ArticleSuicidologi2018
"Zero Suicide" - A model for reducing suicide in United States behavioral healthcare.
Article in Suicidologi, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
55 citing papers in PubMed.
- Brief Cognitive Behavioral Therapy for Suicidal Military Personnel and Veterans: The Military Suicide Prevention Intervention Research (MSPIRE) Randomized Clinical Trial.JAMA psychiatry · 2025Trial
- Clinician profiles of suicide prevention attitudes and confidence and their association with reported suicide prevention practices.Psychological services · 2026Article
- Cultural factors and suicide: A proposal for taxonomy.Preventive medicine reports · 2026Review
- Training health care professionals in safety plan implementation to prevent suicide reattempts: A systematic review.International journal of nursing studies advances · 2026Review
- Using transfer learning to improve prediction of suicide risk in acute care hospitals.Journal of the American Medical Informatics Association : JAMIA · 2026Article
- Firearm experiences and safe storage challenges among a sample of Black adults: a rapid qualitative analysis.Injury epidemiology · 2025Article
- Association Between Use of Services To Address Adverse Social Determinants of Health and Documented Suicide Attempt Among Patients in the Veterans Health Administration.Journal of community health · 2025Article
- Suicide Literacy: A Call for National Training in Suicide Competencies for All Medical Doctors.Cureus · 2025Review
- Are Suicide-Specific Interventions Required to Reduce Suicidal Ideation? An Empirical Examination in a Clinical Sample of Eating Disorder Participants.Clinical psychological science : a journal of the Association for Psychological Science · 2025Article
- Identifying patients at risk of suicide using data from health information exchanges.BMC public health · 2025Article
- A Qualitative Examination of Clinician Anxiety about Suicide Prevention and Its Impact on Clinical Practice.Community mental health journal · 2025Article
- Zero Suicide Model Implementation and Suicide Attempt Rates in Outpatient Mental Health Care.JAMA network open · 2025Article
- Five-Year Implementation of Zero Suicide: Lessons Learnt From an Academic Health System.Psychiatric research and clinical practice · 2025Article
- Adapting the Zero Suicide framework to the adult emergency department setting: Strategies for nurse leaders.Archives of psychiatric nursing · 2024Article
- Suicide Screening, Risk Assessment, and Lethal Means Counseling During Zero Suicide Implementation.Psychiatric services (Washington, D.C.) · 2024Article
- A Statewide Evaluation of the Implementation of Evidence-Based Suicide Prevention Guidelines in Juvenile Detention Centers.Psychiatric services (Washington, D.C.) · 2024Article
- Clinician Attitudes Toward Suicide Prevention Practices and Their Implementation: Findings From the System of Safety Study.Psychiatric services (Washington, D.C.) · 2024Article
- Advancing Global Health Through Primary Care Physician Education on Suicide Prevention.Annals of global health · 2024Review
- "It's so scary, and you're so alone with it": Clinicians' perspectives on suicide risk management in integrated primary care.PLOS mental health · 2024Article
- Analysis of Hospitals Switching From a "Danger to Self" Question to Universal Columbia-Suicide Severity Rating Scale Screening: Impact on Screenings, Identification of Suicide Risk, and Documented Psychiatric Care.Psychiatric research and clinical practice · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
Suicide is a serious public health concern in the US, especially for those served in outpatient behavioral health. Over the past decade, there has been a dramatic increase in US suicide rates, and a significant proportion of those dying by or attempting suicide were treated in outpatient behavioral healthcare within the prior year. In response, the US Action Alliance released the National Strategy for Suicide Prevention in 2012, a key tenet of which is the "Zero Suicide" (ZS) model. ZS provides resources for administrators and providers to create a systematic approach to quality improvement for suicide prevention in healthcare systems via seven essential elements (Lead, Train, Identify, Engage, Treat, Transition, Improve). In this paper, we describe the ZS model, as well as our operationalization of the model in an NIMH-funded study in ~170 free-standing New York State outpatient behavioral health clinics, serving >80,000 patients. This study is the largest implementation and evaluation of the ZS approach ever conducted in outpatient behavioral health. Evaluation of ZS implementation in "real-world" clinical settings will provide crucial insight regarding broader dissemination and inform how to best adopt empirically-supported care for suicidal patients in outpatient behavioral health, thereby reducing tragic and preventable loss of life.
Indexed as
Identifiers
29970972PMC6022755What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.