Conclusions

Attempted suicide/deliberate self-harm are major problems in many contemporary societies. They seem to reflect the degree of powerlessness and hopelessness of young people with low education, low income, unemployment, and difficulties in coping with life stress. As such, non-fatal suicidal behaviour should be a major concern for politicians. There are substantial differences between communities in the prevalence of attempted suicide. This suggests that some communities better meet the needs of their underprivileged youngsters than others do, but we barely understand the differences between communities and nations. Preventive action therefore is difficult to design. There is a need for a better nationwide continuous registration of attempted suicide and related socio-economic conditions. There is also a need for better mental health care management of suicide attempters, and for experimental studies on the prevention of repetition. Although we know that persons with suicide attempts are at high risk for future fatal and non-fatal suicidal behaviour, we still need to develop better means to help them.

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