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Youth suicide prevention efforts in Ohio schools and healthcare settings show promising early results. A collaborative initiative integrated community strategies to reduce pediatric suicide rates, emphasizing early identification and care access.

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Area of Science:

  • Public Health
  • Pediatric Mental Health
  • Suicidology

Background:

  • Youth suicide is a critical public health issue, ranking as the second leading cause of death for ages 10-24 in the US.
  • National trends show increasing youth suicide rates, exacerbated by factors like firearm access and declining mental health.
  • Franklin County, Ohio, mirrors these trends, prompting a regional collaborative to target a 25% reduction in pediatric suicide by 2030.

Purpose of the Study:

  • To implement and evaluate a collaborative quality improvement initiative aimed at reducing youth suicide rates.
  • To integrate healthcare and community-based interventions focusing on protective factors and mitigating suicide vulnerability.
  • To extend the Zero Suicide initiative by incorporating community prevention strategies across diverse healthcare settings.

Main Methods:

  • Led by Nationwide Children's Hospital, the initiative utilized the Zero Suicide framework and school-based prevention programs.
  • Implemented the Signs of Suicide program in over 275 Ohio schools, reaching 85,000+ students with training and screening.
  • Developed and applied a suicide safer care bundle in healthcare settings, including screening, assessment, safety planning, and lethal means counseling.

Main Results:

  • The Signs of Suicide program facilitated early identification and access to care, aiming to reduce suicidal behaviors.
  • The Caring Contacts text messaging program was implemented to improve follow-up care transitions.
  • Educational platforms were utilized to promote mental health, reduce stigma, and provide suicide prevention resources to the community and healthcare workforce.

Conclusions:

  • The collaborative successfully integrated community prevention strategies into diverse healthcare settings to address youth suicide.
  • Early results indicate promise, but challenges in data collection and community engagement necessitate ongoing adaptation.
  • Continued commitment and adaptation are crucial for widespread success in reducing youth suicide.