Resources

A multi-source collection of readings, tools, videos, and webinars to help you understand and implement Zero Suicide.

Displaying 16 - 30 of 89
Suicide Care Management Plan | Web

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
Screening and Assessment | Web

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.

Lead | Web

Copyrighted and published by Project HOPE/Health Affairs as: Michael F. Hogan and Julie Goldstein Grumet “Suicide Prevention: An Emerging Priority For Health Care” Health Affairs (Millwood) 2016, Vol. 35, No. 6, 1084-1090. The published article is archived and available online at www.healthaffairs.org.

Lead | Web

Stefan, S. (2016). Rational Suicide, Irrational Laws: Examining Current Approaches to Suicide in Policy and Law. Oxford University Press.

Leadership Culture | Web

This Joint Commission Sentinel Event Alert aims to assist all health care organizations providing both inpatient and outpatient care to better identify and treat individuals with suicide ideation. Clinicians in emergency, primary and behavioral health care settings particularly have a crucial role in detecting suicide ideation and assuring appropriate evaluation. The suggested actions in this alert cover suicide ideation detection, as well as the screening, risk assessment, safety, treatment, discharge, and follow-up care of at-risk individuals. Also included are suggested actions for educating all staff about suicide risk, keeping health care environments safe for individuals at risk for suicide, and documenting their care.

Engage | Web

This two-page fact sheet features a strengths-based intervention that identifies the needs of youth and the goals that the youth and his or her family will work towards with the assistance of the team and community. 

Treat | Web

Beckstead, D. J., Lambert, M. J., DuBose, A. P., & Linehan, M. (2015). Dialectical behavior therapy with American Indian/Alaska Native adolescents diagnosed with substance use disorders: Combining an evidence based treatment with cultural, traditional, and spiritual beliefs. Addictive behaviors,51, 84-87. 

Treat | Web

Bigfoot, D. S., & Schmidt, S. R. (2010). Honoring children, mending the circle: cultural adaptation of trauma‐focused cognitive‐behavioral therapy for American Indian and Alaska Native children. Journal of clinical psychology,66(8), 847-856.

Treat | Web

Nebelkopf, E., & King, J. (2003). A holistic system of care for Native Americans in an urban environment. Journal of Psychoactive Drugs, 35(1), 43-52.

Transition | PDF

The goal of this paper is to highlight key steps emergency department (ED) providers can take to establish continuity of care for patients at risk for suicide, and thereby, to substantially reduce the number of suicide deaths and suicide attempts that occur after discharge. The risk of suicide attempts and death is highest within the first 30 days after a person is discharged from an ED or inpatient psychiatric unit, yet as many as 70 percent of suicide attempt patients of all ages never attend their first outpatient appointment. Therefore, access to clinical interventions and continuity of care after discharge is critical for preventing suicide. 

Improve | PDF

In 2014, six states and their provider partners set out with the Suicide Prevention Resource Center and the National Council for Behavioral Health on the Zero Suicide Breakthrough Seriesa project designed to learn how best to support the successful launch and implementation of the Zero Suicide approach under the direction of a state mental health or public health office. State leaders who had already begun the process of launching Zero Suicide initiatives were asked to invite a provider organization to partner with them in the process. Over the course of the nine-month Breakthrough Series period, they were given additional technical assistance and supports to move towards suicide safer care practices. This report details lessons learned throughout the process.

Identify | Web

Pisani, A. R., Murrie, D. C., & Silverman, M. M. (2015). Reformulating Suicide Risk Formulation: From Prediction to Prevention. Academic Psychiatry, 1–7. 

Train | PDF

The National Action Alliance for Suicide Prevention released the comprehensive Suicide Prevention and the Clinical Workforce: Guidelines for Training to assure that the U.S. clinical workforce is adequately prepared to treat persons at risk for suicide. The Action Alliance’s Clinical Workforce Preparedness Task Force spent over three years developing the guidelines to serve as the foundation for creating suicide prevention training programs in health and human services professions, such as nursing, social work, medicine, school counseling, and the full range of behavioral health and primary care disciplines. This initiative was designed so that each discipline could use the guidelines to develop specific continuing education curricula and train new clinicians to deliver optimal suicide care.

Improve | Web

Coffey, M. J. (2015). Perfect Depression Care Spread: The Traction of Zero Suicides. JCOM, 22(3).

Transition | Web

Boyer, C. A., McAlpine, D. D., Pottick, K. J., & Olfson, M. (2000). Identifying risk factors and key strategies in linkage to outpatient psychiatric care. American Journal of Psychiatry, 157(10), 1592-1598.

Pages

Refine Your Search

Browse by element of the Zero Suicide model and/or type of resource.

Type

SPRC and the National Action Alliance for Suicide Prevention are able to make this web site available thanks to support from Universal Health Services (UHS) and the Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services (DHHS) (grant 1 U79 SM0559945).

No official endorsement by SAMHSA, DHHS, or UHS for the information on this web site is intended or should be inferred.