graphic data and to maintain registries of deaths by suicide and suicide attempts.
Pathology cores to maintain the repositories for tissue samples from suicide victims.
Statistical cores to manage the databases on risk and protective factors including genetic markers and cultural contexts.
Clinical cores to recruit patients and to ensure their safe and ethical treatment.
Research efforts that encompass both program projects and individual projects. Centers should encourage collaborations across the centers and facilitate the sharing of data maintained by the cores.
In an effort to recruit excellent scientists to research in suicide, supported sites should develop training programs to provide local and distance mentoring, to attract new investigators from a wide variety of disciplines into the field, and to form research and research training partnerships with developed and developing countries.
National monitoring of suicide and suicidality should be improved. Steps toward improvement should include the following:
Funding agencies (including NIMH, NIA, NICHD, NIDA, NIAAA, CDC, SAMHSA, and DVA) should encourage that measures of suicidality (e.g., attempts) be included in all large and/or long-term studies of health behaviors, mental health interventions, and genetic studies of mental disorder. Funding agencies should issue program announcements for supplements to ongoing longitudinal studies to include the collection and analysis of these additional measures.
Suicidal patients should be included in clinical trials when appropriate safeguards are in place.
A national suicide attempt surveillance system should be de-