The limited studies (and many experiential anecdotes) place ME/CFS patients, like trans people, at significantly higher risk for suicide. As with trans people, this risk is not an inherent part of who we are– it is built into structures designed to ignore or even magnify our pain. Studies find no elevated risk of depression among ME/CFS patients, but rather, an elevated suicidality caused by lack of resources and understanding, loss of employment and community, and the general hopelessness that descends with so much loss and forced isolation.