I think the best way is not via a step ladder but an upturned bucket which you can kick away, that way there'll be no option left for survival instinct to kick in, and even if it did it you wouldn't be able do anything. By hanging via a short drop the process is theoretically quicker because the rope would tighten faster and constrict tighter, but it takes more courage to kick the stool or bucket as there's no turning back once it's kicked, and you'd be all too aware of that. The benefit is that it should be all over quicker. Though I haven't mentally prepared myself for that yet. Though what I do know is not to resist or struggle, as that would probably prolong the agony, yet I can't really see how not to unless your mind was completely calm. But I think for those of us who are thinking about full hanging then we have to realistically expect some pain and just endure it. Easier said than done, but intoxication can ease the anxiety and fear somewhat.