Expert researchers share questions and findings about the effectiveness of the Zero Suicide approach.

What does the research say?

Clinical and academic research into Zero Suicide is developing.

Although published literature on the impact of Zero Suicide is limited, researchers are weighing in on everything from the need for suicide prevention measures in health care settings, how to achieve and measure dramatic reductions in suicide rates, and recommendations from on-going evaluations of the Zero Suicide model.

Hospital Nurse holding paperwork
Photo of healthcare worker with clipboard smiling at camera.
“Zero Suicide — What about ‘Treat’?” by J. Goldstein Grumet and D. Jobes

Zero Suicide Institute Director Dr. Julie Goldstein Grumet co-authored an editorial with Dr.

Joint Commission Podcast Series
"Suicide Screening, Risk Assessment, and Lethal Means Counseling During Zero Suicide Implementation" by Boggs et al.

Six health care systems in California, Colorado, Michigan, Oregon, and Washington participated in this study. They had a large sample of patients (7,820,524).

Woman in therapy appointment sitting on couch
"Employee attitudes toward suicide prevention and Counseling on Access to Lethal Means: initial findings from an academic medical center implementing the Zero Suicide framework" by Jasperson et al.

This evaluation provides important insights from the Zero Suicide Workforce Survey related to lethal means safety for individuals at risk of suicide.

Counseling appointment with couple
"Formative evaluation of Zero Suicide in the emergency department: Identifying strategies to overcome implementation barriers" by Allison et al.

This developmental evaluation aimed to assess emergency department providers' perceived knowledge and self-efficacy regarding suicide prevention practices, as well as apply the Consolidated Framewo

Two women sitting and facing each other
"Efficacy of the Zero Suicide framework in reducing recurrent suicide attempts: cross-sectional and time-to-recurrent-event analyses" by Stapelberg et al.

The authors found that implementation of the Zero Suicide framework clinical suicide prevention pathway (SPP) reduced repeated suicide attempts after an initial attempt.

Outpatient Clinic Front
"The Relationship Between Suicidal Behaviors and Zero Suicide Organizational Best Practices in Outpatient Mental Health Clinics" by Deborah M. Layman, et al.
This 2021 study of more than a hundred outpatient mental health clinics demonstrates the association between Zero Suicide implementation and lower suicidal behavior of patients under care. The findings highlight the usefulness of the Zero Suicide Organizational Self-Study.
Nurse smiling with patient
“Inconvenient truths in suicide prevention: Why a Restorative Just Culture should be implemented alongside a Zero Suicide Framework” by Kathryn Turner, Nicolas Stapelberg, Jerneja Sveticic and Sidney Dekker

In this paper, Kathryn Turner, Nicolas Stapelberg, Jerneja Sveticic and Sidney Dekker argue that the implementation of Zero Suicide Framework may be compromised if not supported by a substantial wo