A hemispheric commitment to mental health: from declaration to measurable results

We read with interest The Lancet Regional Health – Americas Editorial on suicide prevention.1 The recently adopted Hemispheric Declaration on Improving Mental Health in the Americas through Intersectoral and Whole-of-Government Action by the Organization of American States2 represents the highest level of hemispheric political commitment to mental health since the Caracas Declaration of 1990, which transformed the regional vision of mental health care by promoting community-based services and the protection of human rights.