thoughts According to the World Health Organization, 873,000 people die by suicide every year. This high incidence of suicide has changed very little over the last century. Intentional, nonfatal, self-inflicted injury includes both suicide attempts and acts without suicidal intent, and its rate is also very highestimated at about 300 persons per 100,000 population per year for all types of self-inflicted injuries (see Favazza, 1987; Walsh