PURPOSE
To report on healthcare staff's views of the barriers to preventing suicide and self-harm.

DESIGN AND METHODS
Using a qualitative approach, data were collected through "World Café" discussion forums and written submissions, and analyzed using reflexive thematic analysis.

FINDINGS
Healthcare staff, including psychiatric nurses, perceived that a whole of society approach was needed for suicide and self-harm prevention. Support for those at the front line is needed as well as clear referral pathways and interagency working.

PRACTICE IMPLICATIONS
Formalized support for staff working in healthcare should be given with a flexible and inclusive approach to service delivery adopted.