The Institute for Family Health created a Managing Suicidality: Clinical Pathways in Primary and Behavioral Health Care resource to guide staff through their organization's approach to identification and response.
A multi-source collection of readings, tools, videos, and webinars to help you understand and implement Zero Suicide.
This document outlines the standard operating procedure for suicide risk assessment at Centerstone of Tennessee. The document supports Centerstone's policy that all individuals be screened for suicide risk at every service contact during the course of treatment.
"Rocky Mountain Short Takes on Suicide Prevention: Talking to Patients about Firearm Safety" is a conversation about firearm safety between the host, Adam Hoffberg, and Emmy Betz, an emergency room physician at the University of Colorado Hospital. The conversation covers a range of topics regarding lethal means reduction. One of the highlights is a Colorado program called the Colorado Gun Shop Project, which is a collaboration with gun shop retailers, gun range owners, and firearm safety course instructors to promote suicide prevention. The podcast is twenty-six minutes long and can be found at the Rocky Mountain MIRECC for Veterans Affairs Suicide Prevention website.
Esther Tenorio, Project Director, Katishtya Embraces Youth Wellness and Hope (KEYWAH), San Felipe Pueblo, discusses aligning evidence-based programs with Indigenous ways of life.
A patient's death by suicide in health and behavioral healthcare organizations can have a significant impact on family members, other patients, and staff. It may be even more destabilizing or demoralizing in systems where significant changes to improve suicide care had been implemented. Optimal postvention practices in health and behavioral healthcare organizations highlight immediately supporting the family, other clients and staff, conducting root cause analyses, and embedding policies and protocols supporting postvention actions into the organization's operations. Consistent with a Zero Suicide framework, leadership should ensure that policies and practices promote an organizational response that is consistent with a just, no-blame culture that remains focused on continuous quality improvement in the aftermath of a patient suicide.
This webinar will focus on how health and behavioral healthcare organizations respond following a patient suicide death. Participants will hear from health care leaders and experts who will discuss key components of an organization-level postvention plan. They will explore considerations for supporting patients, staff and the community, and continuing to provide quality care. Additionally, a clinician survivor will share her perspective on what she felt was supportive after experiencing a patient suicide.
By the end of this webinar, participants will be able to (1) Explain how a health and behavioral health organization’s response to a suicide death can support improvements in suicide care practices; (2) Describe the role of Root Cause Analysis in a postvention response; and (3 )Identify steps that can be taken by organizations to support staff, other patients, and the family following a patient's death by suicide.
Transcripts available on request. Please direct requests to firstname.lastname@example.org.
Centerstone of Tennessee developed this caring letter—in English and Spanish—with the help of Leah Harris. It is designed to be sent after other follow-up procedures (e.g., clinicians or others trained to do follow-up calls have reached out) have not been successful in reaching an individual who has been under your care.
This is a sample Zero Suicide Workforce Survey results report with randomly generated responses. You can use this as a guide to help you plan your survey analysis and communication about your survey results with staff.
This resource was designed to help you administer the Workforce Survey by answering some frequently asked questions.
The Zero Suicide Workforce Survey is the ideal tool to use to assess staff knowledge, practices, and confidence.
The five items below comprise a package of resources intended to support your administration of the Zero Suicide Workforce Survey.
- Online Workforce Survey Request Form
- Workforce Survey Questions
- Guidelines for Administering the Workforce Survey
- Sample Letter to Staff about Zero Suicide Workforce Survey
- Workforce Survey Rollout Tips
- Sample Workforce Survey Results Report
- Template for Reviewing New Workforce Survey Results as a Team
Emergency departments (EDs) play an important role in suicide prevention. The self-paced online course, Preventing Suicide in Emergency Department Patients, teaches healthcare professionals who work in an ED how to conduct screening, assessment, and brief interventions, such as safety planning and lethal means counseling. It also addresses patient-centered care for patients with suicide risk, patient safety during the ED visit, and incorporating suicide prevention into discharge planning. This course was created by the Suicide Prevention Resource Center at EDC, Inc. with funding from the Massachusetts Department of Public Health.
In this podcast, Jonathan B. Singer, Ph.D., LCSW interviews David W. Covington, LPC, MBA regarding the importance of healthcare systems adopting and implementing Zero Suicide initiatives.
The Real Warriors Campaign is a multimedia public awareness campaign designed to encourage help-seeking behavior among service members, veterans and military families coping with invisible wounds. Launched by the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury (DCoE) in 2009, the campaign is an integral part of the Defense Department’s overall effort to encourage warriors and families to seek appropriate care and support for psychological health concerns.
There is an increased focus on providing evidence-based care in both the military and civilian health care systems. Since 1998, the Defense Department (DoD) and Department of Veterans Affairs (VA) have worked together to develop CPGs for treating psychological and physical health concerns. The departments’ working groups create the guidelines based, in part, on the readiness needs of service members and veterans.
The Institute of Medicine defines clinical practice guidelines (CPGs) as “statements that include recommendations intended to optimize patient care that are informed by a systematic review of evidence and an assessment of the benefits and harms of alternative care options.”
CPGs create consistency of care. They can support provider and patient decisions about appropriate care for specific concerns but should not replace a provider’s best judgment.
Potential Benefits for Health Professionals
CPG use can lead to a number of advantages that positively affect both the providers and patients. If implemented correctly, CPGs can:
- Improve quality of clinical decisions and care
- Offer clear recommendations for providers
- Promote efficient use of resources
- Streamline access to resources
Most clinicians-in-training learn to summarize suicide risk in a categorical probability judgment expressed as low, moderate, or high, often with gradations like low-moderate. But what do we really mean when we say a patient is at “low” “moderate” or “high” risk? Risk compared to whom? Compared to when? In what setting? These labels are devoid of context, lack predictive validity, and provide little help when developing plans and responses to prevent suicide. In this Suicide Prevention Resource Center Director's Corner, Anthony Pisani, PhD explains moving away from a prediction model to a prevention model.
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