Live as if you were living a second time, and as though you had acted wrongly the first time.

Viktor E. Frankl

In the case of adolescents, however, the situational constriction occurs much more rapidly than in the case of adults. This constriction at a young age has also to do with action or symbolic language which is more associated with emotional rather than intellectual side. Suicidal actions are often a form of appeal to a “significant person”. In order to prevent suicides, it is necessary to overcome indifference towards things that drive other people. A planned suicide is mostly ambivalent – with a implication for the “significant person”. These implications are essential for suicide prevention. A sentence “nobody understands me” in connection with “I will show them” and the “Tom-Sawyer-Syndrom”, “when I no longer exist, they will see whom they have lost” - are an expression of the emotional state of presuicidal (young) people. Folk wisdom is mistaken in the belief: “People speaking of suicide never commit it”.

Raphael, 15, was a passionate football player – in front of a TV. When his parents broke up and his progress in gymnasium stopped (he hat to repeat a school year), hanging in his father's new flat (he left the family) was a clear sign – attack.

Cain asked: “Am I my brother's keeper?” - in psychotherapy this question is to be answered in the affirmative. Erwin Ringel illustrates this the best way with an example: As a young assistant entered the office of an overstrained secretary, he met a young doctor who was dictating a clinical history. She looked at Ringel and asked him to leave because she could not stand the colour of his tie. Two weeks later, his colleague committed suicide. Many years later, Ringel called attention to the fact that the suicidal experience a “colour shock” shortly before their violent end.

Dominik, 15, could not stand colours of his class-room any more (orange) before he plunged down the mountain peak during a hiking trip of his school class. Seriously injured, he could be saved. At first, he attracted his teacher's attention because of his scratches. Active contacts with his parents were not very productive. Until this suicide attempt.

With repeated obstinacy young people give vivid signals up to deliberately injuring themselves, self-mutilation and suicide attempts.

The most alarming indication of danger appears when it comes to aggression reversion, and after a lull period before storm an explosion-like answer to the alleged lack of understanding by reference persons and environment may follow.

And mostly at that time a suicidal action is taken, which should be prevented no matter whether it is para- or suicidal. As already mentioned, active listening can often be helpful, as the desperate young person is not “all on his own alone”. Suicidal crises in puberty are often triggered by unconscious conflicts.

Theresa, 17, wanted to commit a dual suicide together with her boyfriend Kevin, 17, both survived. Fortunately, joint suicides are rare phenomena, out of 1000 suicides only about 14 are dual ones. Some of them go down in history: Crown Prince Rudolf and Mary Vetsera. But also Stefan Zweig with his second young wife Lotte in Brazilian exile – Stefan Zweig has already been occupied with suicide previously in his works, many of his main characters considered it to be a problem solution.

Theresa, who had a symbolic relationship to Kevin, agreed to a joint suicide, as she had not been accepted by Kevin's parents as a “right” girlfriend (from a too poor family). The joint death should have saved her from destruction by Kevin's parents' house – and both could “prove” endless love by joint death.