Developing Comprehensive
Suicide Prevention
Lloyd Potter, PhD, MPH
Children’s Safety Network &
Suicide Prevention Resource Center
Education Development Center, Inc.
Topics
• Title V and Suicide Prevention
• Implementing Evidence-Based
Prevention
• Collaboration and Integration of Suicide
Prevention
2
Title V Block Grant National
Performance Measures
• Reducing suicide rates among 1519 year olds
3
State Title V Performance
Measures - Maine
• The percentage of high school students (grades 912) who feel like they matter to people in their
community.
• The percentage of elementary schools that have
developed and implemented a comprehensive
approach to the prevention of bullying in collaboration
with the Maine Injury Prevention Program.
4
State Title V Performance
Measures
• Minnesota -The degree to which Title V programs
enhance statewide capacity for a public health
approach to mental health promotion and suicide
prevention for children and adolescents.
• Rhode Island - Percentage of students who felt so
sad or hopeless almost every day for two weeks or
more in a row that they stopped doing some usual
activities during the past 12 months.
5
Spheres of Influence:
Ecological perspective of development
Individual
Family/Peers
Community
Society
6
The Mental Health Intervention Spectrum for
mental disorders
Source: Institute of Medicine. (1994). Reducing risks for mental disorders: Frontiers for preventive intervention research.
7
Evidence of effective suicide
prevention interventions
Universal
• Means control (promising)
• Laws and policies (promising)
• Public health messages
(insufficient)
• School-based interventions –
education (insufficient)
• School-based interventions –
skills (promising)
• Gatekeeper training (insufficient)
• Screening (insufficient)
Selective
•
•
•
Life skills (promising)
Small group skills (promising)
Managing geriatric depression
(promising)
Indicated
•
•
•
Behavioral/cognitive–behavioral
strategies (effective)
Brief psychological intervention
(promising)
Contact through letter or
telephone (promising)
Adapted from: Knox, K. (2006). Interventions to prevent suicidal behavior. In: Doll et al., Handbook of Injury Prevention.
8
SPRC
Best Practices Registry
www.SPRC.org
9
Delivering and adapting evidencebased programs in communities
where the rubber meets the road
10
The Whole is
Greater than the
Sum of the Parts
Is evidence-based programming adequate?
• Necessary, not sufficient
• Highly targeted focus of specific prevention/promotion
efforts often inadequate for achieving mental health
promotion goals
• A more comprehensive and collaborative approach is
needed
11
12
Community Problem Solving Capacity
Collective Competence
Low
Shared
Responsibility
High
Low
High
Anomic
Communities
LL
Detached
Communities
LH
Intentional
Communities
HL
Empowered
Communities
HH
Source: Bowen, G.L., Martin, J.A., & Mancini, J.A. (1999) Communities in Blue
for the 21st Century: Fairfax, VA: Caliber Associates, (p. 8-9).
13
Coalition for Planning,
Collaboration, and Integration
•
•
•
•
•
•
•
•
•
Schools
Faith community
Community programs
Acute/Primary care
Mental health
Advocacy groups
Police and courts
Foster care
Child/Family protective services
14
Conclusion
• Defining suicide prevention relate performance
measures can help advance efforts
• There is a growing body of information about
evidence-based and best practices that states and
communities can use
• Planning, collaboration, and integration at the state
and community level should drive suicide prevention
and mental health promotion
15
Resources
www.SPRC.org
www.ChildrensSafetyNetwork.org
www.SPANUSA.org
www.AFSP.org
www.suicidology.org
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