Outlines model for crisis intervention with highly lethal suicidal people. Explores idea that crisis is a perception, including issues of lethality and perturbation, object relations, responsibility, weapon availability, and active versus passive response. Highlights specific problems with transference and countertransference. Suggests that there…

In order to establish effective suicide preventive programs, it is important to know the etiologic factors and causal relationships between suicide and behavior. Coroner data was analyzed for the 468 suicides that occurred in Indianapolis, Indiana during 1998-2001. The age-adjusted suicide rate was 14.08 per 100,000. Almost one-half of the victims…