The aim of this paper was to assess the level of agreement between clinical estimates of suicidal intent based entirely on information recorded in the Accident & Emergency acute assessment & Beck’s Suicide Intent Scale (SIS) scores. Statistical comparison was made between the results of 79 cases of deliberate self-harm that had fully completed Beck’s SIS & the clinical estimate of suicide intent. The agreement & concordance between the two ratings were statistically significant, but both were low. Implications are discussed. (7 refs)