Sanders makes a substantial contribution to conversations around LGBTQ people and pastoral care. This book grows out of a research study he completed in which he interviewed nine LGBTQ individuals “for whom life at one time or another came to seem unlivable" (p. 6). Sanders writes that many of his participants "voiced a desire to help churches to become safer, more life-giving places for LGBTQ people" (p. 29). The book focuses on bringing the narratives of these nine participants “into conversation with the literature of philosophy, theology, psychology, and varied other disciplines.” Sanders covers a lot of terrain in helping his communities understand why LGBTQ people consider or attempt suicide. A necessary resource for scholars of religion, divinity students, and students of social work, this book will help those working in pastoral or social contexts better support and affirm the lives of LGBTQ people. Highly recommended. Graduate students, researchers, faculty, and professionals.