Is it time to abandon the utopia of a world without suicides?

Abstract

This analysis critically examines the Zero Suicide initiative, exploring its foundations, limitations, and challenges in suicide prediction and prevention. It discusses the complexities of suicidal behavior, including the prevalence of fatal first attempts and the impulsive nature of many suicidal acts. The study evaluates the limitations of current risk assessment tools and presents the recommendations of the NICE guidelines, which advocate for an approach focused on individual needs rather than risk stratification. It concludes by proposing a paradigm shift towards a more realistic and holistic risk management in suicide prevention.