Differential factors that influence intention during the non-fatal suicidal act in men and women are not studied enough. In a current study, 433 suicide attempters (age 24.89 + 0.98 years, male/female ratio = 1.29) were interviewed, mostly shortly after the attempt. Suicide attempters were stratified into three groups with growing expected fatality (EF) during suicidal act. It was found that the higher EF was associated with higher suicide intent scores, however, the medical severity of attempts, as well as violent/non-violent attempts distribution did not differ between groups. Men and women inside groups had similar suicide intent scores and medical severity, though men demonstrated a 2.4-3.5 times higher proportion of violent attempts (X70-X84), depending on the group. In men higher EF was associated with lower general well-being, higher depression and violence, hopelessness, and total life stress, in women only with total life stress. Moreover, in men and women higher EF was associated with different negative life events under age 18. Prevalence of mental health disturbances was equal among men and women, however, in men prevailed addictions, while in women neurotic and stress-related disorders; among those who expected more fatality the number of people with diagnoses and comorbidity was higher, especially in men. In conclusion, there exist distinct risk factors for EF and higher intent in young men and women attempting suicide, which may not necessarily result in higher medical outcomes but may serve important helping points during post-crisis counseling of young suicide attempters.