Case detailed in the article: an aggressive 29-year-old woman, who suffered from a bipolar disorder & was bitter, angry & alone at the time of suicide. Case comments examine her predisposition to suicide & interventions that helped. When patients can identify problems but see no solutions, those with chronic disorders are most vulnerable. When patient behavior repels caregivers, rejection can trigger suicide. Good management of countertransference responses in caregivers is therefore important.