This quality improvement study found that implementation of Zero Suicide was associated with a reduction in suicide attempt rates in 3 of 4 health systems, while the fourth system experienced
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.
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Zero Suicide Model Implementation and Suicide Attempt Rates in Outpatient Mental Health Care
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“It’s so scary, and you’re so alone with it”: Clinicians’ perspectives on suicide risk management in integrated primary care
The authors of this article interviewed a range of providers within 6 primary care offices to get a sense of how some of the elements of Zero Suicide were able to be implemented with embedded behav
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“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.
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"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).
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"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.
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"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
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"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.