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Developing Comprehensive Suicide Prevention

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

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Developing Comprehensive Suicide Prevention

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  1. Developing Comprehensive Suicide Prevention Lloyd Potter, PhD, MPH Children’s Safety Network & Suicide Prevention Resource Center Education Development Center, Inc.

  2. Topics • Title V and Suicide Prevention • Implementing Evidence-Based Prevention • Collaboration and Integration of Suicide Prevention

  3. Reducing suicide rates among 15-19 year olds Title V Block Grant National Performance Measures

  4. State Title V Performance Measures - Maine • The percentage of high school students (grades 9-12) 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.

  5. 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.

  6. Spheres of Influence: Ecological perspective of development Society Community Family/Peers Individual

  7. The Mental Health Intervention Spectrum for mental disorders

  8. 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) Evidence of effective suicide prevention interventions Adapted from: Knox, K. (2006). Interventions to prevent suicidal behavior. In: Doll et al., Handbook of Injury Prevention.

  9. SPRC Best Practices Registry www.SPRC.org

  10. Delivering and adapting evidence-based programs in communities where the rubber meets the road

  11. The Whole is Greater than the Sum of the Parts • 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 Is evidence-based programming adequate?

  12. Community Problem Solving Capacity Collective Competence Low High Anomic Communities LL Detached Communities LH Low Shared Responsibility Intentional Communities HL Empowered Communities HH High 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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