Embedding an evidence-based model for suicide prevention in the national health service: a service improvement initiative.
Open accessAbstract
Despite the improved understanding of the determinants of suicide over recent decades, the mean suicide rate within the United Kingdom (UK) has remained at 10 per 100,000 per annum, with about 28% accessing mental health services in the 12 months prior to death. In this paper, we outlined a novel systems-level approach to tackling this problem through objectively differentiating the level of severity for each suicide risk presentation and providing fast-track pathways to care for all, including life-threatening cases. An additional operational challenge addressed within the proposed model was the saturation of local crisis mental health services with approximately 150 suicidality referrals per month, including non-mental health cases. This paper discussed a service improvement initiative undertaken within a National Health Service (NHS) secondary care mental health provider’s open-access 24/7 crisis and home treatment service. An organisation-wide bespoke “suicide risk triage” system utilising the Collaborative Assessment and Management of Suicidality (CAMS) was implemented across all services. The preliminary impacts on suicidality, suicide rates and service user outcomes were described.
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These PPV estimates are in line with risk thresholds used for primary prevention of other similarly impactful conditions.
“Notably, these PPV estimates are in line with risk thresholds used for primary prevention of other similarly impactful conditions.”
From Accuracy requirements for cost-effective suicide risk prediction among primary care patients in the US (2021) · cites this paper as [41]
US guidelines recommend offering bisphosphonates to patients with low bone density whose annual risk of hip fracture or major osteoporotic fracture exceeds 0.3% or 2%, respectively.
“offering bisphosphonates to patients with low bone density whose annual risk of hip fracture or major osteoporotic fracture exceeds 0.3% or 2%, respectively40,41”
From Accuracy requirements for cost-effective suicide risk prediction among primary care patients in the US (2021) · cites this paper as [41]
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- Authors
- Brown, S., Iqbal, Z., Burbidge, F., Sajjad, A., Reeve, M., Ayres, V., Melling, R., & Jobes, D.
- Affiliations
- University of Hull (GB)
- NAViGO Health and Social Care Community Interest Company, Grimsby DN32 0QE, UK
- Catholic University of America (US)
- Corresponding author
- Iqbal, Zaffer
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2020-07-08
- Volume
- 17
- Issue
- 14
- Pages
- 4920
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC7399800
- OpenAlex
- W3041323007
- Cited by
- 19
- References
- 35
- Citations by year
- 2025: 4 · 2024: 4 · 2023: 6 · 2022: 1 · 2021: 4
- FWCI
- 1.10
- Type
- journal article
- Language
- en
- Open access
- gold
- dx.doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- 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 › Emergency Medicine › Emergency and Acute Care Studies
- Keywords
- suicide prevention, Collaborative Assessment and Management of Suicidality, CAMS, suicide risk assessment, service improvement, National Health Service, suicide rates
- MeSH terms
- Suicide Prevention, Mental Disorders, United Kingdom, Humans, Mental Health Services, Models, Theoretical, State Medicine, Evidence-Based Medicine
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