In a data set of 915 liver transplant recipients covering a 20–year time period, four individuals (.4%) were confirmed to have overtly committed suicide. The four patients were Caucasian males. None had expressed suicidal ideation to a transplant team social worker. One of the suicide patients had evinced symptoms of negative emotionality. All were experiencing deteriorating health status at the time of the completed suicide, findings that are specified for each patient. It is unknown how many other deceased transplant patients in this data set may have died volitionally from a more passive means such as non–compliance to medical regimens. Implications for prevention of suicide in liver transplant recipients are discussed.