1. Developing Comprehensive Suicide Prevention Lloyd Potter, PhD, MPH Children’s Safety Network & Suicide Prevention Resource Center Education Development Center, Inc.

2. 2 Topics Title V and Suicide Prevention Implementing Evidence-Based Prevention Collaboration and Integration of Suicide Prevention

3. 3 Title V Block Grant National Performance Measures Reducing suicide rates among 15- 19 year olds

4. 4 State Title V Performance Measures - Maine The percentage of high school students (grades 9- 12) who feel like they matter to people in their community. The percentage of elementary schools that have developed and implemented a comprehensive approach to the prevention of bullying in collaboration with the Maine Injury Prevention Program.

5. 5 State Title V Performance Measures Minnesota -The degree to which Title V programs enhance statewide capacity for a public health approach to mental health promotion and suicide prevention for children and adolescents. Rhode Island - Percentage of students who felt so sad or hopeless almost every day for two weeks or more in a row that they stopped doing some usual activities during the past 12 months.

6. 6 Society Community Family/Peers Spheres of Influence: Ecological perspective of development Ecological perspective of development Individual

7. 7 The Mental Health Intervention Spectrum for mental disorders Source: Institute of Medicine. (1994). Reducing risks for mental disorders: Frontiers for preventive intervention research.

8. 8 Evidence of effective suicide prevention interventions Universal Means control (promising) Laws and policies (promising) Public health messages (insufficient) School-based interventions – education (insufficient) School-based interventions – skills (promising) Gatekeeper training (insufficient) Screening (insufficient) Selective Life skills (promising) Small group skills (promising) Managing geriatric depression (promising) Indicated Behavioral/cognitive–behavioral strategies (effective) Brief psychological intervention (promising) Contact through letter or telephone (promising) Adapted from: Knox, K. (2006). Interventions to prevent suicidal behavior. In: Doll et al., Handbook of Injury Prevention.

9. 9 SPRC Best Practices Registry www.SPRC.org

10. 10 Delivering and adapting evidence- based programs in communities where the rubber meets the road

11. 11 The Whole is Greater than the Sum of the Parts Necessary, not sufficient Highly targeted focus of specific prevention/promotion efforts often inadequate for achieving mental health promotion goals A more comprehensive and collaborative approach is needed Is evidence-based programming adequate?

12. 12

13. 13 Community Problem Solving Capacity Collective Competence Shared Responsibility LowHigh Low High Anomic Communities LL Detached Communities LH Intentional Communities HL Empowered Communities HH Source: Bowen, G.L., Martin, J.A., & Mancini, J.A. (1999) Communities in Blue for the 21st Century: Fairfax, VA: Caliber Associates, (p. 8-9).

14. 14 Coalition for Planning, Collaboration, and Integration Schools Faith community Community programs Acute/Primary care Mental health Advocacy groups Police and courts Foster care Child/Family protective services

15. 15 Conclusion Defining suicide prevention relate performance measures can help advance efforts There is a growing body of information about evidence-based and best practices that states and communities can use Planning, collaboration, and integration at the state and community level should drive suicide prevention and mental health promotion

16. 16 Resources www.SPRC.org www.ChildrensSafetyNetwork.org www.SPANUSA.org www.AFSP.org www.suicidology.org