who communicate their difficulties to their environment are less likely to kill themselves. On the other hand, when communication fails, the risk for suicide arises. For instance the association between social isolation and suicidal ideation, attempts, and lethal suicidal behavior was found in various samples varying in age, nationality, and clinical severity.111 Several empirical studies have demonstrated associations between lethal suicidal behavior and various facets of communication difficulties, including loneliness, social withdrawal and isolation, lack of self disclosure, living alone and having few social supports.108,112 Thus it appears that difficulties in communication are a meaningful factor influenc