Key points
People who complete suicide can leave survivors wondering what they missed.
Paying attention to risk factors alone isn't enough.
Recognizing when risk has transitioned to intention to attempt is critical, and might not be obvious.
Last weekend, I was catching up with an old friend, who we'll call Glenn, and, as usual, the topic landed on fly fishing. He was telling me how Silver Creek, a river near him in Idaho, just wasn’t producing as it had been. Glenn never felt he dialed in this rather technical stream until someone introduced him to Colin (name disguised), a young man who knew the nuances of fishing this blue-ribbon water that Hemingway himself frequented. Colin, in his early 30s, and Glenn, a talented fly fisherman himself and retiree, had hit it off and fished togeth