Table 1 Inclusion and exclusion criteria

• ≥ 18 years old

• Admitted via the Emergency Unit after a medically serious suicide attempt (MSSA)

• Need of hospital admission ≥ 48 h

• Definition of MSSA: at least 1 of the following:

✓ Need of specialized medical care unit

✓ Need of surgery (superficial cuts excluded)

✓ Medical treatment beyond basic gastric lavage, activated charcoal and/or basic neurological assessment

✓ Highly lethal suicide methods with a high risk of fatality, especially hanging or gunshot who were hospitalized for ≥ 48 h, but did not meet the preceding criteria

• Informed consent

• Current moderate/severe cognitive impairment

• Current severe psychomotor agitation

• Patients admitted to the hospital for other reasons (not for a suicide attempt)

• Refusal to sign informed consent