The goal of this study was to evaluate the ictal & psychiatric aspects underlying the high risk of suicide among epileptic patients (EP). In our sample, there were 4 EP who died by suicide & all 4 had partial complex seizures & temporal lobe foci. Further analysis of our findings suggest that the high suicide rate among EP has a greater link with psychotic behaviors & psychic auras than with depression or the burden of being epileptic. Risk factors for suicide in epileptics are reviewed.