Drawing upon our collective, albeit anecdotal, clinical experiences, we have found that most of the homeless persons we evaluate acknowledge having suicidal thoughts or plans during some stage of their painful odyssey. Far too many, whether or not they are in formal treatment, have made serious attempts to kill themselves. Nearly all meet the classic criteria that place them into that nebulous category of being a high suicide risk: social isolation, serious mental illnesses, active substance use, extreme poverty, and previous attempts. But our work engages only the survivors. Also important is the larger challenge of adequately assessing the prevalence of suicide among homeless persons, whose desperation frequently goes unrecognized and whose actual cause of death remains unclear.