Analysis of Motives and Factors Connected to Suicidal Behavior in Patients Hospitalized in a Psychiatric Department

Round 1

Reviewer 1 Report

Please, see attached file

Comments for author File: Comments.pdf

Author Response

Please, see the attachment.

Author Response File: Author Response.doc

Reviewer 2 Report

Suicide behavior: An emerging public health challenge - analysis of motives of suicidal behavior in patients hospitalized in a psychiatric clinic

This is an important contribution with relevant implications to suicide prevention among psychiatric patients. Nevertheless, I believe the following changes would improve the overall quality of the article:

1. Please provide definitions of suicide / suicidal behavior / suicide intention / suicide ideation / suicide attempt, and how these different definitions may results in limitations of previous research when trying to systematize the epidemiology of suicide behavior, including how it’s measured.
2. Please provide more detailed information regarding the objectives of the research.
3. How many participants were under 15? Who gave them permission to participate in this study?
4. Please include a procedures sub-topic explaining how data were collected.
5. Please include information regarding the Consolidated criteria for reporting qualitative research (COREQ)’s checklist.
6. Please include examples of categories, items or questions asked.
7. C-SSRS is a validated and reliable instrument for US but no validated version was used for Slovakian participants? If not, authors must present reliability data for this instrument.
8. “We carried out a qualitative data analysis of subjects' statements for 81 investigating the reasons behind suicidal behavior in a group of patients with suicide at- 82 tempt (SA) and patients with Non-Suicidal Self-Injurious Behavior (NSSIB)” – I didn’t see any qualitative results nor any examples of statement from participants to elucidate. Please include them.
9. Table 1 – please include SD for age variable.
10. How was childhood adversity measured? Please clarify.
11. Please include a limitations section.
12. Please include an implications section, especially focusing on the prevention and intervention from a public mental health perspective.

Best wishes.

Author Response

Please, see the attachment.

Author Response File: Author Response.doc

Round 2

Reviewer 1 Report

I would like to thank the authors for the effort made to address my comments. They have answered to all my questions and concerns, and I think that the paper can now be accepted. 

Reviewer 2 Report

Thank you for implementing the requested changes, they have improved the overall quality of the article.