Germans have gathered in Magdeburg to mourn the victims of a car-ramming attack in the eastern city that killed at least five people and injured 200.

Authorities said a doctor drove into the busy outdoor Christmas market on Friday evening, killing four adults and a nine-year-old child, and wounding 41 people badly enough that the death toll could rise.

Church bells rang out in the city at 7:04pm (18:04 GMT) on Saturday, the exact time of the attack the evening prior.

A memorial service took place in the city’s cathedral, intended mainly for relatives of the victims, as well as emergency responders and invited guests, including German President Frank-Walter Steinmeier.

Those who were not allowed to attend the service gathered outside the church to watch it on a large screen.Several hundred people also gathered on the city’s central square, some laying flowers and lighting candles.

It led several other places in Germany to cancel their weekend Christmas markets as a precaution and out of solidarity with Magdeburg’s loss.Berlin kept its many markets open but increased its police presence at them.

The suspect is a 50-year-old immigrant from Saudi Arabia who described himself as an Islam-critical activist and who surrendered to police at the scene.The suspect is being investigated for five counts of suspected murder and 205 counts of suspected attempted murder, prosecutor Horst Walter Nopens said at a news conference.