Suicide is a reality in many workplaces. Work may exacerbate the stresses and psychological conditions leading to people thinking of suicide and it can create those stresses. Most workers at risk of suicide show signs of distress, just as all workplaces show signs like near misses, but these signs are often not recognised. Mates in Construction is one program that teaches the recognition of these signs after an increasing suicide rate but Australian farmers are also killing themselves. This reality has generated The Ripple Effect program to, initially, raise awareness of the risks and to de-stigmatise suicide and psychological issues.