Suicide/murder is not even top 10 based on what I’m seeing.

• www.cdc.gov/nchs/…/leading-causes-of-death.htm (US deaths 2021)

• www.who.int/…/the-top-10-causes-of-death (Global deaths 2019)

Admittedly I only quickly googled them and skimmed for the stats.

I think you’re underestimating the effect of painkillers given when you’re going to die. Otherwise, yeah, fatal car crashes can be painful, or you can die instantly and I have no idea what the ratio is on either.