The author of this article contends that suicide is caused by “psychache,” the hurt, anguish, aching, psychological pain in the psyche, the mind, & that efforts to correlate suicide with simplistic nonpsychological variables miss the mark. He elaborates on this premeise, notes 7 components in the progression to suicide, discusses depression, & the prevention of suicide (mollify the psychache), &, with 40 years of experience as a suicidologist, provides a summary of his beliefs about suicide.