Best and Promising Practices for the Implementation of Zero Suicide in Indian Country

This resource was selected by SMI Adviser content partners and approved by the SMI Adviser clinical expert team for inclusion in the knowledge base.

Zero Suicide is a framework to support suicide-safer care in health and behavioral health care systems. In the past ten years, many studies have shown its effectiveness in reducing suicide deaths across diverse health systems. However, when health and behavioral health care systems in Indian Country have attempted to employ the framework, there are often challenges related to culture, language, or concepts of what healing and wellness may mean to the Tribe or to the community, as well as differences in resources and views of standardized measurement and data gathering. Adding to the challenges of implementing Zero Suicide as a framework in Indian Country are historical, intergenerational, and modern-day trauma and their impact on the health and well-being of Indigenous people.

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