Suicidal behaviour in Barbados has increased both in terms of attempted suicide and completed suicide. Suicide attempters are still predominantly the woman in late adolescence and early childhood. Tablet taking is still the most common method used, but there is an increased use of poisonous liquids. Early discharge from the inpatient service and the poor attendance at the outpatient clinics are areas of great concern. Sugggestions are made to improve patient care.