Young people experiencing suicidality do not always gain access to primary or basic mental health care. An exploratory study by 113 Suicide Prevention examined how professionals make decisions about accepting or referring young people with suicidal thoughts or behavior.

The study found that most professionals are willing to treat young people with suicidal thoughts. However, recent suicide attempts and complex or persistent suicidality are regularly considered reasons not to accept a young person for treatment. The findings also show that decisions vary between individual professionals. Alongside factors such as care setting and type of organization, personal considerations and individual risk assessments often influence whether treatment is offered.

Professionals reported experiencing fear and uncertainty when treating suicidal behavior. According to the researchers, this may contribute to differences in decision-making and access to care.

Key findings

  • Most professionals are willing to treat young people with suicidal thoughts.
  • Recent suicide attempts are frequently considered an exclusion criterion.
  • Complex or persistent suicidality is often a reason not to accept a young person for treatment.
  • Decisions vary between individual professionals.
  • Many professionals experience fear and uncertainty when treating suicidal behavior.

Implications for research and practice

The findings highlight potential barriers to accessing mental health care for young people with suicidality. The researchers point to the importance of training for professionals in primary and basic mental health care, accessible consultation opportunities with specialized services, and collaboration across care networks. Together, these measures may help young people access appropriate support more quickly.

Read the full report: Eindrapportage_Toegankelijke zorg voor jongeren met suïcidaliteit_maart 2026.pdf (in Dutch)

Toolkit for professionals: De Toolkit Suïcidepreventie voor GGZ-professionals | 113 Zelfmoordpreventie