The Baltimore Epidemiologic Catchment Area Study was a community-based longitudinal study starting in 1981. History of suicide attempts was assessed at baseline. Mortality and causes of death were identified by death certificates after deaths were confirmed by searching the National Death Index. Our study analyzed deaths confirmed up to 1998. By the end of 1998, 861 of the 3,481 baseline participants were deceased. Death certificates of 762 deceased participants (88.5%) were collected, and causes of death were identified, with 729 having died of natural causes. Thirty-three had died of nonnatural causes (4.3% among all known causes of death), including 19 from accidents, six from homicides, and two undetermined. The remaining seven died from suicide (0.9% among all known causes of death). The method was firearms in 57% of the suicide deaths, hanging in 29%, and drug overdoses in 14%. Only two suicides were women (29%). The year of suicide did not cluster in any specific years. History of suicide attempts was not associated with overall mortality after sociodemographic characteristics were adjusted.