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Theoretical Background: The Attempted Suicide Short Intervention Program ASSIP is based on an understanding of suicide in the context of goal-directed action systems, in contrast to a concept of suicide as a mere symptom of psychiatric pathology.Methods: This short intervention program consists of 3 sessions, a personalized crisis card, and regular standardized letters over 2 years.The intervention starts with a narrative interview carried out by a trained interviewer, followed by a video-playback session with subsequent reconstruction of the patients narrative and identification of the main life-career issues expressed by the patient in connection with the suicide attempt.A written formulation of the analysis and individual behavioural strategies is handed to the patient, the therapist and, if applicable, to the GP.For reasons of evaluation patients are randomly assigned to the intervention group ASSIP or a control group.Clinical and psychosocial parameters of both groups are regularly measured over a follow up time period of two years.Results: First data of a two year follow up time period will be presented.The current study started in January 2009.Currently, 121 patients are included in the study and followed up.Primary outcome measures are repetition of attempted suicide, completed suicide, and secondary outcome measures such as suicidal ideation, hopelessness, social support, and contact with the mental health system.Discussion: ASSIP is based on the assumption that even a short intervention, if it is relevant to the patient, may provide an "anchoring" (secure base) which may be protective in future suicidal crisis.The comparison of this form of intervention with the control group will indicate if ASSIP is effective.Some of the problems associated with a long-term follow-up of suicide attempters will be discussed.