Data were obtained from 106 patients hospitalized for suicide attempts. With the use of a sliding scale it was determined that 50% both wanted to live and die at the time of attempt. 43 reported that they no longer wished to live. When the wish to die is subjectively greater than the wish to live, the suicidal intent is more severe than when they are evenly balanced. Positive reinforcement of reasons for living may be useful in dealing with ambivalent clients.