“Issues” literally means outgoings. According to context, it may refer to ways of escape or to the free moral choices that proceed from a person.
The term describes God’s ways of escape and, figuratively, the moral choices that flow from the heart. Its biblical use therefore includes both deliverance and the direction of personal conduct.
The expression is based on a word meaning “outgoings,” which allows both the literal idea of exits and the figurative idea of actions proceeding from within.