Konstantinos Fountoulakis and colleagues (March 17, p 1001)1 state that there is no evidence of a causal link between the economic crisis and suicide in Greece. Although only a cohort study would enable causal inferences, converging evidence from different sources points towards a similar direction: efforts should be focused on prevention of suicides.2, 3

In a previous Correspondence letter2 we noted a 36% increase, albeit non-significant, in the proportion of people reporting attempted suicide between 2009 and 2011. Yet as Fountoulakis and colleagues