The soon-to-be-published APA Guideline for the Management of Suicidal Behavior (see page 15) states the following about prediction: "We may know the risk factors, but knowledge of the risk factors will not permit the psychiatrist to predict when or if a specific patient will die by suicide." And in terms of a contract, it states, "The suicide-prevention contract, or ‘no-harm contract,’ is commonly used in clinical practice but should not be considered a substitute for a careful clinical assessment. A patient’s willingness (or reluctance) to enter into a verbal or written suicide-prevention contract should not be viewed as an absolute indicator of suitability for discharge. In addition, such contracts are not recommended for use with patients who are agitated, psychotic, impulsive, or under the influence of an intoxicating substance. Furthermore, since suicide-prevention contracts are dependent upon an established physician-patient relationship, they are not recommended for use in emergency settings or with newly admitted or unknown inpatients."