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National Strategy for Suicide Prevention Goals and Objectives
Section 1: Awareness
Goal 1. Promote Awareness that Suicide is a Public Health Problem that is
Preventable
Objective 1.1: By 2005, increase the number of States in which public
information campaigns designed to increase public knowledge of suicide
prevention reach at least 50 percent of the State's population.
Objective 1.2: By 2005, establish regular national congresses on suicide
prevention designed to foster collaboration with stakeholders on prevention
strategies across disciplines and with the public.
Objective 1.3: By 2005, convene national forums to focus on issues likely to
strongly influence the effectiveness of suicide prevention messages.
Objective 1.4: By 2005, increase the number of both public and private
institutions active in suicide prevention that are involved in collaborative,
complementary dissemination of information on the World Wide Web.
Goal 2. Develop Broad-Based Support for Suicide Prevention
Objective 2.1: By 2001, expand the Federal Steering Group to appropriate
Federal agencies to improve Federal coordination on suicide prevention, to help
implement the National Strategy for Suicide Prevention, and to coordinate future
revisions of the National Strategy
Objective 2.2: By 2002, establish a public/private partnership(s) (e.g., a
national coordinating body) with the purpose of advancing and coordinating the
implementation of the National Strategy.
Objective 2.3: By 2005, increase the number of national professional,
voluntary, and other groups that integrate suicide prevention activities into
their ongoing programs and activities.
Objective 2.4: By 2005, increase the number of nationally organized faith
communities adopting institutional policies promoting suicide prevention.
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Goal 3. Develop and Implement Strategies to Reduce the Stigma Associated with
Being a Consumer of Mental Health, Substance Abuse and Suicide Prevention
Services.
Objective 3.1: By 2005, increase the proportion of the public that views
mental and physical health as equal and inseparable components of overall
health.
Objective 3.2: By 2005, increase the proportion of the public that views
mental disorders as real illnesses that respond to specific treatments.
Objective 3.3: By 2005, increase the proportion of the public that views
consumers of mental health, substance abuse, and suicide prevention services as
pursuing fundamental care and treatment for overall health.
Objective 3.4: By 2005, increase the proportion of those suicidal persons
with underlying mental disorders who receive appropriate mental health
treatment.
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Section 2: Intervention
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Goal 4. Develop and Implement Community-Based Suicide Prevention Programs
Objective 4.1: By 2005, increase the proportion of States with comprehensive
suicide prevention plans that a) coordinate across government agencies, b)
involve the private sector, and c) support plan development, implementation, and
evaluation in its communities.
Objective 4.2: By 2005, increase the proportion of school districts and
private school associations with evidence-based programs designed to address
serious childhood and adolescent distress and prevent suicide.
Objective 4.3: By 2005, increase the proportion of colleges and universities
with evidence-based programs designed to address serious young adult distress
and prevent suicide.
Objective 4.4: By 2005, increase the proportion of employers that ensure the
availability of evidence-based prevention strategies for suicide.
Objective 4.5: By 2005, increase the proportion of correctional institutions,
jails and detention centers housing either adult or juvenile offenders, with
evidence-based suicide prevention programs.
Objective 4.6: By 2005, increase the proportion of State Aging Networks that
have evidence-based suicide prevention programs designed to identify and refer
for treatment of elderly people at risk for suicidal behavior.
Objective 4.7: By 2005, increase the proportion of family, youth and
community service providers and organizations with evidence-based suicide
prevention programs.
Objective 4.8: By 2005, develop one or more training and technical resource
centers to build capacity for States and communities to implement and evaluate
suicide prevention programs.
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Goal 5. Promote Efforts to Reduce Access to Lethal Means and Methods of
Self-Harm
Objective 5.1: By 2005, increase the proportion of primary care clinicians,
other health care providers, and health and safety officials who routinely
assess the presence of lethal means (including firearms, drugs, and poisons) in
the home and educate about actions to reduce associated risks.
Objective 5.2: By 2005, expose a proportion of households to public
information campaign(s) designed to reduce the accessibility of lethal means,
including firearms, in the home.
Objective 5.3: By 2005, develop and implement improved firearm safety design
using technology where appropriate.
Objective 5.4: By 2005, develop guidelines for safer dispensing of
medications for individuals at heightened risk of suicide.
Objective 5.5: By 2005, improve automobile design to impede carbon
monoxide-mediated suicide. Objective 5.6: By 2005, institute incentives for the
discovery of new technologies to prevent suicide.
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Goal 6. Implement Training for Recognition of At-Risk Behavior and Delivery
of Effective Treatment
Objective 6.1: By 2005, define minimum course objectives for providers of
nursing care in assessment and management of suicide risk, and identification
and promotion of protective factors. Incorporate this material into curricula
for nursing care providers at all professional levels.
Objective 6.2: By 2005, increase the proportion of physician assistant
educational programs and medical residency programs that include training in the
assessment and management of suicide risk and identification and promotion of
protective factors.
Objective 6.3: By 2005, increase the proportion of clinical social work,
counseling, and psychology graduate programs that include training in the
assessment and management of suicide risk, and the identification and promotion
of protective factors.
Objective 6.4: By 2005, increase the proportion of clergy who have received
training in identification of and response to suicide risk and behaviors and the
differentiation of mental disorders and faith crises.
Objective 6.5: By 2005, increase the proportion of educational faculty and
staff who have received training on identifying and responding to children and
adolescents at risk for suicide.
Objective 6.6: By 2005, increase the proportion of correctional workers who
have received training on identifying and respond-ing to persons at risk for
suicide.
Objective 6.7: By 2005, increase the proportion of divorce and family law and
criminal defense attorneys who have received training in identifying and
responding to persons at risk for suicide.
Objective 6.8: By 2005, increase the proportion of counties (or comparable
jurisdictions such as cities or tribes) in which education programs are
available to family members and others in close relationships with those at risk
for suicide.
Objective 6.9: By 2005, increase the number of recertification or licensing
programs in relevant professions that require or promote competencies in
depression assessment and management and suicide prevention.
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Goal 7. Develop and Promote Effective Clinical and Professional Practices
Objective 7.1: By 2005, increase the proportion of patients treated for
self-destructive behavior in hospital emergency departments that pursue the
proposed mental health follow-up plan.
Objective 7.2: By 2005, develop guidelines for assessment of suicidal risk
among persons receiving care in primary health care settings, emergency
departments, and specialty mental health and substance abuse treatment centers.
Implement these guidelines in a proportion of these settings.
Objective 7.3: By 2005, increase the proportion of specialty mental health
and substance abuse treatment centers that have policies, procedures, and
evaluation programs designed to assess suicide risk and intervene to reduce
suicidal behaviors among their patients.
Objective 7.4: By 2005, develop guidelines for aftercare treatment programs
for individuals exhibiting suicidal behavior (including those discharged from
inpatient facilities). Implement these guidelines in a proportion of these
settings.
Objective 7.5: By 2005, increase the proportion of those who provide key
services to suicide survivors (e.g., emergency medical technicians,
firefighters, law enforcement officers, funeral directors, clergy) who have
received training that addresses their own exposure to suicide and the unique
needs of suicide survivors.
Objective 7.6: By 2005, increase the proportion of patients with mood
disorders who complete a course of treatment or continue maintenance treatment
as recommended.
Objective 7.7: By 2005, increase the proportion of hospital emergency
departments that routinely provide immediate post-trauma psychological support
and mental health education for all victims of sexual assault and/or physical
abuse.
Objective 7.8: By 2005, develop guidelines for providing education to family
members and significant others of persons receiving care for the treatment of
mental health and substance abuse disorders with risk of suicide. Implement the
guidelines in facilities (including general and mental hospitals, mental health
clinics, and substance abuse treatment centers).
Objective 7.9: By 2005, incorporate screening for depression, substance abuse
and suicide risk as a minimum standard of care for assessment in primary care
settings, hospice, and skilled nursing facilities for all Federally-supported
healthcare programs (e.g., Medicaid, CHAMPUS/TRICARE, CHIP, Medicare).
Objective 7.10: By 2005, include screening for depression, substance abuse
and suicide risk as measurable performance items in the Health Plan Employer
Data and Information Set (HEDIS).
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Goal 8. Increase Access to and Community Linkages with Mental Health and
Substance Abuse Services
Objective 8.1: By 2005, increase the number of States that require health
insurance plans to cover mental health and substance abuse services on par with
coverage for physical health.
Objective 8.2: By 2005, increase the proportion of counties (or comparable
jurisdictions) with health and/or social services outreach programs for at-risk
populations that incorporate mental health services and suicide prevention.
Objective 8.3: By 2005, define guidelines for mental health (including
substance abuse) screening and referral of students in schools and colleges.
Implement those guidelines in a proportion of school districts and colleges.
Objective 8.4: By 2005, develop guidelines for schools on appropriate
linkages with mental health and substance abuse treatment services and implement
those guidelines in a proportion of school districts.
Objective 8.5: By 2005, increase the proportion of school districts in which
school-based clinics incorporate mental health and substance abuse assessment
and management into their scope of activities.
Objective 8.6: By 2005, for adult and juvenile incarcerated populations,
define national guidelines for mental health screening, assessment and treatment
of suicidal individuals. Implement the guidelines in correctional institutions,
jails and detention centers.
Objective 8.7: By 2005, define national guidelines for effective
comprehensive support programs for suicide survivors. Increase the proportion of
counties (or comparable jurisdictions) in which the guidelines are implemented.
Objective 8.8: By 2005, develop quality care/utilization management
guidelines for effective response to suicidal risk or behavior and implement
these guidelines in managed care and health insurance plans.
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Goal 9. Improve Reporting and Portrayals of Suicidal Behavior, Mental
Illness, and Substance Abuse in the Entertainment and News Media
Objective 9.1: By 2005, establish an association of public and private
organizations for the purpose of promoting the accurate and responsible
representation of suicidal behaviors, mental illness and related issues on
television and in movies.
Objective 9.2: By 2005, increase the proportion of television programs and
movies that observe promoting accurate and responsible depiction of suicidal
behavior, mental illness and related issues.
Objective 9.3: By 2005, increase the proportion of news reports on suicide
that observe consensus reporting recommendations.
Objective 9.4: By 2005, increase the number of journalism schools that
include in their curricula guidance on the portrayal and reporting of mental
illness, suicide and suicidal behaviors.
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Section 3: Methodology
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Goal 10. Promote and Support Research on Suicide and Suicide Prevention
Objective 10.1: By 2002, develop a national suicide research agenda with
input from survivors, practitioners, researchers, and advocates.
Objective 10.2: By 2005, increase funding (public and private) for suicide
prevention research, for research on translating scientific knowledge into
practice, and for training of researchers in suicidology.
Objective 10.3: By 2005, establish and maintain a registry of prevention
activities with demonstrated effectiveness for suicide or suicidal behaviors.
Objective 10.4: By 2005, perform scientific evaluation studies of new or
existing suicide prevention interventions.
-------------------------------------------------------------------------------- Goal 11. Improve and Expand Surveillance Systems Objective 11.1: By 2005, develop and refine standardized protocols for death scene investigations and implement these protocols in counties (or comparable jurisdictions). Objective 11.2: By 2005, increase the proportion of jurisdictions that regularly collect and provide information for follow-back studies on suicides. Objective 11.3: By 2005, increase the proportion of hospitals (including emergency departments) that collect uniform and reliable data on suicidal
behavior by coding external cause of injuries, utilizing the categories included in the International Classification of Diseases. Objective 11.4: By 2005, implement a national violent death reporting system that includes suicides and collects information not currently available from death certificates. Objective 11.5: By 2005, increase the number of States that produce annual reports on suicide and suicide attempts, integrating data from multiple State data management systems. Objective 11.6: By 2005, increase the number of nationally representative surveys that include questions on suicidal behavior. Objective 11.7: By 2005, implement pilot projects in several States that link and analyze information related to self-destructive behavior derived from separate data systems, including for example law enforcement, emergency medical services, and hospitals. Above is a listing of NSSP goals and objectives; to review the complete NSSP document follow this link to the official NSSP Internet site http://www.nsspi.org/review.asp
 
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