It's never truly impulsive. And like I said, setting the bar low helps. But it's not easy for doctors, who are used to achieving academic success throughout their lives, until they meet the grueling training with its high attrition rates during both undergraduate and postgraduate training phases. With its real financial ramifications. And the "significant" collateral damage. And never having a so called "study break"; you study during whatever free time you've sacrificed out of your life after work to study. And maintain yourself as a high achiever with Special Forces-like physical and mental stress, minus the training (nor the mental health services) to build yourself up to be that resilient.
Mental health solutions will continue to be difficult to find, even more so in Malaysia. We even have a hard time accepting the existence of post-partum depression (and our Malay worldview of marriage = shit ton number of kids early or it's a failed marriage does not exactly help things); our community would just not accept other "more abstract" issues of mental health easily.
And that's unfortunate.