This is not just a matter for statutory health care agencies – we must all change. The study points out that there has been a fourfold increase in the suicide rate in Ireland since 1990 and that psychiatric disorders, usually depression and/or an intoxicant problem such as the abuse of drugs or alcohol, are present in 90% of suicide cases. The organisation suggests a dual approach –interventions focusing on those at high risk and, in conjunction, a long-term strategy aimed at public attitudes to suicide and its causes. This would include schools, the media and all agencies – society as a whole – to enhance coping skills and the approaches people take to the crises of everyday life. The organisation believes a broad involvement of individuals throughout society is required for a long-term strategy.