The problem I have seen with suicidal/disturbed people (I have no experience with people that have gone this far) is that they don't want help. They will not accept help from friends around them. I've talked to too many girls on the verge of ending it. These girls were all from upper-middle class, suburban $200,000 dollar homes, families, and they felt the need to end it. Nothing I said, nothing their therapists said (apparently) helped. It's rediculous and upsetting that beautiful girls could feel so worthless and their families not take notice before hand. I know some may feel different, and I know people that reach the extent to end their family first is extreme, but it's all connected. The common theme of self-loathing, self-despair, etc. The thing I find morbidly humorous is these people feel they must end their lives, but they must kill their family first to "save" them the pain of losing their father/husband. If these people cared so much, they wouldn't do this in the first place, and if there wasn't any causal problems in these people's lives, there would be no problem because the issues could be dealt with beforehand.