My Cry of Pain: Telling/Not Telling refers to the contradictory qualities of the attempt. The participants wanted to hide their suffering, but the attempt were what placed their pain in a social context, viewable to others. As O’Connor. Armitage, and Gray (2006) found in their research, the attempt had previously been thought of as a cry for help, but instead health care professionals should conceptualize an a “cry of pain (affective) rather than a cry for help (instrumental) and that the predominant motivation for many suicidal individuals is the cessation of their psychological pain rather the manipulation of others” (p. 476). The term cry for help is often interpreted as a call for attention, which holds many negative connotations. An alternative explanation proffered by the participants in this study was that a teen suicide attempt is a “cry of pain” driven by the desire to end the unutterable suffering.