Suicidal ideation was monitored in a 5-year follow-up of a representative s
ample of long-term unemployed Norwegians. Four items from the General Healt
h Questionnaire-28 were used as a Suicidal Ideation Index. which showed a p
revalence of 17% in the present sample of unemployed subjects, higher than
the value of 11% in a sample of Australian students used to construct the I
ndex. Five years later, suicidal ideation was found in 6% of those who had
been re-employed and 22% of those still unemployed, indicating that the hig
h prevalence of suicidal ideation may be due to unemployment. Routine clini
cal examination was also tried for preventive purposes. Tn total, 8% of the
unemployed subjects showed clinically significant suicidal ideation. They
were referred to a psychologist or their GP, and were given the standard ad
vice about suicide prevention. A Resource Centre, which many employees at.
the Labour Office have missed, has now been set up in the area under the Na
tional Plan for Suicide Prevention.