How Do You Know That They Want To Die?

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We, as children would love to keep our parents alive. And we will struggle to do anything just to keep them alive (and that includes coming in broke) There are instances wherein we see our loved ones wanting to give up. How do we know that our loved ones have decided to just let go and die in peace? This is a lot harder when our loved ones are incapable of speaking. How do we know? How do we let go?