Vermont has adopted the Zero Suicide Framwork in healthcare setttings. The foundational belief of Zero Suicide is that suicide deaths for individuals under the care of health and behavioral health systems are preventable. For healthcare systems dedicated to improving patient safety, Zero Suicide presents an aspirational challenge and practical framework for system-wide transformation toward safer suicide care.
Systems using evidence based programs covering prevention, screening and identification of older adults at risk and subsequent treatment and follow up are being developed in Vermont. Key strategies include the following: Zero Suicide, Mental Health First Aid: for Older Adults (MHFA), universal screening suicidality in healthcare settings such as the Columbia-Suicide Severity Rating Scale (C-SSRS), the Ask Suicide-Screening Questions (ASQ) toolkit, and other evidence based screening and treatments including the Collaborative Assessment and Management of Suicidality (CAMS).