Zero Suicide in Healthcare:An International Declaration & Social Movement September 21 – 22, 2015

The Timeline

US Air Force Initiative

1996

“[At the start] there was a lot of debate about whether or not it was even possible to reduce suicide through this type of an effort,” according to David Litts. “A lot of people, including mental health practitioners, were skeptical. But over a six-year period, the suicide rate dropped by one-third.”

2001

After becoming a finalist for a Robert Wood Johnson Foundation grant, Don Berwick challenged the HFHS team to pursue perfection. A nurse staff member suggested that would mean zero suicide deaths. Within four years, their death rate had decreased by 75 percent.

2005

Prior to 2000, there was little research on crisis call center effectiveness, and credibility was low. Since 2005, Link2Health has dramatically increased calls and capacity, started a Veteran’s hotline, added chat technology, and introduced best practice standards now utilized worldwide.

2009

Arizona DHS and Magellan Health challenged the provider network to eliminate health plan suicides. In 2011, Behavioral Healthcare cited a 38% reduction in deaths, decreased hospitalizations and dramatic increases in staff confidence.

Systems Framework

2011

In 2011, a task force of the National Action Alliance set out to identify the best practice toolkit of interventions for clinical care staff. The group was captivated by the cultural and system changes of the pioneers below, and designed and published a framework for replication.

Lancet: England & Wales MH Services

2012

Between 1997 and 2006, mental health services implemented recommendations to improve crisis and suicide care. While et al concluded that implementing these recommendations was associated with lower suicide rates in both cross-sectional and before-and-after analyses. The provision of 24 hour crisis care was associated with the biggest fall in suicide rates

National Council Magazine

2012

“Suicide Prevention is Everybody’s Business: Not Another Life to Lose” special edition included the Surgeon General’s revised US National Strategy, and articles by more than 50 leaders bridging the suicide prevention and community mental health fields.

Revised US National Strategy

2012

In 2012, the US Surgeon General and the National Action Alliance published a revised national strategy with new goals 8 and 9, calling for suicide prevention to become a “core component” of health care, and for improved professional and clinical practices, respectively.

1st International Summit

2014

Leaders from New Zealand, the UK, the US and the Netherlands met at IIMHL in Oxford, UK. Dutch psychiatrist Jan Mokkenstorm: “We are at the beginning of this journey and start out from the core value that not one of our patients should die alone and in despair.”

Washington DC Academy

2014

The Substance Abuse and Mental Health Service Administration (SAMHSA) funds the first cohort of 16 organizations and 48 leaders to develop implementation plans. Faculty include champions from IFH, Centerstone America and Group Health. The SPRC organizes and hosts the event.

UK Country-wide Initiative

2015

In January, UK Deputy PM Nick Clegg promised a “Zero Suicide” campaign of charities, voluntary organizations, and the NHS in “every part of England.” He referenced pilots in Merseyside, the east of England, and the southwest that have employed the Henry Ford model.

2015

In June, US News & World Report described the systematic transformation of the largest non-profit Community Mental Health Center in the country, Centerstone America, and its ambitious Zero Suicide protocols which reduced its suicide death rate 65% in less than two years.

Atlanta Declaration

2015

In September, a group of 40 service users from 13 countries, healthcare providers and government policy makers will gather in Georgia. The International Initiative for Mental Health Leadership match will create an international consensus document and plan for expanding the social movement.

Summit Capital City Club265 Peachtree St NE, Downtown AtlantaMonday, September 21 Tuesday, September 22

8:30am – Introductions 8:30am – Group Exercise

9:30am – Timeline of Zero Suicide (10 to 15 minutes each; Ed & Justin Coffey, Shareh Ghani, Julie Goldstein-Grumet, Jan Ulrich, Becky Stoll, Virna Little, & Jan Mokkenstorm)

9:30am – Defining the Model

12noon – Lunch 12noon - Lunch

1pm – Suicide Prevention and Healthcare Systems Worldwide (10 to 15 minutes each; Lin Chi-Yun, Annette Erlangsen, Chan Lai Fong, Susan Murray, Siobhan O’Neill, Yasu Shimizu, Paul Yip, Jie Zhang, & Liang Zhou)

1pm – Spreading the Word and Changing the Conversation (The Social Movement Strategy)

3pm – Activating the Strategy (Action Items from the Group)

4pm – Group Exercise 4pm – Wrap-up

5pm – Tour of Behavioral Health Link

Agenda

Insert Healthcare Model/Framework HereConsiderations

A. Suicide Care in Systems Framework (Core values, systems management and specific practices)

B. Action Alliance SPRC Framework (7 Essential Elements of Suicide Care)

C. Implementation of mental health service recommendations in England and Wales and suicide rates, 1997–2006: a cross-sectional and before-and-after observational study

D. 4 Component Model: Organizational Leadership, Imagine Perfect Care, Include Lived Experience, Reject Myth of Inevitable Suicide

E. Measurement/Accountability/Transparency

Group Work

Adopt the mindset. Change the world. Zero is the only goal we can live with.

Zero Suicide in Healthcare Atlanta Summit 2015