Suicide is a global concern, hence, cross-cultural research ought to be important; yet, there is a paucity of cross-cultural study in suicidology. This study sought to investigate suicide notes drawn from India and the United States, as these countries have similar suicide rates but markedly different cultures. A thematic or theoretical-conceptual analysis of 72 suicide notes drawn from these countries, matched for age and gender, was undertaken, based on Leenaars' (1996) multidimensional model of suicide. The results suggested that there were more commonalities than differences; yet, not consistent with previous cross-cultural studies of suicide notes, Indian notes expressed more indirect expression including veiled aggression, or aggression turned inward, and unconscious dynamics. It was concluded that the model may be applicable to suicide in both countries, but also much greater study in India is warranted on collectivism and dissembling as a suicide risk factor.