Improving Care to Prevent Suicide Among People with Serious Mental Illness Proceedings of a Workshop (2019) / Chapter Skim
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1 Introduction and Overview
1 Introduction and Overview
Pages 1-8
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Statements, recommendations, and opinions expressed are those of individual presenters and participants, and are not necessarily endorsed or verified by the National Academies of Sciences, Engineering, and Medicine, and they should not be construed as reflecting any group consensus.
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Such initiatives are connected to activities like the diagnosis of mental illness, the recognition of clinical risk, improving access to care, and coordinating with a broad range of outside agencies and entities around both prevention and public health efforts. Yet, suicide is also an intensely personal issue that continues to be surrounded by stigma, Rudd pointed out.
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They have reached a point where they feel they cannot live, whether because of their mental illness, their life experiences, or their trauma. Hiatt made her own suicide attempts as a teenager, she said.
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We need to take action." SUPPORT FOR THE WORKSHOP Richard McKeon, chief of the Suicide Prevention Branch in the Center for Mental Health Services, Substance Abuse and Mental Health Services Administration (SAMHSA) , briefly spoke about why SAMHSA supported the workshop.
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In the first panel presentation, which is summarized in Chapter 2, Holly Wilcox, associate professor in the Johns Hopkins Bloomberg School of Public Health's Department of Mental Health and the Johns Hopkins University School of Medicine's Department of Psychiatry, and Christine Moutier, chief medical officer of the American Foundation for Suicide Prevention, provided broad overviews of the prevalence of suicide, changes in prevalence over time, and the links between suicide and serious mental illness. Critical windows exist for suicide risk, such as the week after discharge from a psychiatric admission or emergency department presentation for suicidal ideation or attempt, the first weeks after starting an anti epressant, and during significant life transitions.
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The panel highlighted examples of approaches for suicide prevention and mental health in both communities and health systems. All four presenters -- James Allen, professor in the Department of Family Medicine and Biobehavioral Health at the University of Minnesota Medical School; Allison Barlow, director of the Johns Hopkins Center for American Indian Health; Laurelle Myhra, director of behavioral health at the Native American Community Clinic; and Jennifer Shaw, a senior researcher at Southcentral Foundation -- made the point that effective suicide prevention is culturally tailored to the population it serves.
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Julie Goldstein Grumet, director of health and behavioral health initiatives at the Suicide Prevention Resource Center and director of the Zero Suicide Institute at Education Development Center, pointed out that investments both upstream and downstream from suicide prevention could link public health and mental health. Arthur Evans, chief executive officer of the American Psychological Association and previously the commissioner in Philadelphia for the Department of Behavioral Health and Intellectual Disability Services, called for approaches that address the challenge at the levels of providers, systems, and the community.
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The following questions were posed to participants in the chat: • How does what is known about how to prevent suicide need to be adapted for people with serious mental illness? • What can be done to better equip providers in behavioral health and mental health care for suicide prevention?
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