The purpose of this study was to investigate the attitudes towards att
empted suicide patients among registered nurses involved in the somati
c care of such patients, and to compare them with those of psychiatric
nurses. The attitudes were measured on a neu lv constructed scale, th
e Understanding of Suicide Attempt Patients Scale (USP-Scale), and thr
ee brief clinical vignettes with the answer format of a visual analogu
e scale (VAS). The nurses working within the psychiatric services were
more understanding and more willing to nurse suicide attempt patients
than nurses in somatic disciplines. Among all the nurses, older perso
nnel were more favourably disposed than the younger, and more frequent
contact with suicide-prone patients was related to more positive atti
tudes. The perceived need for further training in suicidology was sign
ificantly stronger among the nurses in the general hospitals. This sug
gests that their 'negative attitudes' may to some extent be a result o
f lack of knowledge and uncertainty rather than a hostile attitude. Th
e nurse has a responsibility to create a positive climate in the patie
nt's encounter with the health services. Knowledge and understanding a
re needed to enable the nurse to provide professional care for a diffi
cult and challenging patient group.