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 […]

Systems resilience in the implementation of a large-scale suicide prevention intervention: A qualitative study using a multilevel theoretical approach

Background: Resilience, the capacity to adapt and respond to challenges and disturbances, is now considered fundamental to understanding how healthcare systems maintain required levels of performance across varying conditions. Limited research has examined healthcare resilience in the context of implementing healthcare improvement programs across multiple system levels, particularly within community-based mental health settings or systems. In […]

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 […]

A stakeholder-informed ethical framework to guide implementation of suicide risk prediction models derived from electronic health records

Objective: Develop a stakeholder-informed ethical framework to provide practical guidance to health systems considering implementation of suicide risk prediction models. Methods: In this multi-method study, patients and family members participating in formative focus groups (n = 4 focus groups, 23 participants), patient advisors, and a bioethics consultant collectively informed the development of a web-based survey; survey results (n = […]

Identifying common and unique barriers and facilitators to implementing evidence-based practices for suicide prevention across primary care and specialty mental health settings

Objective: We identified common and unique barriers and facilitators of evidence-based suicide prevention practices across primary care practices with integrated behavioral health services and specialty mental health settings to identify generalizable strategies for enhancing future implementation efforts. Method: Twenty-six clinicians and practice leaders from behavioral health (n = 2 programs) and primary care (n = 4 clinics) settings participated. […]

Utilisation and application of implementation science in complex suicide prevention interventions: A systematic review

Objectives Little is known about how complex, multilevel, and multicomponent suicide prevention interventions work in real life settings. Understanding the methods used to systematically adopt, deliver, and sustain these interventions could ensure that they have the best chance of unfolding their full effect. This systematic review aimed to examine the application and extent of utilisation […]

Facilitators and barriers to implementation of suicide prevention interventions: Scoping review

We know that suicide is preventable, yet hundreds of thousands of people still die due to suicide every year. Many interventions were proven to be effective, and dozens of others showed promising results. However, translating these interventions into new settings brings several challenges. One of the crucial obstacles to success is not anticipating possible barriers […]

SUPRA handbook: An experience-based guidance document for implementing a national suicide prevention program

This handbook summarises the experience gathered in Austria between 2012 and 2022 with implementing the national suicide prevention programme SUPRA. Its aim is to provide guidance to other countries, partners of  the Joint Action ImpleMENTAL work package 6, for developing or scaling up a suicide prevention strategy at national/regional level. It introduces the WHO-framework (based […]

Methods and tools to assess implementation of mental health policies and plans: A systematic review

Mental health policies and plans (MHPPs) are important policy instruments and powerful tools to facilitate development of mental health systems and services across the world. We aimed to map and analyse methods and tools used to assess the extent, process and impact of implementing MHPPs. We systematically searched peer-reviewed and grey literature across seven scientific […]

Evaluation of sustainable, blended learning workforce education for suicide prevention in youth services

Suicide is the second leading cause of death for youth in the U.S. and equipping clinical and non-clinical staff in youth services to address suicide concerns is a challenge. This paper evaluates InPlace Learning, an innovative and sustainable blended learning approach to suicide prevention workforce education in youth services. InPlace Learning combines group video-guided workshops, […]

Clinical implementation of suicide risk prediction models in healthcare: A qualitative study

Background Suicide risk prediction models derived from electronic health records (EHR) are a novel innovation in suicide prevention but there is little evidence to guide their implementation. Methods In this qualitative study, 30 clinicians and 10 health care administrators were interviewed from one health system anticipating implementation of an automated EHR-derived suicide risk prediction model […]

Stakeholder insights into implementing a systems‑based suicide prevention program in regional and rural Tasmanian communities

Purpose With emerging evidence indicating that systems-based approaches help optimise suicide prevention efforts, the National Suicide Prevention Trial sought to gather evidence on the appropriateness of these approaches to prevent suicide among at-risk populations, in regional and rural communities throughout Australia. The Tasmanian component of the Trial implemented the LifeSpan systems framework across three distinct […]

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 […]

Live life: An implementation guide for suicide prevention in countries. Executive Summary

Over 700 000 people lose their life to suicide every year. Reducing the global suicide mortality rate by one third by 2030 is both an indicator and a target (the only one for mental health) in the United Nations Sustainable Development Goals (SDGs) and in WHO’s Comprehensive Mental Health Action Plan  2013–2030. WHO’s 13th General […]

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 […]