People, please stop tagging every study on Slashdot with correlationisnotcausation. I know it's standard here to believe this community is somehow more enlightened than all others, but do you really think that researchers became researchers without being able to ask simple questions? In fact, in an idealized study, it's not even a relevant question!
Moreover, this moronic practice is especially stupid for this story because the neurological effects of lithium salts have been explored for decades. This is not a revolutionary study by any means. So unless years and years of studies have gone horribly wrong, then yes, in this case, correlation does, in fact, imply causation.
Actually, that's incorrect and reinforces that the correlationisnotcausation tag should still be used for these articles, because obviously even us intelligent Slashdotters can get confused!
While one might be able to say that lithium causes decreased suicides based on other data from other studies, one cannot infer from this study that the low lithium levels in the water (which would presumably not cause lithium blood levels in the range currently targeted for therapy) are what's responsible for the decreased rates. One can only claim correlation.
This is due to the possibility of confounding variables (for example, do wealthier neighborhoods tend to have more pure drinking water?).
Even if you control for all the factors that you know about that could cause such misinterpretation of the data, there is still a very real possibility of an unknown confounder (e.g., could there be another substance in the water that tends to track with lithium levels, and could it be that other substance that is the suicide-protective agent?)
"I say we take off; nuke the site from orbit. It's the only way to be sure." - Corporal Hicks, in "Aliens"