Suicide Prevention: An Emerging Priority For Health Care

Michael F. Hogan · Julie Goldstein Grumet

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Suicide and Self-Harm Studies Psychiatric care and mental health services Opioid Use Disorder Treatment

Abstract

Suicide is a significant public health problem. It is the tenth leading cause of death in the United States, and the rate has risen in recent years. Many suicide deaths are among people recently seen or currently under care in clinical settings, but suicide prevention has not been a core priority in health care. In recent years, new treatment and management strategies have been developed, tested, and implemented in some organizations, but they are not yet widely used. This article examines the feasibility of improving suicide prevention in health care settings. In particular, we consider Zero Suicide, a model for better identification and treatment of patients at risk for suicide. The approach incorporates new tools for screening, treatment, and support; it has been deployed with promising results in behavioral health programs and primary care settings. Broader adoption of improved suicide prevention care may be an effective strategy for reducing deaths by suicide.

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References

2011The Columbia–Suicide Severity Rating Scale: Initial Validity and Internal Consistency Findings From Three Multisite Studies With Adolescents and Adults 2006Two-Year Randomized Controlled Trial and Follow-up of Dialectical Behavior Therapy vs Therapy by Experts for Suicidal Behaviors and Borderline Personality Disorder 2011Safety Planning Intervention: A Brief Intervention to Mitigate Suicide Risk 2005Cognitive Therapy for the Prevention of Suicide Attempts 1998A meta-analysis of the effects of cognitive therapy in depressed patients 2014Health Care Contacts in the Year Before Suicide Death 2013Does Response on the PHQ-9 Depression Questionnaire Predict Subsequent Suicide Attempt or Suicide Death?2002Suicide and psychiatric diagnosis: a worldwide perspective.

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