Imagine being a physician trying desperately to save the life of someone you respect, someone who might even be a close friend or lover, and not only do you fail but you are blamed for it and killed. A court physician can be executed for botching a treatment, even if he did his best.

It only ends either when you have revoked all the titles and handed them back to new vassals, or when your family has been driven out of court. This can escalate to the point where your dynasty becomes permanently hated with no way to win back the trust of your vassals they form factions to wipe out your family, making it necessary to crush their rebellions, making them hate you more. New rulers get an opinion penalty if their predecessor is unpopular, so a ruler can start out being hated by his vassals without having done anything bad himself.It is possible for a twenty year old King with depression to go to sleep one night and never wake up again. Even if a character doesn't commit suicide, depression can still stop his heart.Holy Fury added an event where an older ruler returning from a particularly bloody Crusade can suffer from crippling Survivor's Guilt and one of the options is a heartbreaking option to kill oneself as if to expiate their sacrifice.They're always disappointed, and often the attempt leaves lasting harm to their body. There's a chance a character trying to commit suicide can survive, but they're never relieved by this.

Crusader kings 2 suicide