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 a lower sustained rate. Two systems that implemented the model before the observation period maintained low or declining rates.
Ahmedani BK, Penfold RB, Frank C, Richards JE, Stewart C, Boggs JM, Coleman KJ, Sterling S, Yarborough BJH, Clarke G, Schoenbaum M, Aguirre-Miyamoto EM, Barton LJ, Yeh HH, Westphal J, McDonald S, Beck A, Beidas RS, Richardson L, Ryan JM, Buckingham ET 4th, Buttlaire S, Bruschke C, Flores J, Simon GE. Zero Suicide Model Implementation and Suicide Attempt Rates in Outpatient Mental Health Care. JAMA Netw Open. 2025 Apr 1;8(4):e253721. doi: 10.1001/jamanetworkopen.2025.3721. PMID: 40193074; PMCID: PMC11976489.