Psychiatrists' Perceptions of the Role of Journalists in Suicide Reporting and Prejudices about Mental Illnesses in Portugal

International studies and the World Health Organization call for collaboration between media and mental health professionals to reduce the risk of imitative suicidal behaviour after suicide reporting - known as the Werther effect - and encourage individuals at risk to seek help. This study explores Portuguese psychiatrists' perceptions of the practices of journalists, their interaction with those professionals, and their perspectives on the national suicide coverage through an anonymous online questionnaire and ten semi-structured interviews. The questionnaire received 128 responses. Only about 24% of the Portuguese psychiatrists characterized their relationship with journalists as cooperative, and most of them considered suicide reporting to be sensationalist and irresponsible. More than 80% of the participants expressed the view that journalists do not know the guidelines for responsible suicide reporting, but more than 95% considered that they can contribute to suicide prevention. These findings suggest that there is a long way to go to build a constructive partnership for suicide prevention between psychiatrists and journalists in Portugal, focused on improving the quality of suicide reporting. We hope this study may inspire similar studies in other countries, since suicide is an international public health problem and collaboration between media and mental health professionals can help to prevent it on a global scale.