National pathways for suicide prevention and health services research

Ahmedani, Brian K.; Vannoy, Steven

doi:10.1016/j.amepre.2014.05.038

Cited by 47Suicide and Self-Harm StudiesPsychiatric care and mental health servicesMental Health Treatment and Access

National pathways for suicide prevention and health services research

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Ahmedani, Brian K., Vannoy, Steven·2014·American Journal of Preventive Medicine

DOI 10.1016/j.amepre.2014.05.038PMC PMC4143796

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Abstract

Context In 2012, the National Action Alliance for Suicide Prevention's Research Prioritization Task Force (RPTF) released a series of Aspirational Goals (AGs) to decrease suicide deaths and attempts. The RPTF asked experts to summarize what was known about particular AGs and to propose research pathways that would help reach them. This manuscript describes what is known about the benefits of access to health care (AG8) and continuity of care (AG9) for individuals at risk for suicide. Research pathways are proposed to address limitations in current knowledge, particularly in U.S. healthcare-based research.Evidence acquisition Using a three-step process, the expert panel reviewed available literature from electronic databases. For two AGs, the experts summarized the current state of knowledge, determined breakthroughs needed to advance the field, and developed a series of research pathways to achieve prevention goals.Evidence synthesis Several components of healthcare provision have been found to be associated with reduced suicide ideation, and in some cases they mitigated suicide deaths. Randomized trials are needed to provide more definitive evidence. Breakthroughs that support more comprehensive patient data collection (e.g., real-time surveillance, death record linkage, and patient registries) would facilitate the steps needed to establish research infrastructure so that various interventions could be tested efficiently within various systems of care. Short-term research should examine strategies within the current healthcare systems, and long-term research should investigate models that redesign the health system to prioritize suicide prevention.Conclusions Evidence exists to support optimism regarding future suicide prevention, but knowledge is limited. Future research is needed on U.S. healthcare services and system enhancements to determine which of these approaches can provide empirical evidence for reducing suicide.

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Self-citation

Authors: Ahmedani, B. K., & Vannoy, S.
Affiliations: Henry Ford Health (US)
University of Massachusetts Boston (US)
Corresponding author: Ahmedani, Brian K.
ORCID: Ahmedani, Brian K.
Vannoy, Steven
Venue: American Journal of Preventive Medicine
Publisher: Elsevier BV
Published: 2014-09
Volume: 47
Issue: 3
Pages: S222-S228
ISSN: 0749-3797 (ISSN-L)
DOI: 10.1016/j.amepre.2014.05.038
PMC: PMC4143796
OpenAlex: W2095537440
Cited by: 47
References: 58
Citations by year: 2026: 2 · 2025: 2 · 2024: 3 · 2023: 8 · 2022: 8 · 2021: 7 · 2020: 1 · 2019: 5 · 2018: 3 · 2017: 3 · 2015: 3 · 2014: 1
FWCI: 0.35
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: American Journal of Preventive Medicine (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute of Mental Health (U19MH092201)
National Center for Complementary and Integrative Health (UH2AT007755)
Topics: Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Keywords: suicide prevention, research prioritization, health care access, continuity of care, suicidal ideation, suicide mortality, health system redesign, patient registry, real-time surveillance, health services research
MeSH terms: Suicide Prevention, Continuity of Patient Care, Data Collection, Health Services Accessibility, Health Services Research, Humans, Suicide, Attempted, United States, Suicidal Ideation

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