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}}</ref> are a contributing factor.
Some features are a mood of depressed, sad, hopeless, discouraged or "down in the dumps". Decreased energy, tiredness , and fatigue are common. Frequently there may be thoughts of death, suicidal ideation, or suicide attempts. These thoughts range from thoughts that other persons would be better off if the person were dead, to transient but recurrent thoughts of committing suicide, to actual specific plans to commit [[suicide]].<ref name="DSM-IV"/>
== Circumcision's contribution to depression ==
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{{SEEALSO}}
* [[Sexual effects of circumcision]]
{{REF}}