The Zero Suicide model in addiction treatment settings: Recognizing the need for feasibility and implementation data

The Zero Suicide (ZS) model is a promising approach for preventing all suicides across health care settings. ZS provides guidelines for health care systems to implement best practices in suicide prevention. Patients with substance use disorders are at increased risk for suicide, but no known research has investigated how to integrate the ZS model into […]

Employee attitudes toward suicide prevention and Counseling on Access to Lethal Means: Initial findings from an academic medical center implementing the Zero Suicide framework

Introduction: Zero Suicide is a strategic framework designed to transform a healthcare system’s suicide prevention activities. In 2020, University of Utah Health launched a Zero Suicide program and Counseling on Access to Lethal Means (CALM) training for its employees. In 2022, the healthcare system surveyed its workforce’s attitudes toward suicide prevention and CALM. We sought to […]

Zero suicide community implementation toolkit

This Toolkit has been designed specifically to support organizations that are not a formal part of the health care sector access tools to enhance suicide prevention. The information presented follows an adapted version of the Zero Suicide  Toolkit which was originally designed by the Education Development Centre for health care settings. As you flip or […]

Zero suicide collaborative white paper: 2020-2022

In 2020, Cardinal Health Foundation (CHF) released a two-year national Zero Suicide Collaborative grant opportunity. CHF strategically partnered with the Zero Suicide Institute at Education Development Center (EDC) to provide funding, training, and expert support for health care systems to focus on the provision of safer suicide care. A total of 17 hospitals from across […]

Compliance with the Zero Suicide initiative by mental health clinicians at a regional mental health service: Development and test of a clinical audit tool

Aim: The aim of this study is to investigate the compliance of mental health clinicians in applying the Zero Suicide (ZS) approach to their clinical practice in a rural and regional health community setting. Methods: A retrospective clinical audit of six mental health teams was undertaken at a single site. A clinical audit tool was […]

Zero suicide: An international declaration for better healthcare

This declaration was developed by a diverse group of 50 peer leaders, government policy makers, and healthcare providers from 13 countries convened for Atlanta 2015: An International Declaration and Social Movement to address the aspirational goal of zero suicide in healthcare. It discusses the problem of suicide stemming from a lack of effective care and […]

The relationship between suicidal behaviors and Zero Suicide organizational best practices in outpatient mental health clinics

Objective: This study tested the hypothesis that fidelity of clinics to Zero Suicide (ZS) organizational practices is inversely related to suicidal behaviors of patients under clinical care. Methods: Using cross-sectional analyses, the authors examined the fidelity of 110 outpatient mental health clinics to ZS organizational best practices and suicidal behaviors of clinic patients in the […]

Efficacy of the Zero Suicide framework in reducing recurrent suicide attempts: Cross-sectional and time-to-recurrent-event analyses

Background: The Zero Suicide framework is a system-wide approach to prevent suicides in health services. It has been implemented worldwide but has a poor evidence-base of effectiveness. Aims: To evaluate the effectiveness of the Zero Suicide framework, implemented in a clinical suicide prevention pathway (SPP) by a large public mental health service in Australia, in reducing repeated […]

Suicide prevention skills, confidence and training: Results from the Zero Suicide workforce survey of behavioral health care professionals

Introduction: In behavioral health care settings, a workforce well trained in suicide prevention is critically important for behavioral health care professionals across different disciplines and service sectors who are likely to have considerable exposure to patients at risk for suicidal behavior. This study examined the types of training behavioral health care professionals received, their self-reported […]

Is it rational to pursue Zero Suicides among patients in health care?

Suicide prevention is a major health care responsibility in need of new perspectives. This study reviews Zero Suicide, an emerging approach to suicide prevention that embraces the aspirational goal of zero suicides among patients treated in health care systems or organizations. Zero Suicide is gaining international momentum while at the same time evoking objections and […]

Is it rational to pursue zero suicides among patients in health care?

Suicide prevention is a major health care responsibility in need of new perspectives. This study reviews Zero Suicide, an emerging approach to suicide prevention that embraces the aspirational goal of zero suicides among patients treated in health care systems or organizations. Zero Suicide is gaining international momentum while at the same time evoking objections and […]