In this study three levels of self-critical thoughts were identified. The third level was rage towards self, expressed as suicidal impulses or commands to injure oneself. This third factor, associated with actual suicide, is made up of violent attitudes toward the self, that are closely related to death wishes on the part of a significant other. This finding, coincided with the work of Rosenbaum and Richman who ask “Who wished the patient to die, disappear, or go away?”