This study found that the suicide rate, based on assessment of coroner’s records, was very close to the Central Statistics Office (CSO) rate for Kildare & Ireland. In the 1960s, similar clinical assessment concluded CSO rates underestimated suicide, but the authors of this study conclude the changes in CSO coding procedures have been successful in providing a more accurate rate. However, in excess of these reforms, the suicide rate has doubled in the last 20 years. (VM)