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In 2008, national guidelines for suicide prevention in mental health care were published in Norway (1). A milestone in suicide prevention work, these guidelines have, however, been criticised, partly because some mental health professionals believe that suicide risk assessments are not useful and may even be harmful (2, 3). It has also been maintained that it is not possible to predict suicide, even among high-risk individuals (3), and that several studies have demonstrated this (4–7). Claims like these can create uncertainty among clinicians as to what they should do.

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