Abstract
Because of a dearth of randomised controlled trials demonstrating the efficacy of suicide prevention programs, some commentators have been pessimistic about our ability to influence suicidal behavior. However, such research methodology is probably not achievable because of the low base rate of suicide. Nevertheless, an examination of interventions using alternative research methodologies provides persuasive evidence of the effectiveness of a number of different management approaches. Far from being pessimistic about research into suicide prevention, the present review suggests that by introducing a number of these interventions we can be optimistic that the unacceptable rate of suicide world wide can be reduced.