Table 1 Results of content analysis of interviews with psychiatrists on the Vision Zero for Suicide

- Reach for the stars

Benefits in healthcare

Benefits of the VZ

- Increased awareness of suicidality in healthcare

- A good way of supplying resources to suicide prevention

- A positive signal from the authorities

- Decreased shame and increased empathy for suicidal persons

Benefits for the general public

- Increased public awareness of suicide

- Insufficient medical knowledge to treat and prognosticate

Insufficient knowledge

The VZ is unachievable

- Insufficient knowledge for predicting suicide

- Insufficient resources to prevent all suicides

Insufficient resources

- Insufficient legal means for compulsory care

Limitations of compulsory care

- Compulsory care is sometimes counterproductive

- Misdirected focus at the expense of appropriate measures

Wrong focus

The VZ is nonconstructive

- Threat of suicide as an instrument of power

- Decreased inclination to seek help or share problems

- The VZ supports an unjustified difference between psychiatry and somatic care

Negative consequences for psychiatry

- The VZ may have a deterring effect on physicians

- The VZ may amplify contradictory tasks

- The VZ may augment the anxiety among personnel

- The VZ may contribute to false views of psychiatric illness among the public

Wrong message

- The VZ may contribute to false hopes on healthcare among the public

- The VZ contributes to medicalization of normal psychology

- Thoughts and plans of suicide as comfort and hope

- Conflicting values with regard to the patient

Some suicides should not be prevented because the moral cost is too high

The VZ is not desirable

- Conflicting values with regard to others

- Rational suicide

Certain rational suicides should not be prevented

- Assisted suicide