In 1763, Johann Bernhard Merian (1723-1807), a Swiss philosopher, introduced the concept of suicide as illness, stating that suicide is not a criminal act but a mental illness. In 1838, Jean Etienne Dominique Esquirol (1772-1840), a French psychiatrist, described suicide as a symptom of mental illness. These contributions represent important steps in freeing the discussion of suicide from a criminal, religious, and moral perspective and moving it to a treatment context (Maltsberger & Goldblatt, 1996; see also Chapter 2, this volume). Indeed, treating suicide within an illness paradigm continues to prevail to the present day (Jobes, 2006). However, should we continue to understand suicide solely as a symptom of a mental disorder? As much as this approach may be helpful, it hinders us in truly seeing suicidal persons as actively constructing their lives and potentially their suicidal behavior therein.The biomedical illness model implies that the health professional has to find the cause of the patient's pathology and then treat the disorder. However, suicide and attempted suicide are both actions that are often planned in advance or show a sequence of steps to achieve the fatal outcome largely conscious to the individual. They are not mere signs of illness and pathology. A patient-oriented understanding of the reasons for suicidal thoughts or deliberate Each victim of suicide gives his act a personal stamp which expresses his temperament, the special conditions in which he is involved, and which, consequently, cannot be explained by the social and general causes of the phenomenon.- Durkheim (1951, p. 277) Men often act knowingly against their interest.-Hume (2003, p. 297)