The increased use of pharmacological treatments for psychiatric diseases over the previous decade has had limited effect on decreasing the overall rates of attempted and completed suicides.1 There is a pressing public health need to revisit existing strategies and notably to promote preventive action specifically directed toward those most at risk for suicide. To achieve this goal, suicide prevention strategies require the identification of at risk individuals, and the development of specific and targeted interventions for those individuals, independently of any coexisting psychiatric diagnoses.