Upstream youth suicide prevention expert panel meeting summary

In April 2012 a panel of 16 experts, including survivors of suicide loss, practitioners, prevention researchers, and representatives of special populations (i.e. tribal communities) and federal agencies met to evaluate the rationale and feasibility of expanding the current youth suicide prevention paradigm to include a focus on “upstream” approaches and to outline initial action steps that could advance such an expansion. Upstream prevention approaches reduce risk factors or enhance protective processes that influence the likelihood that a young person will become suicidal (i.e., earlier or “upstream” in the pathways that lead to suicide). This document provides a brief summary of that meeting and is intended for anyone who has an interest in youth suicide prevention.

Self-directed violence surveillance: Uniform definitions and recommended data elements

To address the current lack of a uniform definition on fatal and nonfatal self-harm, the CDC developed this resource to improve our understanding of self-directed violence and standardize data collection. Consistent data allow researchers to better gauge the scope of the problem, identify high-risk groups, and monitor the effects of prevention programs. The definitions and data elements were developed in collaboration with the Department of Veterans Affairs and the Department of Defense.

Access to mental health services at Indian Health Service (IHS) and tribal facilities

At the request of Congress the DHHS Office of Inspector General (IOG) conducted an evaluation of mental health services at HIS and tribal facilities. IOG reported that one in five hospitals and clinics in Indian Country provide no mental health services and of those that did provide mental health services, access to some services is limited by shortages of highly skilled providers and by other staffing issues. In addition, the majority of AI/ANs attempting to obtain these services live in rural areas and face physical, personal/social, and economic barriers that limit access.

The National Intimate Partner and Sexual Violence Survey (NISVS): 2010 summary report

The National Intimate Partner and Sexual Violence Survey is an ongoing, nationally representative random digit dial (RDD) telephone survey that collects information about experiences of sexual violence, stalking, and intimate partner violence among non-institutionalized English and/or Spanish-speaking women and men aged 18 or older in the United States. NISVS provides detailed information on the magnitude and characteristics of these forms of violence for the nation and for individual states.

The war within: Preventing suicide in the U.S. military

This review of the current evidence details suicide epidemiology in the military, identifies “state of the art” suicide prevention programs, describes and catalogs suicide prevention activities in the Department of Defense (DoD) and across each service, and recommends ways to ensure that the activities in the DoD and across each service reflect the best of prevention science. 

Washington State Mental Health Transformation Project – Measures of Statewide Performance for Washington State

This report presents data for monitoring the performance of the statewide system of care for individuals with mental illness in Washington State. The goals and measures represent an approach to monitoring the mental health system from a cross-agency perspective. Indicators over time (2003 – 2009 as available) from both administrative and survey data sources are presented in the following sections: individual level success, system level success, and community level success.

Surveillance for violent deaths – National Violent Death Reporting System, 16 States, 2007

MMWR. May 14, 2010; 59(04);1-50. This report is the third summary of data from the National Violent Death Reporting System (NVDRS). According to the report, 16,319 violent deaths were recorded in 16 NVDRS states in 2007, of which 56.6 percent were suicides. Suicides occurred at higher rates among males, American Indians/Alaska Natives, non-Hispanic whites, and persons aged 45-54 years. Suicides were precipitated primarily by mental health, intimate partner, or physical health problems, or by a crisis during the preceding two weeks.