Review the Strategy
Below 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.mentalhealth.org/suicideprevention/strategy.asp
National Strategy for Suicide Prevention Goals and Objectives
Section 1: Awareness
Section 2: Intervention
Section 3: Methodology
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.
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
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.
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.
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.
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).
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.
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
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.
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