Double suicide attempt.

A suicide pact is an agreement between two or more people to kill themselves. They represent 0.6-4.0 percent of all suicides, with the vast majority being double suicides. Double suicides are quite rare and are generally seen in old, married couples. We present a double suicide pact involving two young brothers aged 20 and 22 years. Using these two detailed cases and other cases reported in the literature, some general observations on the psychodynamics of suicide pacts are discussed. This is the first study in the literature on a suicide pact made by two brothers.