The risk of suicide in patients treated in psychiatric hospitals is many times higher than in the general population. To effectively prevent suicides and suicide attempts, it is important to collect data on these occurrences. The Werner-Felber-Institute e. V. has been collecting inpatient suicides and attempted suicides centrally in Germany and German-speaking countries since 2019. Here, an overview of the current data will be given and risk factors for suicides and suicide attempts will be discussed. Data includes suicides and suicide attempts from 2019 to 2023. Because this is a permanent survey, the number of participating psychiatric hospitals grows steadily over the term; ending 2023 at 121 clinics. Participation is voluntary. The questionnaire was developed based on the questionnaire of the working group „Suizidalität und Psychiatrisches Krankenhaus“ and qualified by further experts. Inpatient suicides and suicide attempts are recorded - suicidal gestures and intentional self-harm are excluded. The questionnaire can be completed online via the SoSci Survey portal. The annual evaluation will be made available to participating psychiatric hospitals; in addition, suicidological research projects can request the data. For the years 2019 to 2023, 560 suicides and 667 suicide attempts were entered. As risk factors from this data set can be shown, for example, male gender, clusters in the diagnostic groups of affective and delusional disorders. In almost all cases, the burden of mental illness is mentioned as the motive. It is striking that many variables differ when suicides and suicide attempts are considered separately - e.g., in methods and location (suicides occur more frequently outside the hospital premises; the most common methods for suicides are hanging, lying before moving object, and jumping from a high place; for suicide attempts, intoxication, strangulation, and sharp/blunt objects). It is also apparent that documentation of suicidality is often not done systematically in hospitals. There is also often little knowledge about previous suicide attempts. In most cases, the documented risk factors for inpatient suicides and suicide attempts are consistent with previous research findings. The collected information gaps in the recording of inpatient suicides are problematic, as they form an important basis for internal prevention concepts. The centralized collection of data is also very valuable for identifying general trends and patterns and for creating prevention concepts that are relevant to practice.