1. Office of Performance Improvement HO-18: Suicide Prevention Phyllis Brashler, Office of Performance Improvement (OPI) Janet Olstad, Community & Family Health (CFH)

2. Office of Performance Improvement CDC PBG Grant Funding/Use of Funds Leveraging and maximizing state dollars FT staff position focused on suicide and mental health Essential Services Three: Inform & Educate Four: Mobilize Partnerships Presentation Suicide data (population health status) Activities and Strategies HP 2020 Capacity needs

3. Office of Performance Improvement Monitoring Population Health MDH Center for Health Statistics, Vital Statistics Suicide Rate Minnesota Student Survey Data for additional information about mental health, suicide ideation, attempts among youth In 2010, 599 people in Minnesota died by suicide—a rate of 11.3 per 100,000. 8 th leading cause of death overall Nearly the same as the national suicide rate Gradually increasing since 2000 Mostly middle age men & older adults. 45 deaths of young people under the age of 20. 2 nd leading cause of death for youth/young adults in MN

4. Office of Performance Improvement Suicide rate per 100,000 all ages, 1990-2010

5. Office of Performance Improvement Why? Evidence Connections between physical and mental illness, wellbeing Costs (YLL, health care, productivity) Premature mortality of individuals with serious & persistent mental illness from heart disease, diabetes, cancer, etc. Suicide is preventable, mental illness treatable Opportunity to leverage state dollars Demand from the community NEED STAFF CAPACITY

6. Office of Performance Improvement Landscape Suicide Prevention Plan 2001, last updated 2007 Suicide Prevention Legislation & Funding No specific identified role for mental health promotion Three state-funded suicide prevention grantees (FFY2011-2012) One federally funded suicide prevention project (SAMHSA)

7. Office of Performance Improvement FY11 -12 PBG ES-3: Inform and Educate Presentations and Workshops Diverse audiences, professional associations Technical Assistance Schools, National Guard, grantees, others Training (Grantees): lethal means education training, gatekeeper training Public Education (Grantees): suicide prevention public education campaign Results: more effective programs and policies, better access to treatment, greater reach and broader impact

8. Office of Performance Improvement FY11-12 PBG ES-4: Mobilizing Partnerships Collaborate with internal & external partners Department of Human Services Mental Health Crisis Teams Department of Education School Climate Specialist Bullying Task Force State Advisory Council on Mental Health and Children’s Mental Health Subcommittee MDH – Violence Prevention MDH – Other Adolescent Health EPSDT Young Parent Support Initiative Results: improved oversight, visibility, programs and services; greater reach and broader impact

9. Office of Performance Improvement HP 2020: Mental Health MH Status Improvement Suicide is a leading health indicator (LHI) Addresses MHMD 1 (reduce rate), MHMD 2 (reduce attempts by adolescents)

10. Office of Performance Improvement Capacity: Barriers and Needs Limited Funding Weak Local and State Suicide Prevention Infrastructure Suicide is complex, interdisciplinary Requires full community participation and engagement Supported by knowledgeable coordinators/staff at state and local levels With evaluation support Requires federal, state and local investment