Suicide risk in adolescents, adults and older adults: Screening

The Task Force concluded that although there was some evidence of effectiveness that screening may detect risk of suicide especially in adults, the evidence is insufficient at this time to recommend screening in primary care. It was noted that psychotherapy may prevent suicide attempts in some high-risk adults, but effective interventions for high-risk adolescents have not yet been proven. This statement updates an earlier statement published in 2004. This page links to the full set of recommendations and summaries.

Work and suicide prevention position statement

This position statement seeks to address the significant gaps exist in the understanding of the relationship between work and suicide, which can limit prevention efforts. The statement was released on February 20, 2014 at the Construction Industry inaugural Mental Health Conference in Brisbane. Suicide Prevention Australia (SPA) calls on organizations of all sizes to implement workplace policies and programs that promote a mentally healthy workforce and prevent suicide behaviors. The position statement also provides recommendations for employers to take action to prevent suicide.

Pathways to Purpose and Hope

Pathways to Purpose and Hope is a guide to creating a sustainable suicide bereavement support program that offers a variety of services on a long-term basis to meet the complicated needs of survivors. The guide is designed so that any lay person can use it to start a new program or enhance an existing one. It provides detailed instructions and tips for developing an agency brochure, database, and website; welcoming new families, facilitating support meetings, and compiling a newsletter; and developing optional services such as lending libraries, memorial quilts, birthday and anniversary notes, retreats and conferences, speakers bureaus, and mentoring programs. It also includes chapters on communications, finances and fundraising, governance and structure, evaluation, and training. Sections of the guide can be implemented as an organization develops, grows, and customizes its services to meet the needs of survivors in their area. Included are sample forms and handouts that can be customized by users.

Pathways to Purpose and Hope is based on a comprehensive program developed by more than 50 survivors over a period of 30 years to provide multiple services to meet the complex needs of survivors after a suicide loss. The guide was written collaboratively by Friends for Survival (a suicide bereavement support program that has been based in Sacramento for over 30 years) and 14 contributors, including survivors and experts in the field of survivor support.

Program Objectives

Readers of Pathways to Purpose and Hope will have increased:

  1. Knowledge of the steps to establish and/or expand a sustainable survivor support program.
  2. Understanding of the critical elements and services for a sustainable program.
  3. Knowledge of training and other resources available to support their efforts.

Implementation Essentials

  • Those who implement or conduct suicide bereavement support groups should be familiar with local referral points for those who may require additional services. 

2012 NSSP Objectives Addressed: 

Objective 10.1: Develop guidelines for effective comprehensive support programs for individuals bereaved by suicide and promote the full implementation of these guidelines at the state/territorial, tribal, and community levels.

A Manager’s Guide to Suicide Postvention in the Workplace: 10 Action Steps for Dealing with the Aftermath of Suicide

Data indicate that working age individuals, especially males, are a population most at risk for suicide. This guide provides clear steps for postvention giving leadership a sense of how to immediately respond to the traumatic event, have a plan in the short-term for recovery, and consider long-term strategies for helping employees cope down the line. The collaborators worked to create a set of guidelines that are useful across varied types of workplaces, and they expect a range of individuals within these organizations and companies to find the information immediately helpful.

A Manager’s Guide to Suicide Postvention in the Workplace provides clear steps for postvention, giving leadership a sense of how to: provide an immediate response to the traumatic event; follow a short-term recovery plan; and develop long-term strategies for helping employees cope. The publication provides succinct procedures with checklists and flow charts and serves as a go-to guide for people dealing with the crisis of suicide. The goal of the guide is to help reduce the impact of the suicide event by offering a blueprint for handling these challenging situations. In addition to providing immediate access to clear steps to take for moving forward in the wake of a traumatic event, the guide helps workplaces plan to move from a solely reactive position to a proactive approach, including policy development and employee training.
The guide was created through the collaboration of numerous experts and organizations, including the American Association of Suicidology, the Action Alliance for Suicide Prevention, and the Carson J Spencer Foundation. Collaborators worked to create a set of guidelines that are useful across varied types of workplaces, and they expect a range of individuals within these organizations and companies to find the information immediately helpful. This guide can be useful to managers at all levels–from the CEO of a large business to a front-line supervisor at a small organization.
Objectives:
Managers who use the guide and follow the checklists will have greater ability to:
1. Reduce suicide risk amongst employees after a suicide death.
2. Promote healthy grieving and to link those in need to resources.
3. Transition from suicide postvention to suicide prevention.
Implementation Essential: Managers who use the guide should be familiar with resources and services for employees who may need help.

TIP 55: Behavioral health services for people who are homeless

This guide equips those who provide services to people who are homeless or at risk of homelessness and who need or are in substance abuse or mental illness treatment with guidelines to support their care. Part of the Treatment Improvement Protocol (TIP) series, it includes a discussion of prevention, problems and issues that arise in behavioral health counseling with people who have experienced or currently are experiencing homelessness for clinicians, case examples with step-by-step instructions for specific counseling techniques with master clinician comments and  a literature review on the topic of homelessness and behavioral health services intended for use by clinical supervisors, interested providers, and administrators.

Leaving a legacy: Recommendations for sustaining suicide prevention programs

In 2012, the Substance Abuse and Mental Health Services Administration (SAMHSA) asked the Suicide
Prevention Resource Center (SPRC) to assess sustainability among Garrett Lee Smith (GLS) grantees whose grant period had ended (‘alumni’ grantees). This report is based on the experiences of GLS alumni grantees. It is SPRC’s hope that the findings and recommendations will benefit not only current grantees, but all suicide prevention practitioners working to address suicide in diverse settings (regardless of the funding source). The recommendations incorporate the findings of a literature review as well as a grantee survey and interviews.

Behavioral health United States, 2012

Behavioral Health, United States, 2012, provides in-depth information about the behavioral health (mental and/or substance use disorders) of the nation. Drawing on 40 different data sources, this publication includes national and state-level trends in private and public sector behavioral health services, costs, and clients. It includes information on behavioral health treatment for special populations such as children, military personnel, nursing home residents, and individuals who are incarcerated. The report is divided into three sections: Behavioral Health Disorders across the Life Span; Mental Health and Substance Use Disorders: Impairment in Functioning; and Mental Health and Substance Use Disorders: Treatment Landscape. This publication is issued biannually and replaces Mental Health, United States

Media guidelines for bullying prevention

These guidelines for bullying prevention were developed in partnership with a wide range of behavioral health and media experts and provide recommendations for media coverage of bullying.  The guidelines are designed to provide journalists, members of the entertainment industry, bloggers, and others with the up-to-date, accurate information needed to cover and depict bullying issues in a factual and sensitive way.

VA/DoD clinical practice guideline for assessment and management of patients at risk for suicide

The Clinical Practice Guideline for the Assessment and Management of Suicide Risk was developed under the auspices of the Veterans Health Administration (VHA) and the Department of Defense (DoD). VHA and DoD define clinical practice guidelines as: “Recommendations for the performance or exclusion of specific procedures or services derived through a rigorous methodological approach that includes: Determination of appropriate criteria such as effectiveness, efficacy, population benefit, or patient satisfaction; and Literature review to determine the strength of the evidence in relation to these criteria.”

The intent of the guidelines is to:
• Reduce current unwarranted practice variation and provide facilities with a structured framework to help improve patient outcomes (prevent suicide and other forms of suicidal self-directed violent behavior)
• Provide evidence-based recommendations to assist providers and their patients in the decision-making process
• Identify outcome measures to support the development of practice-based evidence that can ultimately be used to improve clinical guidelines.