In hindsight, it can seem obvious, but at the time, doctors and relatives rarely have much more than intuition to go on. Now a blood test could help doctors identify those most at risk. The idea marks a shift in diagnostic approaches to mental health, and has drawn criticism from some psychiatrists. Nearly a million people worldwide take their own lives each year. Prevention efforts have done little to curb suicide rates in most countries, in part because it is often so difficult to tell if someone is planning to do it. Chemicals in the blood may provide a much-needed clue. Alexander Niculescu of Indiana University in Indianapolis and his colleagues have developed a questionnaire and blood test that together prethcted with 92 percent accuracywho among a group of io8 men receiving psychiatric treatment would develop suicidal feelings over the next year
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