mortality indicators such as suicide and premature mortality provide important information on mental health status and the interplay of mental and physical health but more specific indicators are necessary to reflect the quality of mental health care measuring and improving the quality of mental health care is a key challenge not least given the need to capture complex care pathways and encompass a range of outcomes numerous ongoing and completed projects seek to measure and benchmark the quality and outcomes of mental health care at an international level in spite of the many challenges faced by such endeavors