Fr. RUBEY: They should just be there, from a pastoral point of view, because the family is shattered.

ROLLIN: Father Rubey has ministered to the survivors -- people of many faiths -- for more than 25 years. They question:

Fr. RUBEY: "Is my loved one in hell? Are they at peace?" And I think the role of the clergy, the role of the pastoral associates is to say, "Yes they are at peace," to give the survivors the assurance that their loved one is with God.

STAN LEWY (Survivor): There are very few people who can understand the issues that eat at you when you lose a loved one to suicide.

ROLLIN: These four people, all survivors, have had varying experiences with faith traditions following a suicide. When Briget Thompson's mother died, an aunt described how she was mourning.

BRIGET THOMPSON (Survivor): She said to me, "Now I have to mourn my sister again, because now I know she's in hell." And that was the hardest thing, one of the hardest things, I've had to deal with.

ROLLIN: Was that coming from religion?

Ms. THOMPSON: Oh, definitely.

ROLLIN: Bruce Engle was only seven when he lost his mother.

BRUCE ENGLE (Survivor): The Church in those days taught that anyone who took their life by suicide was condemned to hell. It was the most grievous of all sins. And I had to go to church and pray that my mother wouldn't burn in hell and ask God to forgive her of that sin.

KATHY BUEHLER (Survivor): The one thing that, in his suicide note, that he wrote was -- probably the last words he wrote -- was "I'm sorry, God." I felt very, very guilty that I was not there. The grief process is so intense and so complicated that I don't think a lot of priests or clergy do understand what we're going through.

ROLLIN: Kathy Buehler did not lose faith.

Ms. BUEHLER: Hope was why I got up in the morning, and faith was what got me through the night. I really feel that if you keep your heart and mind open that, you know, God's grace will come to you, and you will find peace.

ROLLIN: It is estimated that for every person who commits suicide, as many as 25 others attempt it. What should be the clergy's response when confronted with a suicidal member of their church? Are they sufficiently trained to know how to respond?

Fr. RUBEY: If the person is acutely suicidal, unless a clergyperson has professional training in behavioral health, they're really not. I mean, we're talking about someone's life.

ROLLIN: And yet, according to studies, people with severe psychiatric problems will initially seek help not from a mental health professional, but from a clergyman.

Dr. CLARK: They're closer to home. They feel safer with them. They trust them more.

ROLLIN: Can that be dangerous?

Dr. CLARK: Sure, depending on the amount of training they have. If they try to do it solo, with too little training, and they don't realize what they're working with, it can be a kind of ticking time bomb.

ROLLIN: And there is no evidence that people who are religious are less likely than anyone else to suffer from depression or to take their own life.

Dr. RUBEY: Many, many years ago, it was the opinion that people who are attached to organized religion had less of a chance of completing suicide. That's no longer the case. Again, suicide is not about religion. It's not about morality. It's about pain.

ROLLIN: But there is considerable data showing that in countries where one religion -- say, Catholicism or Islam -- is predominant, suicide rates are far lower.

Dr. CLARK: In communities and in states and in countries this works as a trend. State by state, in the United States, too, in those regions where the social fabric is homogenous -- that is, where everybody practices and believes the same religion -- we see lower suicide rates, higher church attendance rates.

ROLLIN: These are communities, Dr. Clark says, where people feel more secure, more knitted to the community, and where they are less likely to feel the kind of alienation that can lead to suicide.

Dr. CLARK: What the public needs to understand, and what the clergy, I think, are becoming more and more familiar with now, is that the typical death by suicide is someone who, three months or four months before they killed themselves, was well and healthy and vigorous. Circumstances pile up, and one of those circumstances is an acute illness. Sometimes suicide is such a compelling solution, such a compelling way out, that it's really all that they can think of to do. And yet we see it in treatment all the time. Had they lived another few weeks, had they responded to medication or therapy, the sun would come out; they'd feel their old selves. Suicide would be the last thing they'd think about.

ROLLIN: Through their grieving, the people who walked those 20 miles through the Chicago night have learned about the dangers of depression. Only in the past 20 years have seminaries begun bringing in mental health professionals to teach about depression and suicidal behavior. For the clergy who can play a crucial role in both prevention and healing, a lot has been learned. But, according to the experts, there is still a long way to go.

For RELIGION & ETHICS NEWSWEEKLY, this is Betty Rollin in Chicago.