thoughts as your constant companions.
Many people with ADHD describe feeling relieved when they learn these thoughts aren’t a character flaw or personal weakness – they’re a symptom that can be treated. That relief is the first step toward feeling better.
When should I call a crisis line or go to the ER?
This is one of the most important questions, and I want to give you clear, actionable guidance. Seek immediate help if your passive thoughts start shifting in any of these ways:
When thoughts become active: If you find yourself moving from “I wish I could disappear” to “I could take these pills” or making any specific plans, that’s your signal to get help immediately.
When impulsivity kicks in: ADHD and impulsivity go hand in hand. If you feel sudden, strong urges to harm yourself – even without a detailed plan – don’t wait. The combination of passive suicide ideation adhd and ADHD impulsivity can be particularly dangerous.
When you have access and feel drawn to it: If you have easy access to potentially lethal means (medications, weapons, etc.) and feel pulled toward using them, remove yourself from that situation and seek help.
When hopelessness feels complete: If you reach a point where you genuinely cannot imagine any solutions or believe the pain will never end, that’s a crisis moment.
Crisis resources are always available: Call or text 988 for the Suicide & Crisis Lifeline, text HOME to 741741 for the Crisis Text Line, or call 911. For LGBTQ+ youth, the Trevor Project is available at 1-866-488-7386.
Crisis lines aren’t just for people in immediate danger. They’re there to help you work through difficult thoughts and connect you with resources. There’s no “wrong” reason to call.
Will ADHD medication reduce these thoughts?
This is where things get hopeful. ADHD medication can significantly help reduce passive suicidal ideation, though the relationship isn’t always straightforward.
Stimulant medications like Adderall, Ritalin, or Vyvanse often help by improving the very brain functions that make life feel overwhelming. When your executive function improves, problems start feeling more manageable instead of impossible. When emotional dysregulation decreases, small setbacks don’t spiral into thoughts of escape. Research suggests that people using stimulant medications report lower rates of suicidal thoughts overall.
But here’s what you need to know about the process: Starting or adjusting ADHD medications can sometimes temporarily worsen mood before things improve. This is especially true if you also have depression or anxiety alongside your ADHD. Your brain needs time to adjust, and sometimes you might need additional medications like antidepressants to address all aspects of your mental health.
The individual factor is huge. What works amazingly for one person might not work for another. Some people see dramatic improvement in passive suicide ideation adhd within weeks of starting the right medication, while others need different combinations or approaches.
Most importantly: medication works best as part of a comprehensive treatment plan that includes therapy and lifestyle changes. At Thrive Mental Health, we see the most success when people combine proper medication management with evidence-based therapy in our IOP or PHP programs.
Never stop or start psychiatric medications without medical supervision. If you’re having suicidal thoughts, tell your prescriber immediately – this information will help them make better decisions about your medication and monitoring.
The bottom line? Proper ADHD treatment, including medication when appropriate, can be life-changing for reducing passive suicidal thoughts. You don’t have to live with these thoughts forever.
Conclusion
If you’ve made it this far, you’re already taking an important step toward understanding and addressing passive suicide ideation adhd. These difficult thoughts don’t define you – they’re symptoms that can be treated, just like any other aspect of ADHD.
The reality is that ADHD brains work differently, and sometimes that difference makes life feel overwhelming. When your executive function is struggling, emotions feel too intense, and rejection sensitivity kicks in, thoughts of “not existing” can feel like the only relief. But here’s what I want you to remember: these thoughts are temporary, even when they don’t feel like it.
You are not broken. You’re not weak for having these thoughts, and you’re certainly not alone. The statistics we’ve discussed – like the 22.2% of teens experiencing passive suicidal thoughts – show just how common this experience is. When you add ADHD into the mix, it becomes even more understandable why your brain might go to these dark places.
Recovery isn’t just possible – it’s probable with the right support. I’ve seen countless people with ADHD transform their lives once they receive proper treatment that addresses both their ADHD symptoms and their mental health challenges. The same neuroplasticity that makes ADHD brains different also makes them incredibly adaptable to positive change.
Your immediate next steps depend on where you are right now:
If you’re in crisis or having thoughts of harming yourself, call 988 (the Suicide & Crisis Lifeline) or head to your nearest emergency room. These resources exist specifically for moments when you need immediate support.
If you’re experiencing persistent passive suicide ideation adhd but aren’t in immediate danger, reaching out to a mental health professional who understands ADHD is crucial. Not all therapists truly “get” how ADHD affects every aspect of life, so finding someone with expertise in this area makes a real difference.
If you’re supporting someone else through this experience, your presence matters more than you know. Sometimes just knowing that someone cares enough to learn about passive suicide ideation adhd can provide hope during the darkest moments.
Building protective factors takes time, but each small step matters. Strong relationships with therapists who understand ADHD, proper medication management, consistent sleep routines, and having people who truly “get” your experience all contribute to resilience. Crisis planning might feel scary to think about, but having a plan actually reduces anxiety because you know exactly what to do when things get tough.
At Thrive Mental Health, we’ve designed our intensive outpatient (IOP) and partial hospitalization (PHP) programs specifically for complex situations like yours. We understand that passive suicide ideation adhd requires both ADHD expertise and mental health treatment – not one or the other. Our flexible virtual and in-person options mean you can access expert care without disrupting your entire life.
Here’s what gives me hope: Every person I’ve worked with who has experienced these thoughts has found their way through to the other side. Some finded that proper ADHD medication dramatically reduced their emotional overwhelm. Others found that learning DBT skills gave them tools they never knew existed. Many realized that their ADHD traits, when properly supported, actually became strengths.
Your ADHD brain might process emotions more and struggle with executive function, but it also likely brings creativity, empathy, and unique perspectives to the world. The goal isn’t to eliminate your ADHD – it’s to help you thrive with it.
The thoughts you’re having right now are symptoms, not predictions. They’re your brain’s way of saying “I’m overwhelmed and need help,” not a reflection of your worth or your future. With proper understanding, treatment, and support, you can learn to manage both ADHD symptoms and these difficult thoughts.
You’ve already shown incredible strength by seeking information and understanding. That same strength will carry you through treatment and toward a life where ADHD feels manageable rather than overwhelming. You matter, your life has value, and there is genuine hope for feeling better.
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