Suicide prevention: an emerging priority for health care
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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Zero Suicide policies are embraced across the United States and now around the world.
“Zero Suicide policies are embraced across the United States and now around the world.”
From One Size Does Not Fit All: A Comprehensive Clinical Approach to Reducing Suicidal Ideation, Attempts, and Deaths (2019) · cites this paper as [38]
There is no policy initiative in the history of suicide prevention that has been more influential and impactful than Zero Suicide.
“It is fair to say there is no policy initiative in the history of suicide prevention that has been more influential and impactful than Zero Suicide (see discussion by [38]).”
From One Size Does Not Fit All: A Comprehensive Clinical Approach to Reducing Suicidal Ideation, Attempts, and Deaths (2019) · cites this paper as [38]
Suicide prevention and management strategies have been implemented by some organizations but have not been widely applied, with high variability in care delivery across providers and settings.
“Suicide prevention and management strategies have been implemented by some organizations but have not been widely applied and there is a high degree of variability in care delivery across providers and settings.92”
From Evidence-based youth suicide prevention and intervention in pediatric primary care settings. (2024) · cites this paper as [92]
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References 24 · Cited by 159
- Authors
- Hogan, M. F., & Grumet, J. G.
- Affiliations
- Case Western Reserve University (US)
- Julie Goldstein Grumet is the director of health and behavioral health initiatives at the Suicide Prevention Resource Center, in Washington, D.C.
- Venue
- Health Affairs
- Publisher
- Health Affairs Publishing, LLC
- Published
- 2016-06
- Volume
- 35
- Issue
- 6
- Pages
- 1084-1090
- ISSN
- 0278-2715 (ISSN-L)
- 1544-5208
- OpenAlex
- W2419178043
- Cited by
- 159
- References
- 24
- Citations by year
- 2026: 9 · 2025: 15 · 2024: 19 · 2023: 15 · 2022: 19 · 2021: 21 · 2020: 20 · 2019: 18 · 2018: 11 · 2017: 10 · 2016: 2
- FWCI
- 18.27
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Affairs (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Keywords
- suicide prevention, suicide risk identification, suicide risk screening, suicide treatment, primary care, health care system, suicide mortality
- MeSH terms
- Suicide Prevention, Humans, Mental Health Services, Public Health, Surveys and Questionnaires, Risk Factors, Suicide, United States
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