Denial and incapability to properly come in terms with the blackpill is what kills you.
"Oh, it just cannot be that women simply don't want me because of my looks, I'm actually a woman born in man's body, let me cut off my dick."
*tranny kills himself*
"Oh, it just cannot be that women simply don't want me because of my looks, well, yes, they don't want me, I don't know why. But at least I'm not like those angry, evil incels."
*coper kills himself*
You may think that they are different things, but they are one thing.