The treatment of the dying suicidal patient is a stressful experience. An understanding of the reactions of the patient for whom death is imminent or likely, and of those providing care can help in determining the most appropriate treatment. Reactions of disbelief, horror, anxiety, anger, guilt, futility and impairment of empathy may occur in the hospital staff and the family. Factors involved in deciding upon palliative care or maximal treatment for the suicidal patient are presented.(DAB)