Introduction: Mental Health professionals play a key role in preventing suicide among patients.Their attitudes towards suicide and suicidal behaviour may affect treatment of suicidal patients.Background: Attitudes toward suicide may vary according to culture and suicidal rates.The Russian suicide rates are higher than the Norwegian.Previous studies show that attitudes vary between professional groups.Aims: To compare attitudes towards suicide and suicidal behaviour in Stavropol, North Caucasus, Russia and Oslo, Norway among mental health professionals working in Psychiatric Outpatient clinics and at the Child and Adolescent Outpatient units.Further, we wanted to compare opinions about treatment, experience with suicide attempt and suicide among own patients; self perceived competence and need for more education in Suicidology.Methods: A Questionnaire including The Questionnaire Attitude towards Suicide (ATTS) with 37 items scored on a five point scale (1=I totally disagree, 5=I totally agree,) was used.The response rate was 77% in Oslo (n=229, 46% psychologists, 14% physicians) and 94% in Stavropol (n=103, 66% psychologists, 14% physicians).Analyses of variance ANOVA and chi-square were used.Results: As shown in the table, there are some differences between the attitudes in Norway and Russia.The mental health professionals in Russia were more likely to accept suicide as a mean of shortening untreatable suffering.The Norwegians had experienced more suicidal behaviour among their own patients.The Russian psychologists had least confidence in the usefulness of pharmacological therapy.Some responses to the questionnaire PN =psychologists Norway, MDN =Physicians Norway PR =Psychologists Russia, MDR=Physicians Russia Attitudes (ATTS) Suicide is an acceptable means to terminate an incurable, disorder: PN 2.8, MDN 2.1, PR 3.3, MDR 3.2 p<0.001 I would consider the possibility of taking my life if I were to suffer from a server, incurable, disease: PN 2.7, MDN 2.0, PR 3.1, MDR 3.1 p<0.001 If someone wants to commit Suicide it is their business and we should not interfere: PN 1.5, MDN 1.4, PR 2.1, MDR 2.0 p<0.001 Assessment of effects of treatment Electroconvulsive therapy: PN 2.4, MDN 2.7, PR 1.2, MDR 1.5 p<0.001 Pharmacological therapy: PN 3.5, MDN 3.7, PR 2.9, MDR 4.6 p<0.001 Experienced Suicide attempts among own patients: PN 73 %, MD N 84 %, PR 49 %, MD R 64 % p=0.025 Suicide among own patients: PN 14 %, MD N 36 %, PR 11%, MD R 29 % p=0.013 Competence Participated in courses: PN 78%, MD N 77%, PR 18%, MD R 7% p<0.001 Need of further education: PN 73%, MDN 67 %, PR 82 %, MDR 71% p=0.411 Interest in suicidology: PN 3.7, MDN 4.0, PR 3.2 MDR 3.0.p<0.001 Conclusion: There are differences in attitudes between Norwegian and Russian mental health professionals, mainly on euthanasia.The Norwegian mental health professionals reported to have more patients with suicidal behaviour than the Russian.There is a need for more education in suicidology in both countries.