A community-led suicide prevention initiative for young people in regional and rural Australia: The Live4Life model

Young people living in regional and rural areas of Australia are at an increased risk of suicide and have unique barriers and facilitators to seeking mental health support. As such, specific mental health and suicide prevention programmes that are tailored to young people within their communities are required. Despite this, peer-reviewed literature on such interventions […]

Psychosocial health in adolescent unmarried motherhood in rural Uganda: Implications for community-based collaborative mental health education, and empowerment strategies in the prevention of depression and suicide

Teenage pregnancy rates in Uganda are among the highest in sub-Saharan Africa. Child marriage is often the result of unmarried teenage pregnancy and is recognised by Uganda’s government as a form of sexual violence and an outcome of inequality. However, unmarried motherhood incurs stigma and shame within traditionally living rural communities. Using co-produced Open Space […]

The Healthy Activity Program (HAP), a lay counsellor delivered brief psychological treatment for severe depression, in primary care in India: A randomised controlled trial

Background Although structured psychological treatments are recommended as first-line interventions for depression, only a small fraction of people globally receive these treatments because of poor access in routine primary care. We assessed the effectiveness and cost-effectiveness of a brief psychological treatment (Healthy Activity Program [HAP]) for delivery by lay counsellors to patients with moderately severe […]

Adapted dialectical behavior therapy for adolescents with a high risk of suicide in a community clinic: A pragmatic randomized controlled trial

Objective This study is a pragmatic randomized controlled trial, which compares the effectiveness of an adapted form of Dialectical Behavior Therapy for Adolescents (DBT-A) and treatment as usual plus group sessions (TAU + GS) to reduce suicidal risk for adolescents in a community health mental clinic. Method Thirty-five adolescents from a community outpatient clinic, with repetitive NSSI […]

Together with veterans: VA national strategy alignment and lessons learned from community-based suicide prevention for rural veterans

Background Rural veterans are at increased risk for dying by suicide compared with urban veterans, yet interventions for preventing suicide among rural veterans have been limited. Objectives (1) Describe how Together With Veterans (TWV), a community-based intervention to prevent suicide among veterans in rural communities, aligns with the VA National Strategy for Preventing Veteran Suicide; […]

Development and psychometric properties of the Functioning and Recovery Scale: A new measure to assess psychosocial functioning after a suicide attempt

Objective Few measures have been developed to assess the efficacy of community-based suicide prevention and recovery services. The current study aimed to develop a scale to provide accurate assessment and monitoring of functional recovery for people following a recent suicide attempt at The Way Back Support Service in Australia. Method The study was conducted in […]

Evaluating the role and effectiveness of co‐produced community‐based mental health interventions that aim to reduce suicide among adults: A systematic review

Background Suicide is a major public health risk requiring targeted suicide prevention interventions. The principles of co-production are compatible with tailoring suicide prevention interventions to meet an individual’s needs. Aims This review aimed to evaluate the role and effectiveness of co-produced community-based suicide prevention interventions among adults. Methods Four electronic databases (PsycInfo, CINAHL, MEDLINE and web […]

Support for community mental health teams post-suicide

Suicide is a relatively common event in those seeking psychiatric care. However, its impact is nonetheless traumatic and devastating for those involved in the care of the patient. Community mental health teams (CMHTs) address every aspect of a patient’s life, which creates a unique relationship between the team and the patient. Patient suicide can have […]

Modifying a cognitive behavioral suicide prevention treatment for adults with schizophrenia spectrum disorders in community mental health

Suicide is among the leading causes of death for adults with schizophrenia spectrum disorders. Given a paucity of evidence-based interventions tailored for psychosis, we sought to modify a promising Cognitive-Behavioral Suicide Prevention for psychosis (CBSPp) treatment for adults in US community mental health (CMH) settings using community-based participatory research methods. This article presents our modification […]

Running on empty: How community mental health organizations have fared on the frontlines of COVID-19. [Full report]

A new report by the Canadian Mental Health Association (CMHA) reveals how not-for-profit mental health workers and organizations have been impacted by and responded to the pandemic. Entitled Running on Empty: how community mental health organizations have fared on the frontlines of the pandemic, the research draws on in-depth interviews across all provinces and the Yukon […]

Running on empty: How community mental health organizations have fared on the frontlines of COVID-19. Summary report

he pandemic has had a devastating impact on mental health, substance use and homelessness in Canada. In 2021, the Canadian Mental Health Association (CMHA) undertook a federation-wide research project to understand how community mental health organizations have been impacted by and responded to the pandemic. Our research helped us formulate which federal policy responses are […]

Prevalence of suicide ideation, planning and attempts among Supplemental Nutrition Assistance Program participants in the United States

Background Suicide represents a substantial public health problem in the U.S. Programs like the Supplemental Nutrition Assistance Program (SNAP)—which provides services for U.S. adults who are food insecure—could be an appropriate venue for suicide prevention strategies targeting high-risk individuals. Methods This cross-sectional study used multiple logistic regression to determine odds ratios (ORs) and 95% confidence […]

The witness to witness program: Helping the Helpers in the context of the COVID-19 pandemic

The Witness to Witness Program (W2W), based on Weingarten’s witnessing model (2000, 2003, 2004), began in July 2018 and originally was established to support health care workers and attorneys (our partners) who were experiencing empathic distress working with people involved in various stages of the detention process. The W2W program evolved to offer four primary […]

Reducing veterans’ risk for suicidal behaviors: A qualitative study to inform development of the RECLAIM health promotion program

Background In an effort to reduce the high rate of suicide among post-9/11 veterans, a collaborative team within the Department of Veterans Affairs (VA) has developed a holistic community-based health promotion program designed to facilitate social and self-connectedness. The purpose of this study was to elicit veteran and stakeholder feedback to prepare the program for […]

Implementation of dialectical behavior therapy with suicidal and self-harming adolescents in a community clinic

The object of this research was to examine the feasibility and effectiveness of Dialectical Behavior Therapy (DBT) with suicidal and self-harming adolescents treated in a community clinic. A group of 24 adolescents at high risk for suicide were enrolled in 6 months of comprehensive DBT, provided by therapists and trainees at a county-run outpatient mental […]

Developing a community plan for preventing and responding to suicide clusters

This resource has been developed to assist Australian communities to manage or contain an actual or potential suicide cluster. The community plan might focus on a suburb, a particular facility (e.g., a school, hospital or prison), a rural or remote area, or an Indigenous community. It could be developed by a government department, mental health […]

Traditional medicine and Indigenous health in Indigenous hands

An estimated 370 million Indigenous people reside in 90 countries and make up 5% of the global population. Three hundred million Indigenous people live in extremely disadvantaged rural locations. Indigenous people have suffered from historic injustices due to colonization and the dispossession of their lands, territories, and resources, thus preventing them from exercising their right […]

Our healthy Clarence: A community-driven wellbeing initiative

In 2015-2016, the Clarence Valley in Northern New South Wales, Australia, experienced an unexpectedly high number of deaths by suicide, and the resulting distress was exacerbated by unhelpful press coverage. The local response was to adopt a community-wide positive mental health and wellbeing initiative. This paper describes the process and achievements of the initiative called […]

Community mental health action plan October 2019: Training framework toolkit

The Mental Health Training Framework was conceived from a request to synthesize all of the training opportunities in the Province and to identify core competencies that contribute to a competent and effective workforce. The initial idea was to compile an inventory of all the available training across all sectors. Recognizing that supporting mental health is […]

Associations of suicide prevention trainings with practices and confidence among clinicians at community mental health centers

OBJECTIVE: This study examined whether (1) behavioral health providers were more likely to implement best practices when they were more confident in their abilities, (2) number of suicide prevention trainings was positively associated with perceived confidence in abilities and implementation of evidence-based practices, and (3) specific trainings were more impactful than others on increasing providers’ […]

Community mental health: Challenges for the 21st century. 3rd ed.

The newest edition of Community Mental Health continues to be at the leading edge of the field, providing the most up-to-date research and treatment models that encompass practice in community settings. Experts from a wide range of fields explore the major trends, best practices, and policy issues shaping community mental health services today. New sections address the […]

Innovations on a shoestring: A study of a collaborative community-based Aboriginal mental health service model in rural Canada

Background Collaborative, culturally safe services that integrate clinical approaches with traditional Aboriginal healing have been hailed as promising approaches to ameliorate the high rates of mental health problems in Aboriginal communities in Canada. Overcoming significant financial and human resources barriers, a mental health team in northern Ontario is beginning to realize this ideal. We studied […]

Reflecting on participatory, action-oriented research methods in community psychology: Progress, problems, and paths forward

This paper provides a critical reflection on participatory action research (PAR) methods as they pertain to community psychology. Following a brief review of the fundamental aspects of PAR, key developments in the field are examined. These developments include the redefinition of the research enterprise among groups such as Indigenous and consumer/survivor communities, challenges that attend […]