I do believe that ctb is very difficult, as even know we want to die, we all have a powerful survival instinct. It is not easy to leave all the pain behind. It is hard to answer the question, as I believe that if someone is desperate enough it is likely they will find a way, but in my case, I want to die, in fact I have never wanted to exist but yet I am held here because of the lack of peaceful and reliable way to exit and the fear of failure.
Maybe there are many people living miserable lives, suffering so much, but are trapped in this world because it is so hard to leave. We live in a world where our right to die is not respected after all. We all deserve the option of a peaceful exit at a time of our own choosing.