The persistent trends in suicide necessitate action among mental health care providers and payers, researchers, and community leaders. Health care settings provide an important opportunity for suicide intervention and prevention, but they cannot yet fully manage suicide risk because of a lack of training, knowledge gaps, and reimbursement challenges. School, workplace, and community-based interventions can help reduce the incidence of suicidal behavior, as can better access to care and reduced access to lethal means of suicide. To better understand the strategies to improve access to effective interventions to prevent suicide, the Forum on Mental Health and Substance Use Disorders at the National Academies of Sciences, Engineering, and Medicine hosted a two-part virtual public workshop, Strategies and Interventions to Reduce Suicide, on June 22, 2021, and July 28, 2021. The first webinar examined the scope of the public health problem, discussed implementation of effective approaches for suicide prevention care, and addressed known barriers to health care access. The second webinar focused on building 9-8-8, the new nationwide emergency number designated to the National Suicide Prevention Lifeline. Participants discussed current crisis systems, gaps, challenges, and needs for marginalized populations. This Proceedings of a Workshop summarizes the presentations and discussions that occurred during the workshops.

Contents

• The National Academies of SCIENCES • ENGINEERING • MEDICINE
• PLANNING COMMITTEE FOR A WORKSHOP ON STRATEGIES AND INTERVENTIONS TO REDUCE SUICIDE
• FORUM ON MENTAL HEALTH AND SUBSTANCE USE DISORDERS
• Reviewers
• Acknowledgments
• Acronyms and Abbreviations
• Proceedings of a Workshop
  • OVERVIEW OF THE WORKSHOP
  • SUICIDE TRENDS IN U.S. SUBGROUPS
  • OPPORTUNITIES IN HEALTH CARE TO REDUCE SUICIDE RISK
  • EXPERIENCES IN IMPLEMENTING SUICIDE PREVENTION CARE IN FEDERAL HEALTH CARE SETTINGS
  • PROMOTING LETHAL MEANS SAFETY AMONG VETERANS: OPPORTUNITIES AND CHALLENGES
  • SUICIDE PREVENTION AND CARE PROGRAM
  • IMPROVING SUICIDE PREVENTION: ADDRESSING KNOWN BARRIERS TO HEALTH CARE ACCESS
  • IMPROVING SUICIDE PREVENTION: ADDRESSING KNOWN BARRIERS TO HEALTH CARE ACCESS FOR LGBTQIA+ PEOPLE IN INSTITUTIONAL SETTINGS
  • RISK ID: THE VA SUICIDE RISK IDENTIFICATION STRATEGY
  • SUICIDE PREVENTION: BARRIERS TO CARE AMONG BLACK YOUTH AND FAMILIES
  • SUICIDE PREVENTION: STIGMA AND THE COVID-19 PANDEMIC
  • LEVELS OF PROGRESS TOWARD PREVENTION
  • BUILDING 9-8-8: AN OPPORTUNITY TO BUILD INCLUSIVE CARE STRUCTURES
  • IMPROVING CARE COORDINATION WITHIN CRISIS SERVICES
  • THE 9-8-8 LIFELINE: POTENTIAL AND IMPLICATIONS FOR CRISIS RESPONSE
  • 9-8-8 ROLLOUT: PRIVACY, CONFIDENTIALITY, AND EQUITY CONSIDERATIONS
  • PATIENT-CENTERED CARE CONSIDERATIONS IN CRISIS SERVICES FOR AMERICAN INDIAN/ALASKA NATIVE PEOPLE
  • BUILDING EQUITY INTO THE FRONT END OF 9-8-8
  • BUILDING CULTURAL COMPETENCE WITHIN CRISIS SERVICES
  • BEYOND CULTURAL COMPETENCY
  • WORKING IN DIVERSE COMMUNITIES
  • LATINX YOUTH AND THE UNDOCUMENTED
  • BUILDING CULTURAL COMPETENCE WITHIN CRISIS SERVICES
  • 9-8-8, HEALTH EQUITY, AND FAITH WITHIN THE BLACK COMMUNITY
  • A HISTORIC FIRST: SPECIALIZED SERVICES IN 9-8-8 FOR LGBTQIA+ YOUTH
  • ENSURING 9-8-8 SERVES ALL
  • INCLUDING SCHOOLS IN THE CRISIS RESPONSE SYSTEM
  • DISCUSSION: HEALTH EQUITY AND 9-8-8
  • REFLECTIONS: OPPORTUNITIES TO BUILD INCLUSIVE CARE STRUCTURES
  • REFERENCES
• Appendix A. Statement of Task
• Appendix B. Workshop Agenda
• Appendix C. Speaker and Moderator Biographies

Suggested citation:

National Academies of Sciences, Engineering, and Medicine. 2022. Strategies and interventions to reduce suicide: Proceedings of a workshop. Washington, DC: The National Academies Press. https://doi.org/10.17226/26471.

Digital Object Identifier: https://doi.org/10.17226/26471

Additional copies of this publication are available from the National Academies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624-6242 or (202) 334-3313; http://www.nap.edu.

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