It is argued that suicidality is essentially a relational phenomenon; the p
resence or absence of certain key relationships paradoxically can be both s
uicide causing and suicide preventive. The relational aspects of suicide ar
e especially poignant in clinical work with suicidal patients. However, whe
n suicidality is involved, there are a number of issues that can interfere
with effective clinical practice. Fortunately a new paradigm has begun to e
merge in contemporary clinical suicidology, which objectives suicidality an
d emphasizes the phenomenology of suicidal states. Moreover, from an increa
singly empirical perspective, this approach is creating new and better ways
to effectively assess and treat suicidal conditions.