The problem with suicide in Pakistan has reached an alarming proportion. Much has been reported in print media and some articles are available in local and international literature originating from the country. The conduction of a thorough systematic study has always remained a problem because of multiple reasons including reluctance to report such an incident. A very interesting and thought provoking aspect of suicide is the ‘suicide note’ that has come under discussion. It is a message left by those who resort to bring an end to their life. Generally, many suicide attempters do not leave a note but only less than 10% would do so.1 There are many reasons given for writing up of suicide notes like: confessing about a deed that resulted in guilt feelings, to give reasons for suicide, to instruct the survivors about disposal of property or to apologize. Those who do not leave a note are said to have done so because they would have nothing to say, or were uncomfortable with written language, their attempt was impulsive; they had difficulty with expression or because of illiteracy