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Starting with a clinical and projective analysis of the reasoning of nine suicidal subjects who have made multiple attempts on their lives, we study the dynamic and economic underpinnings of suicidal repetition during adolescence. Discussing the hypothesis of a failure in the fantasmatic elaboration of aggressive instinctual drive movements, in relation to the specific and persistent difficulties encountered in treating loss, we differentiate between processes of “reactional” and “compulsive” suicidal repetition. The “reactional” processes are part of the traumatic resonance of external losses after the event, or in conjunction with pre-morbid internal reality. In this way, they determine these random repetitions. The “compulsive” processes stem from a depressive pain that cannot be elaborated and which fuels a continuous current of destructive instinctual demands. The masochistic/melancholic reversal constitutes the main path of deviation. As a result, an autonomous cycle of suicidal repetition is established that is likely to increase in frequency as a function of an instinctive defusion and a correlative disobjectalization.