Increasing consumer engagement: Tools to engage service users in quality improvement or implementation efforts

Introduction: Engaging service users or consumers in quality improvement or implementing a new service is important across settings and may reduce health inequities. Implementation strategies leveraging consumer engagement are neither commonly used nor robustly operationalized in implementation science. Implementers (e.g., middle managers, facilitators) want to involve consumers in implementation activities, but do not always feel confident […]

Evaluating the efficacy of a community participatory intervention to prevent suicide in Thailand: A randomised controlled trial protocol

Introduction: The age-standardised suicide mortality rate in Thailand has been stable at a high level in recent years, highlighting the need for suicide prevention interventions. In Thailand, community involvement plays a key role in health promotion. The aim of this ongoing trial is to evaluate the efficacy of a community participatory intervention in two subdistricts in […]

Leveraging community, context, data, and resources to inform suicide prevention strategies

Colorado has consistently had one of the highest rates of suicide in the United States, and El Paso County has the highest number of suicide and firearm-related suicide deaths within the state. Community-based solutions like those of the Suicide Prevention Collaborative of El Paso County may be more effective in preventing suicide as they are […]

Roots of Hope: A uniquely Canadian approach to suicide prevention

Suicide is a significant public health issue in Canada, with rural areas and young people experiencing a higher incidence of suicides. To address this issue, the Mental Health Commission of Canada (MHCC) developed Roots of Hope, a community-led suicide prevention model with five pillars and 13 guiding principles. The model is flexible and tailored to […]

Roots of hope: Reflecting on our journey

Roots of Hope is a made-in-Canada approach that reflects the MHCC’s value proposition: fostering mental health and wellness by enabling communities to design and implement their own solutions — while facilitating the exchange best practices and lessons learned. As it branches out into more communities and establishes new and growing networks, the project will no […]

Suicide prevention in the community: Connecting, communicating, caring. A practical guide

This guide aims to offer practical, evidence-based guidance to help and encourage communities who want to get involved in suicide prevention by building their understanding, knowledge and skills. It promotes consistent and safe messages and provides information on how to respond to  suicide in a balanced and sensitive way. Informed by experiences and knowledge built up […]

Perspectives of youth in Ireland on school-based mental health and suicide prevention: The MYSTORY study

Anxiety, depression, and suicide are leading causes of disability and death among young people, globally. Schools are an ideal setting to target young people’s mental health, yet young people’s beliefs about and experiences with school mental health and suicide prevention are not well understood. This gap in knowledge contradicts both national and international youth mental […]

Evaluation of a community suicide prevention project (Roots of Hope): Protocol for an implementation science study

Background: Roots of Hope (RoH) is a multisite Canadian community-based suicide prevention initiative developed by the Mental Health Commission of Canada (MHCC), which is based on evidence for intervention effectiveness  and World Health Organization recommendations. Seven communities developed local activities in the following 5 pillars: specialized supports, training and networks, public awareness, means safety, and […]

Perception of health, suicidal ideation, and suicide attempt among adults in the community

Background: There is a well-known association between perception of poor physical health and higher rates of physical and psychological morbidity. However, little is known about the possible link between perception of health and suicidality. Aims: The study examines the relationship between perception of poor health and suicidal ideation and suicide attempt among adults in the community. Methods: Data […]

Suicide response in American Muslim communities: A community case study

This community case study describes the experiences of two neighboring Muslim communities in the United States, following respective incidents of suicide. Case summaries are first presented to contextualize the community  response to the suicides. Subsequently, the discussion highlights relevant cultural and religious factors that impacted the responses of mosque leadership, mental health professionals, and the […]

Exploring community-based suicide prevention in the context of rural Australia: A qualitative study

Suicide rates in rural communities are higher than in urban areas, and communities play a crucial role in suicide prevention. This study explores community-based suicide prevention using a qualitative research design. Semi-structured interviews and focus groups asked participants to explore community-based suicide prevention in the context of rural Australia. Participants recruited ((n = 37; ages 29–72, Mean = […]

“I’m not going to tell him what I tell you”: A community-based participatory research approach to understand firearm owner perspectives on suicide prevention

Suicide is the 10th most frequent cause of death in the US  with  47,511  deaths in 2019, of which  23,941  were firearm suicides. Certain subgroups within the general population are at increased risk for firearm suicide, including law enforcement, active-duty military, veterans, persons with post-traumatic stress disorder, sexual minorities, and young people who have adverse childhood experiences such as […]

Maintaining safety while discussing suicide: Trauma informed research in an online focus groups

Although trauma informed (TI) care has been well researched and is used in many disciplines, TI practices for research are less developed. In this article, we explore the use of TI practices when discussing the sensitive topic  of suicide within an online focus group. Qualitative studies on rural suicide are sparse, even though the incidence […]

Planning for implementation and sustainability of a community‑based suicide surveillance system in a Native American community

Background Native American youth, primarily living on reservations, suffer the highest burden of suicide of any racial group in the USA. Implementation and sustainability of culturally grounded, evidence-based interventions are needed to address suicide in Native American populations. For nearly 40 years, Montana has ranked at or near the top nationwide for suicide. Fort Peck […]

Community approaches to veterans and active-duty service member suicide prevention through public health outreach: A commentary

Abstract We discuss insights on a West Central Florida community-based Veterans suicide prevention effort- a series of Veterans coffee socials. Noted as a public health crisis which has been well documented, the article provides an overview of the importance of public health approaches and academic public health engagement at a local level to addressing suicide […]

Community-based participatory research: Suicide prevention for youth at highest risk in Guyana

Abstract Studied mostly in developed countries, the increased prevalence of suicide among youth, worldwide, is a preventable public health concern. Guyana, a developing country in South America, has the highest rate of youth death by suicide. Based on the diathesis–stress model, this community-based study aimed to identify both psychiatric and biological factors associated with repeated […]

An evaluation of the long-term sustainability of suicide prevention programs in an offshore Island

Introduction In 2002, a suicide prevention program for visitors was implemented in Cheung Chau, an offshore island with 21,000 residents and many visitors. This research revisited the intervention and evaluated its long-term effectiveness. Insights are provided into implementing a sustainable intervention. Methods Suicide death records (2007–2017) of Cheung Chau residents and visitors were retrieved. Information […]

Voluntary, temporary, out-of- home firearm storage: A qualitative study of stakeholder views

Background Reducing firearm access during times of risk is a key component of suicide prevention, including the person at risk voluntarily, temporarily storing firearms outside the home. However, this approach relies on the participation of storage providers (ranges/retailers and law enforcement agencies (LEAs)). Our objective was to describe stakeholders’ views and experiences surrounding voluntary, temporary […]

Strength in numbers: The promise of community-based participatory research in rural education

Montana is a state that is ravaged by a suicide epidemic and mental health crisis, particularly among its youth. In an area in which harsh climates, geographic challenges, and distance to rural healthcare providers are significant barriers to mental healthcare accessibility, educators are faced with the acute social and emotional challenges of their students on […]

Correlates for suicidality among at-risk youth receiving community-based mental health services

“At-risk” adolescents are at high risk of unsuccessfully transitioning into adulthood and are also at elevated risk for suicidal behavior. Though much research has been conducted on risk factors for suicidality among the general adolescent population, research on suicidality among “at-risk” adolescents is lacking. This is a notable gap in the literature given that “at-risk” […]

Centering Indigenous knowledge in suicide prevention: A critical scoping review

Background: Indigenous peoples of Canada, United States, Australia, and New Zealand experience disproportionately high rates of suicide as a result of the collective and shared trauma experienced with colonization and ongoing marginalization. Dominant, Western approaches to suicide prevention—typically involving individual-level efforts for behavioural change via mental health professional intervention—by themselves have largely failed at addressing […]

Implementation beyond the clinic: Community-driven utilization of research evidence from PC CARES, a suicide prevention program

While implementation and dissemination of research is a rapidly growing area, critical questions remain about how, why, and under what conditions everyday people integrate and utilize research evidence. This mixed-methods study investigates how participants of Promoting Community Conversations About Research to End Suicide (PC CARES) make sense of and use research evidence about suicide prevention […]

Assessing community suicide prevention needs: A workbook for state coordinators

The purpose of this workbook is to help state suicide prevention coordinators determine whether to conduct community needs assessments in local communities, and if so, how to prepare to conduct one. It also provides links to additional resources that can help with CNA design, implementation, and next steps since these processes are not covered in […]