These recommendations were developed in an effort to enhance the provision of care in inpatient and residential facilities and, in particular, to promote, when possible, the incorporation of families as meaningful members of the treatment team.
A multi-source collection of readings, tools, videos, and webinars to help you understand and implement Zero Suicide.
This letter can be used and adapted to announce the commitment to improve the care provided to patients who are struggling with suicide and the adoption of the Zero Suicide approach. It should be sent from the chief executive officer, or someone else in a position of leadership, to all staff members.
The Way Forward report, authored by the Suicide Attempt Survivors Task Force of the National Action Alliance for Suicide Prevention, provides recommendations based on evidence-based practices which incorporate personal lived experience of recovery and resilience.
May, E. L. (2013). The Power of zero: Steps toward high reliability healthcare. Healthcare Executive, 28(2), 16.
The Suicide Care in Systems Framework report, authored by the Clinical Care and Intervention Task Force of the National Action Alliance for Suicide Prevention, laid the groundwork for Zero Suicide. It outlines three critical factors common to initiatives that have reduced suicide attempts, deaths, and the costs associated with unnecessary hospital and emergency department care.
This free, online training from the New York State Office of Mental Health and Columbia University provides an overview of the instrument and teaches how and when to administer it in real world settings. Behavioral healthcare practitioners in New York State working in non-profit settings can receive a certificate of completion by completing the training through the Center for Practice Innovations (CPI) Learning Community. Practitioners outside of New York State are not eligible to receive a certificate of completion.
Three versions of the Columbia Suicide Severity Rating Scale are available for use in clinical practice. The Lifetime/Recent version allows practitioners to gather lifetime history of suicidality as well as any recent suicidal ideation and/or behavior. The Since Last Visit version of the scale assesses suicidality since the patient’s last visit. The Screener version of the C-SSRS is a truncated form of the full version.
The PHQ-9 is used to diagnose and monitor the severity of depression. Question 9 screens for the presence and duration of suicide ideation.
These comprehensive guidelines outline a framework for structured assessment of adults suspected to be at risk of suicide and the immediate and long-term management and treatment that should follow if an individual is found to be at risk. A summary version is available at this link: http://www.healthquality.va.gov/guidelines/MH/srb/VASuicideAssessmentSummaryPRINT.pdf
Fowler , J. C. (2012). Suicide risk assessment in clinical practice: Pragmatic guidelines for imperfect assessments. Psychotherapy, 49(1), 81–90.
Simon , G. E., Rutter, C. M., Peterson, D., Oliver, M., Whiteside, U., Operskalski, B., & Ludman, E. J. (2013). Does response on the PHQ-9 Depression Questionnaire predict subsequent suicide attempt or suicide death? Psychiatric Services, 64(12), 1195–1202.
This publication introduces two approaches to evaluating suicide risk and provides links to resources that offer additional guidance on choosing and implementing suicide screening and assessment programs.
This free, online course from the New York State Office of Mental Health and Columbia University describes the Safety Planning Intervention and how it can help individuals, explains when to work with individuals to create a safety plan, and describes the steps in creating a safety plan. Behavioral health care practitioners in New York State working in nonprofit settings can receive a certificate of completion by completing the course through the Center for Practice Innovations (CPI) Learning Community. Practitioners outside of New York State are not eligible to receive a certificate of completion.
Centerstone of Tennessee developed this education sheet to explain to clients when they are being placed on the pathway to care, or suicide care management plan, and what that means.
This free, online course from the Suicide Prevention Resource Center is designed for people with training and experience in mental health counseling. It explains why means restriction is an important part of a comprehensive approach to suicide prevention and teaches how to ask suicidal patients/clients about their access to lethal means and to work with them and their families to reduce their access. Two hours of continuing education credit are available from the National Board for Certified Counselors and the National Association of Social Workers.
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