Samaritan clients are most at risk of suicide in the year following self-referral when they have a high suicide-rate of 357 per 100,000. Of the 45 suicides studied 71% (32) killed themselves within a year of self-referral, and 44% (14) of these 32 committed suicide within their first month as clients. About 4% of all suicides are former clients. Evidence suggests that Samaritan branches may differ in their ability to postpone suicide.