Background Suicide rates among young men are rising. Further informati
on about their contacts with services and possible associated stressfu
l life events is necessary. Method The sample consisted of all cases w
here the coroner in the County of Avon had given an inquest verdict of
suicide over a 20-month period, together with those who were categori
sed as suicide by a panel of psychiatrists even though they had receiv
ed open or accidental inquest verdicts. The coroner's dossiers and hos
pital notes were examined and the relevant general practitioners inter
viewed. Results Interpersonal stress in the last 72 hours was much hig
her in younger suicides. Young male suicides were also much less likel
y than others to seek help. Levels of alcohol misuse were no higher in
younger than older suicides. Conclusions Various subgroups of suicide
behave differently in the way they seek and utilise help. The implica
tions of these findings for suicide prevention and service strategy ar
e discussed.