The grief that suicide survivors experience is unique. For most survivors of suicide, the grieving process includes intense feelings of anger, guilt and shame. Survivors may experience some or all of these complicated thoughts and emotions, and great care is needed to address them. The very “senselessness” of suicide makes survivors perplexed and filled with doubt. The death of a family member or friend by suicide can create distance between the survivors and those who would have been supportive in other forms of loss.  Acquaintances “don’t know what to say” and their discomfort in a situation without social norms can lead to withdrawal when support is most needed.  Similarly, survivors may feel shamed by this loss, and avoid seeking support.