The National Institute of Mental Health estimates that there are between eight and 25 suicide attempts for every completed suicide. The U.S. suicide rate, which remained relatively stable between 1950 and 1990, declined during the past decade. However, it is troubling that there are no national measures of the corollary rate of suicide attempts. Using emergency department admissions for self-inflicted injuries as a partial proxy for suicide attempts, we analyzed data from the National Hospital Ambulatory Medical Care Survey (NHAMCS) from 1992 through 1999 (1). Data on the U.S. suicide rate were obtained from the National Vital Statistics Reports (2). Trend data for both these measures are plotted in F1. Between 1992 and 1999, the number of visits to emergency departments for intentional self-inflicted injuries per 100,000 persons per year more than doubled, from 600 to 1,600 (3). In contrast, over the same period the suicide rate per 100,000 persons per year dropped slightly, from 12 to 10.7. Thus, trends in the U.S. suicide rate and emergency department admissions for self-inflicted injuries have been moving in opposite directions since 1992.