Evaluation of a Community Suicide Prevention Project (Roots of Hope): Protocol for an Implementation Science Study

Area of Science:

• Public Health
• Implementation Science
• Mental Health Research

Background:

• Roots of Hope (RoH) is a Canadian community-based suicide prevention initiative by the Mental Health Commission of Canada (MHCC).
• The program is built on evidence-based interventions and WHO recommendations, encompassing specialized supports, training, public awareness, means safety, and evaluation.
• Seven diverse communities implemented local RoH activities.

Purpose of the Study:

• To understand the RoH model's effectiveness in reducing suicidal behaviors using an implementation research approach.
• To identify lessons learned for equitable program development and implementation across different contexts.
• To examine how program implementation relates to context, causal pathways, and influencing factors.

Main Methods:

• An implementation research approach was used, involving a consensus-driven evaluation framework.
• Data collection included situational analyses, examination of implementation characteristics (e.g., conformity, dosage, quality, equity), and assessments of short-term and intermediate effects.
• Both quantitative and qualitative data sources were utilized, with pooled analyses planned.

Main Results:

• Data summarization and pooled analyses are ongoing, with conclusions expected in March 2023.
• The impact of the COVID-19 pandemic on implementation will be documented.
• The study will clarify the validity of RoH in diverse contexts for suicide and suicidal behavior prevention.

Conclusions:

• Evaluation findings will identify facilitators and inhibitors of RoH implementation and necessary adaptations.
• Results will be valuable for the MHCC, existing RoH communities, and those considering adopting the model.
• The study aims to enhance the equitable and effective implementation of community-based suicide prevention strategies.