The suicide risk of psychiatric patients has proven to be strongly increased in the months after discharge from a psychiatric hospital. Despite this high risk, there is a lack of systematic research on the causes of this elevated suicide risk as well as a lack of treatment and intervention for patients at high risk after discharge. The main objective of this pilot study is, firstly, to examine the factors contributing to the elevated suicide risk, and secondly, to investigate whether an additional setting of care starting at discharge may reduce suicidality. In this multi-centre pilot study, treatment, as usual, is complemented by an additional 18-month post-discharge setting of care for psychiatric patients at high risk for suicide. Two groups of patients differing in the amount of post-discharge personal contacts are compared. One group of patients was offered continuous personal contacts after discharge (months 1-6: monthly contacts; months 6-18: every two months) while another group of patients received contacts only at months 6, 12, and 18 after discharge. Data on suicidality, as well as relevant other symptoms, psychopathology, treatment, and important events, were collected. In case of serious health-related events, the setting of care allowed to connect with the doctor or therapist treating the patient. 210 study participants were included in this study. There were no suicides verifiable, in both groups of the study suicide attempts were only singular events. Statistically recorded suicidality showed no significantly different results for both groups of the study and was comparatively low considering the risk of the group in general. Results of suicidality seem to be comparatively low in this study. Certain critical factors raising suicidality are demonstrated and protective aspects of a setting of care with regular personal contacts after discharge are discussed.