The basic set by Mariana Sanchez is a huge space that suggests a vast hospital area, where we watch confrontations and actions. Characters in various areas often talk simultaneously, and occasionally in sync with the same words. These are competitive grabs for our attention, which create confusion, compounded by cast members playing multiple parts. What’s more, three different generations are expressed on stage at the same time, represented by a mother, her daughter and her daughter.

The title is misleading, as there are two suicides, one woman reportedly run over by a train, the other woman electrocuting herself in a bathtub. Perhaps Birch is trying to show suicidal unity via a tendency that runs in the family.

We start with meeting Carol (Carla Gugino), who has slit her wrists but insists to her upset husband John (Richard Topol) that it was an accident. As we follow Carol’s trajectory, we see her pregnant and later terrified that when her baby is taken to be weighed she will not get the infant back.

Anna (Celeste Arias), presumably Carol’s grown daughter, is also a psychological mess unable to come to terms with herself and spewing a long monologue at the audience expressing the inner turmoil. Later we see her getting electroshock treatments.

Bonnie (Gabb Beans) is the next generation. She is a doctor and an impressionable patient played intriguingly by Jo Mei becomes infatuated with her and tries to establish a relationship.

This all poses quite a job for director Lileana Blain-Cruz to pull everything together, but she has good cast members with whom to work and they plunge into the odd story with skill. Others in the cast include Jason Babinsky, Ava Briglia, Julian Elijah Martinez, Vince Nappo and Miriam Silverman. Jiyoun Chang provides crucial lighting effects.