33 After a Suicide | A Toolkit for Physician Residency/Fellowship Programs Cause of Death is Unconfirmed I am writing with great sadness to inform you that one of our residents, [NAME] , a PGY [XXX] in the [SCHOOL NAME] residency program, has died. Dr. [NAME] was a graduate of [SCHOOL NAME] Medical School. Our thoughts and sympathies are with [HIS/HER] family and friends and the Department of [DEPARTMENT NAME]. All available residents were given the news of the death today. The cause of death has not yet been determined by the authorities. We are aware that there has been some talk about the possibility that this was a suicide death. Rumors may begin to circulate, and we ask you to respond to any speculations as to the cause of death with a reminder that this is not yet clear. We’ll do our best to give you accurate information as it becomes known to us. Since the subject has been raised, we want to take this opportunity to remind our community that suicide, when it does occur, is a very complicated act. It is usually the culmination of several health and life factors that converge in a person’s life during the same period of time, including mental health conditions such as depression, which lead to overwhelming mental and/or physical pain, anguish, and hopelessness. Sometimes these risk factors are not identified or noticed; other times, a person who is struggling will show more obvious symptoms or signs. Resources for support and mental health care are listed below. We encourage any community members to seek the help they need. It is a time to come together, to grieve, and to support each other. (As applicable depending on emergency contact person preference) Information about a remembrance service will be shared as it becomes available. Please do not hesitate to contact me with any questions or concerns. Sincerely, [CRISIS RESPONSE TEAM LEADER OR DIO]