I wanted to thank you for all the kind support I received from the list members after the death of my nephew's wife. Her death has officially been ruled as a "suicide related to postpartum depression/psychosis." In the two weeks following the miscarriage and before she took her life, she was seen several times by the doctors at the base because of uncontrollable crying, sleep loss, lethargy etc... They told my nephew that they missed the diagnosis of post partum psychosis because after all "it was only a miscarriage." The doctors have expressed that they deeply regret their error. My educated guess is that her depression was a carried over from the first baby, 9 months prior (breastfed only 3 weeks) . The miscarriage just pushed her over the edge-- from depression toward psychosis. We have learned there is one small cause for thankfulness: that she took ONLY her life. Apparently she was planning to take the baby and my nephew as well. I can't imagine feeling that life is so bad that you want to *save* yourself and your family from it. What I have found in my years of practice is that many people accept postpartum depression as a normal thing and are reluctant to seek help. Women often tell me that admitting the depression was severe enough to ask for help was like saying they were wimping out. They constantly tell me that they just didn't think their depression was *that bad.* We need to pay attention to new moms (and moms who loose a pregnancy) and their feelings. Maybe we need to listen to them just a little more. Maybe we need to recommend that they seek help a little sooner. Postpartum depression can and does kill. My recovery is going VERY SLOWLY. I have only set one goal: to be well enough for ILCA in July. Marie Davis, RN, IBCLC