A final note—not as detailed in the article as we would like but hopefully understood by readers of the Journal—is the most important part of the story—the tragic loss of lives and the heartbreak and devastation experienced by surviving families, friends, and the community. In our article, we could not address all the aspects of prevention and focused on three case studies of people who died at the bridge. Illustrative of the importance of the human factor is the story told by one of less than 30 jump survivors. Intent on suicide, he tearfully bypassed the phones but told himself that if one person showed concern he would not jump. When a German tourist approached him but requested only that he take her picture, he complied, muttered under his breath, walked away, then threw himself over the railing. He later reported how thankful he was to be alive, confirming that many suicides are impulsive and preventable.