To the Editor: Thomas G. Gutheil, M.D., and Diane Schetky, M.D. (1), provide useful suggestions for the clinical management of time-based and contingent suicidal intentions. The authors recommend that therapists share their feelings of helplessness with patients: "shared helplessness may provide a pathway to empathic connection" (p. 1506). It may reinforce, however, the patients’ sense of control over therapists. For some patients, a time-based and contingent suicidal threat may represent an attempt to dominate therapists. Making therapists feel helpless may allow patients to not only disown this feeling in themselves but to also feel power over the therapists. This defense may be considered equivalent to a mechanism of projective identification. The interpretation of this defense may lead patients to acknowledge their own helplessness, to stop fearing retaliation from therapists, and to better benefit from support.