This article reports on a study that compared 20 Russian roulette victims to 6534 suicide victims from the records of the Dade County, Florida medical examiner. Those who died playing roulette were more often single, likely to be living with someone & to be a student. Half of the roulette victims were depressed compared to nearly 80% of the suicide victims. It is speculated that the thrill of the risk associated with playing Russian roulette is used as a form of self-treatment for depression.