Inspirational Vision. Creative Connection. Transformational Action.

ECE = Equilibrium, Crisis, Emergency Developed using the Adora Foundation's social innovation methodology Integrates the latest academic literature on resilience and suicide prevention and is also informed by direct experimentation and testing in international contexts It identifies four prevention contexts and three prevention thresholds, and enables a scalable systemic approach to suicide prevention

Crisis Prevention Contexts

It is often difficult to address all four dimensions simultaneously for a single individual or high risk group Without doing so, success in one dimension may be undone by crisis in another On the other hand, success in several dimensions may compensate for breakdown in a single one

Crises are not uniform in intensity or severity but have systemic thresholds Example: you can do the same activities when tired and not tired, with more or less effort, but at some point an exhaustion threshold is crossed when tiredness forces to you have to do things differently. Risk factors and prevention factors are not always constant across thresholds. Example: going to work can be a prevention factor when mental illness is not acute. Going to work while having a psychotic episode is a risk factor. Prevention strategies often struggle when provision is not adequate across crisis thresholds, or when provision suited to one threshold is applied to a different threshold Example: making access to emergency support dependent on making an appointment. In emergencies it is hard to do so without help. Suicide Prevention Thresholds

EquilibriumCrisisEmergency Condition Individual | Situation Institutions | Society  Positive indicators high  Negative indicators low  Positive indicators low  Negative indicators high  Negative indicators Extreme  Coping mechanisms overwhelmed Progression Individual | Situation Institutions | Society  Toward potential  Toward crisis  Toward equilibrium  Toward emergency  Toward crisis  Toward breakdown Prevention Individual | Situation Institutions | Society  Away from crisis  Ready for crisis  Away from emergency  Ready for emergency  Away from breakdown  Ready for breakdown Intervention Individual | Situation Institutions | Society  Toward potential  Toward resilience  Toward equilibrium  Toward external support  Toward crisis (pre breakdown)  Toward recovery (post breakdown)

Inspirational Vision. Creative Connection. Transformational Action.