Int. J. Environ. Res. Public Health 2012, 9 125 Figure 1. PRISMA 2009 flow diagram—Identification, screening, eligibility assessment, and inclusion of the articles. n o i t a c i f i t n e d I g n i n e e r c S y t i l i b i g i l E d e d u l c n I Records identified through database searching (n = 1,180) Records after duplicates removed (n = 981) Records screened and assessed for eligibility (n = 899) Full-text articles assessed for eligibility (n = 81) Studies included in qualitative synthesis (n = 56) Records excluded (n = 82) Non-English articles Records excluded (n = 818) Eligibility criteria not fulfilled Full-text articles excluded (n = 25) Eligibility criteria not fulfilled At the first stage of the screening all non-English articles were excluded (n = 82). Thereafter, all publications were screened based on the title and abstract in order to assess the relevance of the subject and eligibility. The rationale behind defining the eligibility criteria was that the influence of fictional suicide stories presented in the media has been found more controversial than the influence of non-fictional stories [19] and that purely descriptive research is unable to provide evidence about the real effect of media reporting on actual suicidal behaviours. Thus, the eligibility criteria for the inclusion were: (1) the article is a research article, a meta-analysis or a systematic review (letters, communications, descriptions of research trends and resources were excluded), (2) the research material is based on non-fictional media portrayal of suicidal behaviours, (3) the analysis of media