A model for working with highly lethal suicidal people is outlined. Using an idiographic illustration, the idea that a crisis is a perception is explored, along with issues of lethality & perturbation, object relations, responsibility, availability of a weapon, & active versus passive response. Specific problems with transference & countertransference in crisis intervention are highlighted. Leenaars states that there is no one way in which to respond & there is no one method for intervention.