National Action Alliance for Suicide Prevention

www.ZeroAttempts.org
 

Action Alliance Launches National Strategy for Suicide Prevention NEW
Health Care Systems
About Zero Suicide
What is Zero Suicide?
Essential Elements of Suicide Care
Role of the Action Alliance
National Strategy for Suicide Prevention
Goals & Objectives
Strategy - reduce the annual suicide rate 20 percent by 2025
Suicide Safe App
Resources
 

National Strategy for Suicide Prevention

"Reducing the number of suicides requires the engagement and commitment of people in many sectors in and outside of government, including public health, mental health, health care, the Armed Forces, business, entertainment, media, and education." - Former U.S. Surgeon General Regina Benjamin, Preface from the Surgeon General, National Strategy for Suicide Prevention

The National Strategy for Suicide Prevention (National Strategy) is a call to action intended to guide the nation’s suicide prevention efforts. Released by the U.S. Surgeon General and the Action Alliance, the National Strategy presents 13 goals and 60 objectives for suicide prevention and describes the role that each of us can play in preventing suicide and reducing its impact on individuals, families, and communities.

Role of the Action Alliance

The Action Alliance is dedicated to advancing the National Strategy, updated in 2012 with support from the National Strategy Revision/Update Task Force.

Three Priorities: To achieve the greatest impact on reducing suicide in the nation, the Action Alliance is currently supporting work on three priorities areas: transforming health systems, transforming communities, and changing the conversation about suicide. These priorities were identified by the Action Alliance’s Impact Group as having the greatest potential to produce the systems-level change necessary to substantially lower the number of suicides in our nation and help to further advance the goals and objectives of the National Strategy.

Areas of Ongoing Focus: In addition to these three priorities, the Action Alliance continues to further progress in other areas critical to advancing the National Strategy: high-impact suicide prevention research, data and surveillance, access to lethal means, and lived experience.

Assessing Progress: The Action Alliance monitors the implementation of the National Strategy and progress towards the achievement of its goals and objectives. Released in 2017 by the Impact Group, the National Strategy for Suicide Prevention Implementation Assessment Report describes progress achieved to date and offers recommendations for future action. The addendum (49 page PDF) to this report describes activities conducted by several federal agencies in support of National Strategy goals and objectives.

Related Resources

Revised National Strategy for Suicide Prevention (2012) NEW

The revised National Strategy for Suicide Prevention emphasizes the role every American can play in preventing suicide.

National Strategy for Suicide Prevention Implementation Assessment Report Addendum: Federal Crosswalk NEW

This federal crosswalk includes information from three federal departments on their activities related to suicide prevention:

Action Alliance Launches National Strategy for Suicide Prevention NEW

Strategy outlines priorities and goal to save 20,000 lives in five years.
Source: theactionalliance.org/our-strategy/national-strategy-suicide-prevention

Health Care Systems


A key element of suicide prevention is ensuring that people at risk for suicide receive the most effective and appropriate care. The Action Alliance is helping to transform suicide care through its Zero Suicide initiative and other efforts addressing workforce training, financing, crisis services, and standard suicide care.

"Over the decades, individual [mental health] clinicians have made heroic efforts to save lives…but systems of care have done very little." - Dr. Richard McKeon, Chief, Suicide Prevention Branch, U.S. Substance Abuse and Mental Health Services Administration

The Action Alliance is committed to improving suicide care in health systems across the nation. We do so by supporting efforts in the public and private sector

to scale up implementation of the Action Alliance's Zero Suicide.

About Zero Suicide


"Suicide represents a worst case failure in mental health care. We must work to make it a 'never event' in our programs and systems of care." - Dr. Mike Hogan, New York State Office of Mental Health

Clinical care plays a central role in the prevention, identification, and treatment of suicide risk. And yet, the care provided in clinical settings can often be fragmented, allowing people at risk for suicide to “fall through the cracks,” thereby failing to receive needed care.

In 2011, the Action Alliance formed a Clinical Care and Intervention Task Force, composed of leaders in suicide care, to identify ways to improve the quality of care for suicide risk in health care setting and systems. The result of their work was Suicide Care in Systems Framework, a report that established the framework for the Zero Suicide initiative.

Zero Suicide applies a quality improvement and safety framework to suicide care throughout the health system. Launched in 2012, the initiative promotes the adoption of “zero suicides” as an organizing goal for health care systems and seeks to transform suicide care through changes in leadership, policies, practices, and outcome measurement.

Zero Suicide implementation efforts are now led by EDC’s Zero Suicide Institute.

What is Zero Suicide?


The Zero Suicide framework is a system-wide, organizational commitment to safer suicide care in health and behavioral health care systems. The framework is based on the realization that suicidal individuals often fall through the cracks in a sometimes fragmented and distracted health care system. A systematic approach to quality improvement in these settings is both available and necessary.

Inspired by health care systems that had seen dramatic reductions in patient suicide, Zero Suicide began as a key concept of the 2012 National Strategy for Suicide Prevention, and quickly became a priority of National Action Alliance for Suicide Prevention (Action Alliance), and a project of Education Development Center's Suicide Prevention Resource Center (SPRC), supported by the Substance Abuse and Mental Health Services Administration (SAMHSA).

For health care systems, this approach represents a commitment:

  • To patient safety, the most fundamental responsibility of health care
  • To the safety and support of clinical staff, who do the demanding work of treating and supporting suicidal patients

Zero Suicide implementation requires transformative change that cannot be borne solely by the practitioners providing clinical care. Zero Suicide requires a system-wide approach to improve outcomes and close gaps.

Essential Elements of Suicide Care

After researching successful approaches to suicide reduction, the Action Alliance’s Clinical Care and Intervention Task Force identified seven essential elements of suicide care for health and behavioral health care systems to adopt:

  • Lead system-wide culture change committed to reducing suicides
  • Train a competent, confident, and caring workforce
  • Identify individuals with suicide risk via comprehensive screening and assessment
  • Engage all individuals at-risk of suicide using a suicide care management plan
  • Treat suicidal thoughts and behaviors using evidence-based treatments
  • Transition individuals through care with warm hand-offs and supportive contacts
  • Improve policies and procedures through continuous quality improvement

Zero Suicide is a call to relentlessly pursue a reduction in suicide and improve the care for those who seek help
Source: zerosuicide.edc.org/about

Related Resources

Zero Suicide in Health and Behavioral Health Care

This website provides a specific set of tools and strategies to improve care and outcomes for individuals at risk of suicide in health care systems.

Compliance Standards Pave the Way for Reducing Suicide in Health Care Systems

A Journal of Health Care Compliance article about how health care systems will increasingly need to adopt comprehensive, system-wide and standardized suicide ...

Zero Suicide in Health and Behavioral Health Care

What is Zero Suicide PRINT
Zero Suicide Toolkit PRINT

Compliance Standards Pave the Way for Reducing Suicide in Health Care Systems (10 page PDF) PRINT
https://theactionalliance.org/resource/compliance-standards-pave-way-reducing-suicide-health-care-systems

Source: https://theactionalliance.org/healthcare/zero-suicide

Strategy

The Action Alliance is dedicated to advancing the National Strategy for Suicide Prevention. Working with more than 250 national partners, the Action Alliance is implementing efforts aimed at reducing the annual suicide rate 20 percent by 2025. Towards that end, the Action Alliance has identified three priority areas that hold the most promise for reducing suicide in the nation:

transforming health systems

transforming communities

changing the conversation about suicide

In addition to these three priorities, the Action Alliance is committed to ensuring progress in the following areas, which support and contribute to efforts across all three Action Alliance priority areas: research, data and surveillance, access to lethal means, and lived experience.

Source: theactionalliance.org/our-strategy

Suicide Safe NEW App for prevention professionals and care providers
For individuals at risk of suicide, primary and behavioral health care settings provide unique opportunities to connect with the health care system and access effective treatment. Suicide Safe is a free mobile app that helps providers integrate suicide prevention strategies into their practice and address suicide risk among their patients. The Suicide Safe app is based on SAMHSA's Suicide Assessment Five-Step Evaluation and Triage (SAFE-T) card.

For individuals at risk of suicide, primary and behavioral health care settings provide unique opportunities to connect with the health care system and access effective treatment. Suicide Safe is a free mobile app that helps providers integrate suicide prevention strategies into their practice and address suicide risk among their patients. The Suicide Safe app is based on SAMHSA's Suicide Assessment Five-Step Evaluation and Triage (SAFE-T) card.

App Features

With Suicide Safe, primary and behavioral health care providers can:

  • Learn how to use the SAFE-T approach when working with patients.
  • Explore interactive sample case studies and see SAFE-T in action through case scenarios and tips.
  • Quickly access and share information, including crisis lines, fact sheets, educational opportunities, and treatment resources.
  • Browse conversation starters that provide sample language and tips for talking with patients who may need suicide intervention.
  • Locate treatment options, filter by type and distance, and share locations and resources to provide timely referrals for patients.

For more information, email SAMHSA at samhsainfo@samhsa.hhs.gov.
Source: store.samhsa.gov/product/suicide-safe

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