depression is detected and treated), but it is also well known that some doctors find it is easier to emphasise "somatic" reasons to keep problems connected with the treatment of suicidal patients away from themselves. The problems of countertransference with those patients have been described widely."Like Davis and Kosky we think that it is necessary to investigate hospital records, not only the officially published data, to estimate the incidence of suicide attempters. However, while this can show changes in a particular institution over time, basically it is an institution-centred approach . To some degree such research will reflect the rate of suicide attempts in the catchment area, but it is not the same as the rate in a geographically defined area, as the title of the paper suggests.From our findings in Vienna we conclude that official data cannot be used alone, as has been done by the authors in Perth. (They mention themselves that some of their data now are out of date.) As they could not prove that the registration (and therefore the suggested percentage of missing suicide attempts) in Perth was the same in 1971 and 1986, we think that it is not possible to draw conclusions from those data about changes of rates, or the distribution of age groups or sexes.
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