This study examines the Firestone Voice Scale for Suicide (FVSS), which assesses the frequency of “voice attacks”, or negative thoughts about oneself stated in the second person. Stating thoughts in this manner means the patient is separating hostile, self-depreciating attitues from rational thoughts of self interest. The author finds that the FVSS is more accurate in determining previous suicide attempts than the Beck Hopelessness Scale or the Suicide Probability Scale. (VM)