During a 15-month period, there were seven suicides among patients who were
in active treatment or who had been seen recently by providers in the Depa
rtment of Psychiatry of Tripler Army Medical Center, Honolulu, Hawaii. As a
result, a Suicide Prevention Advisory Group was formed to identify possibl
e causes and make recommendations aimed at improving the identification and
treatment of suicidal patients. The group made 11 specific recommendations
. No known suicides occurred during the 22 months after the implementation
of the Suicide Prevention Advisory Group's recommendations.