Embedding an Evidence-Based Model for Suicide Prevention in the National Health Service: A Service Improvement Initiative

摘要: Despite the improved understanding of determinants suicide over recent decades, mean rate within United Kingdom (UK) has remained at 10 per 100,000 annum, with about 28% accessing mental health services in 12 months prior to death. In this paper, we outlined a novel systems-level approach tackling problem through objectively differentiating level severity for each risk presentation and providing fast-track pathways care all, including life-threatening cases. An additional operational challenge addressed proposed model was saturation local crisis approximately 150 suicidality referrals month, non-mental This paper discussed service improvement initiative undertaken National Health Service (NHS) secondary provider's open-access 24/7 home treatment service. organisation-wide bespoke "suicide triage" system utilising Collaborative Assessment Management Suicidality (CAMS) implemented across all services. The preliminary impacts on suicidality, rates user outcomes were described.