Suicide is different from other deaths. We who are left behind cannot direct our anger at the unfairness of a deadly disease or a random accident or a murderous stranger. Instead, we grieve for the very person who has taken our loved one's life. Before we can even begin to accept our loss, we must deal with the reasons for it--and the gradual recognition that we might never know what happened or why. According to the book Suicide and Its Aftermath: Understanding and Counseling the Survivors, edited by Edward Dunne, John McIntosh, and Karen I-Maxim, the attention of the mental health profession focuses on those who commit suicide and rarely addresses what happens to people who have survived the suicide of someone close to them. The authors cite studies showing that people who lose a loved one to suicide feel more guilt, more often search for an understanding of the death, and appear to experience less social support than those who lose a loved one to other causes. In addition, the authors write, suicide survivors experience feelings of intentional rejection and deliberate abandonment, which separate them from others who are mourning the death of a loved one. They state "This difference may explain why survivors of suicide who have attended grief groups for survivors of deaths by other causes report feeling different from other grievers and tend to drop out of these groups." Suicide is the eighth leading cause of death in the United States and the third leading cause of death among young people ages fifteen to thirty-four. The American Association of Suicidology estimates that for each of the 32,000 Americans who kill themselves each year, there are six survivors. According to the association, there are almost 4 million people in the United States who have lost a loved one to suicide, with the number increasing annually by almost 200,000 persons. Yet, most of us who have experienced the suicide of a loved one feel separate and apart. At the time my husband killed himself, it seemed inconceivable that I would ever emerge from the isolation created by his death. Even in my self-exile, however, I knew that there must be others who understood what I was going through. I searched fruitlessly in the literature for books and articles containing stories similar to mine. Instead, I found medical texts analyzing why people kill themselves, manuals on suicide prevention, articles on the link between creativity and suicide, essays on the moral and philosophical implications of suicide, even guidebooks on how to kill yourself; those of us who were left behind seemed forgotten, overshadowed by the drama and mystery that suicide leaves as its legacy. I am writing this book because I do not want our stories to go untold. The grieving process of suicide survivors is often shrouded by stigma and silenced by shame. By exchanging the unthinkable details about our mother's swallowing an overdose of pain medication, our son's shooting himself with a hunting rifle, our brother's jumping from an office window, our wife's poisoning herself with carbon monoxide fumes, we will come to realize that we are neither crazy nor alone. Since my husband's death, I have spoken with more than one hundred women and men throughout the country who are struggling to find meaning from their loved one's suicide. They have revealed their most carefully guarded personal histories to me in the hope that their stories might help ease the pain of others in similar circumstances. I have changed their names and some of the details of their stories because I believe that privacy and secrecy are two separate entities. We can own and protect our privacy without being made to feel that we are hiding some dark, shameful secret. In addition, I have interviewed a number of mental health professionals and others who specialize in the field of suicide survivors. It is my hope that by sharing our experiences, the lonelines

"I wish had the comfort and wisdom of this book. It might have eased the pain of over thirty years," --Gerry Spence, auhtor of The Making of a Country Lawyer and How to Argue and Win Every Time "Full of stories. Stories of pain and heartache. Stories of courage and inspiration. I know of no other work on this subject that is so comprehensive and rich in exposition." --The American Journal of Psychiatry

Suicide would appear to be the last taboo. Even incest is now discussed freely in popular media, but the suicide of a loved one is still an act most people are unable to talk about--or even admit to their closest family or friends. This is just one of the many painful and paralyzing truths author Carla Fine discovered when her husband, a successful young physician, took his own life in December 1989. And being unable to speak openly and honestly about the cause of her pain made it all the more difficult for her to survive. With No Time to Say Goodbye, she brings suicide survival from the darkness into light, speaking frankly about the overwhelming feelings of confusion, guilt, shame, anger, and loneliness that are shared by all survivors. Fine draws on her own experience and on conversations with many other survivors--as well as on the knowledge of counselors and mental health professionals. She offers a strong helping hand and invaluable guidance to the vast numbers of family and friends who are left behind by the more than thirty thousand people who commit suicide each year, struggling to make sense of an act that seems to them senseless, and to pick up the pieces of their own shattered lives. And, perhaps most important, for the first time in any book, she allows survivors to see that they are not alone in their feelings of grief and despair.