I think allot of the reason most EMS providers have a hard time with the suicidal calls is because they have been there. I have found that there a far larger percentage of people with untreated mild mental illnesses in EMS than in the general pop. I am not sure why that is, but over the years I have noticed there are many. In our culture, there is a strong message of "suck up and deal with it". When allot of ppl come upon the psych pt, they feel the same way; that the person should deal with it, or kill themselves, but not bother us. I am not saying it is right, but it is the way it is allot of the time. I think once an ems provider has worked through their own problems, then we ge tthe compassionate response the pt desperately needs.