I was talking to a medical student recently who said he didn't want to do a residency in NYC because "everyone there kills themselves." I think that's a little dramatic, although I do recall several years ago there was a rash of suicides in residents.
I just read an excellent article on physician suicide. What's sad is that if a physician really was feeling suicidal, I guarantee there's no way they could seek counseling quickly that wouldn't jeopardize their career and confidentiality--the only effective way would be to threaten suicide, which would take them to the ER and give them a record of suicidal behavior.... a fate many proud physicians would consider worse than death.
I'm going to take a step further and say mental health treatment in this country is really bad. This is not a jab at mental health professionals, who are probably fine individually.... just saying there aren't enough of them. The system is bad. If someone is feeling depressed or suicidal, they can call their local behavioral health center and maybe get an appointment in a month or two. Hopefully they're alive by then.
I had a few really down periods during my medical training, so I can speak to all this from experience. There were no mental health services available. At one point, when I was having a really hard time, I called some student health hotline, and the person told me that this wasn't the purpose of the line. I asked where I could go, and they said such a service didn't exist at the school. They talked to me a little, but it was clear that they were just doing it to be a good human being, and not because it was their job or something they were trained in.
So.... I guess the takeaway is don't get depressed because if you do, you're shit out of luck.