Seven healthcare systems share insights, successes, and lessons learned from a collaborative effort to improve suicide care.

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Suicide Care COIIN Journey Stories

The journey toward Zero Suicide begins with small improvements in practice.

Between April 2023 and April 2024, the Zero Suicide Institute partnered with The Pew Charitable Trusts to establish the Suicide Care Collaborative Outcome Improvement and Innovation Network (SC CoIIN). A CoIIN is a collaborative learning community that provides interdisciplinary teams with the skills and support needed to improve health outcomes. The SC CoIIN brought together seven teams comprised of healthcare workers and hospital administrators from organizations across the United States. All participating teams shared a common goal: to improve suicide care.

As a collective, the SC CoIIN demonstrated the power of collaboration to improve suicide prevention at scale. Individually, SC CoIIN teams made meaningful, measurable improvements to their own system’s suicide care.

Each journey story below provides insights on how to use key elements of the Zero Suicide approach in a healthcare setting. SC CoIIN participants interviewed for these stories discussed their extensive work to improve their healthcare system’s response to suicide, from building system-wide buy-in to revamping electronic health records. They shared how they adapted materials for their cultural context and how they improved their safety planning protocols. They commented on how bringing people with lived experience onto their team and using data to inform actions helped them achieve their goals.

Other healthcare professionals can use these stories in their own journeys toward Zero Suicide. Taken together, these stories reveal a roadmap for creating system-wide suicide prevention efforts that save lives.

Learn more about the methodology behind these Journey Stories:

Journey Stories

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Cambridge Health Alliance logo
Cambridge Health Alliance
Cambridge Health Alliance (CHA) serves residents of Cambridge and other communities north of Boston, Massachusetts. In 2023, the Alliance served nearly 130,000 patients at three hospitals and multiple care centers across the region.
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Community Fairbanks logo
Community Fairbanks Behavioral Health
Community Fairbanks Behavioral Health (CFBH) is part of Community Health Network, a large health care system serving central Indiana. CFBH offers a full range of behavioral health care, including inpatient, outpatient, and residential services across three different sites.
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Intermountain Health logo
Intermountain Health
With 34 hospitals and 400 clinics1 across six states, Intermountain Health is a significant provider of health care throughout the Mountain West.
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Mennonite logo
Mennonite Hospital
Mennonite Health System (MHS) is a large private nonprofit health system in Puerto Rico, operating six general hospitals and 11 emergency departments in the central and southern parts of the island. MHS also runs six outpatient mental health clinics and Centro De Salud Conductual Menonita (CIMA), a psychiatric hospital that offers inpatient care.
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SCDMH logo
South Carolina Department of Mental Health
The mission of the South Carolina Department of Mental Health (SCDMH) is to "support the recovery of people with mental illnesses" across the state. As South Carolina’s public mental health provider, SCDMH operates a network of accredited outpatient mental health centers and community clinics, as well as licensed hospitals.
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Trinity Health logo
Trinity Health Ann Arbor
The overall goal of the inpatient medical services units of THAA’s hospital was to provide a holistic approach to treatment by integrating their behavioral health and medical services.
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Trinity Health logo
Trinity Health Grand Rapids
Trinity Health Grand Rapids (THGR), part of Trinity Health system in Michigan, is a Joint Commission-accredited teaching hospital that includes the Lacks Cancer Center, Hauenstein Neuroscience Center, Emergency and Trauma Services, Orthopedic Center of Excellence, Wege Center for Health and Learning, and the area’s premier primary care network, Trinity Health Medical Group.

This project was led by The Pew Charitable Trusts and Zero Suicide Institute at Education Development Center with funds from Pew.