Most cases of suicide (81%-95%) in the general population involve psychiatric illnesses, nearly half of which (48.5%) are mood disorders. Internationally, the overall average suicide rate has been rising gradually over the past half-century, with increases reported in about half of nations, mainly among men, and moderate decreases found in another half, including in Northern Europe and North America. This book reviews whether the use of antidepressants is associated with benefits in terms of completed or attempted suicide, whether the increasing use of SSRIs is associated with benefits in terms of decreased rates of suicide with the aim of generating evidence-based suggestions for clinicians.

The main purpose of this book is to provide the first comprehensive analysis of suicide in psychiatric patients. 95 per cent of those who commit suicide had a psychiatric disorder and yet suicide is rarely investigated in psychiatric patients. The book provides a relevant contribution to the prediction and prevention of suicide. This is a first book devoted to the subject with comprehensive chapters, including epidemiology, risk factors, preventive strategies and available treatments.

Why an entire volume on suicide in schizophrenia? It would appear that international literature already provides enough information in this field. Also, the daily growing number of papers on suicide among schizophrenic are certainly a more updated source of information may contribute to the reduction of deaths by suicide among these patients. Yet, as in the case of suicide as a whole, this progress of knowledge does not match with reduction of suicide rates, let alone reduction of suicide rates among people with schizophrenia. Maybe a summary, an overview that cannot be achieved with a simple Medline search may help those who are involved and those who should be involved in the prevention of self-killing of schizophrenic patients. This book, therefore, reports essays of some of the opinion leaders in the field with the aim to shed light to such overwhelming phenomenon.