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The zero suicide approach aims to prevent all suicides in healthcare. However, focusing solely on suicide prevention may negatively impact mental health system performance measurement.

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Area of Science:

  • Psychiatry
  • Healthcare Management
  • Public Health Policy

Background:

  • The zero suicide initiative posits that all suicides within healthcare settings are preventable.
  • This approach has gained traction as a performance metric in mental health systems.

Purpose of the Study:

  • To critically evaluate the 'zero suicide' approach in healthcare settings.
  • To examine the potential adverse consequences of narrowly focusing on suicide prevention as a key performance indicator.

Main Methods:

  • Conceptual analysis of the zero suicide framework.
  • Review of literature on mental health system performance measurement.
  • Discussion of potential unintended outcomes.

Main Results:

  • The belief that all suicides are preventable is a core tenet of the zero suicide model.
  • A narrow focus on suicide prevention metrics may lead to unintended negative consequences in overall mental health system evaluation.

Conclusions:

  • While the zero suicide approach is well-intentioned, its implementation requires careful consideration.
  • Overemphasis on suicide prevention as a sole indicator may obscure broader aspects of mental health care quality and system performance.