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Amid an increased emphasis on physician wellness, there has also been more discussion about physician suicide. I find this issue so challenging to fully grapple with and understand as it’s truly difficult to understand the confluence of how burnout as an occupational hazard, mental health issues, and personal challenges. How can program leadership identify trainees at risk for depression and make meaningful efforts to get them mental health support? How can we best address the trauma and despairing feelings that inevitably arise when a colleague takes their life?