{"id":701,"date":"2025-01-23T19:37:12","date_gmt":"2025-01-23T19:37:12","guid":{"rendered":"https:\/\/www.mopip.org\/pip\/?page_id=701"},"modified":"2026-02-13T17:22:54","modified_gmt":"2026-02-13T17:22:54","slug":"suicide-prevention","status":"publish","type":"page","link":"https:\/\/www.mopip.org\/pip\/suicide-prevention\/","title":{"rendered":"Suicide Prevention"},"content":{"rendered":"\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"300\" src=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/01\/Header_suicide.jpg\" alt=\"Holding hands\" class=\"wp-image-702\" srcset=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/01\/Header_suicide.jpg 1200w, https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/01\/Header_suicide-300x75.jpg 300w, https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/01\/Header_suicide-1024x256.jpg 1024w, https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/01\/Header_suicide-768x192.jpg 768w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n\n\n\n<div class=\"wp-block-group has-base-3-color has-accent-background-color has-text-color has-background has-link-color wp-elements-6ee7f8486b1a0894813dc212e8613464\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h3 class=\"wp-block-heading\">Suicide is the second leading cause of death for 15-34 year-olds.<sup>4<\/sup>&nbsp;<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">College students may be at a high risk for suicide due to the pressures of college life and the changes in environment. According to the CDC, approximately 1,100 college students die by suicide each year.<\/p>\n\n\n\n<p class=\"has-base-3-color has-text-color has-link-color wp-elements-ee073ed96ecdebdbd999c5cbbc433393 wp-block-paragraph\">Compiled here are resources relating to suicide prevention best practices and research to aid campuses in providing effective suicide prevention.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For more information about PIP&#8217;s suicide prevention efforts, specifically Ask. Listen. Refer., please contact our staff at&nbsp;<a href=\"mailto:muwrcasklistenrefer@missouri.edu\">muwrcasklistenrefer@missouri.edu<\/a><\/p>\n<\/div><\/div>\n\n\n<div class=\"lightweight-accordion\"><details><summary class=\"lightweight-accordion-title\"><span>Scope<\/span><\/summary><div class=\"lightweight-accordion-body\">\n\n<h4 class=\"wp-block-heading\" id=\"nationaldata\">National Data<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><mark style=\"background-color:var(--global-color-8)\" class=\"has-inline-color\">Suicide is the second leading cause of death<\/mark><\/strong>&nbsp;among 15-34 year-olds.<sup>4<\/sup><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>For every person who dies by suicide, <mark style=\"background-color:var(--global-color-8)\" class=\"has-inline-color\">more than 30 others attempt suicide.<\/mark><\/strong><sup>1<\/sup><\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"missouridata\">Missouri Data<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\"><mark style=\"background-color:var(--global-color-8)\" class=\"has-inline-color\"><strong>46%&nbsp;<\/strong><\/mark><strong>&nbsp;of Missouri college students report having suicidal thoughts<\/strong>&nbsp;at some point in their life and 21% report having suicidal thoughts in the past year.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In the past year,&nbsp;<mark style=\"background-color:var(--global-color-8)\" class=\"has-inline-color\"><strong>&nbsp;1.4%<\/strong>&nbsp;<\/mark><strong>&nbsp;of Missouri college students report attempting suicide<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><mark style=\"background-color:var(--global-color-8)\" class=\"has-inline-color\">61%&nbsp;<\/mark>&nbsp;of students&nbsp;<\/strong>who report having suicidal thoughts or who attempted suicide in the past year&nbsp;<strong>have not sought assistance<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><mark style=\"background-color:var(--global-color-8)\" class=\"has-inline-color\"><strong>33%&nbsp;<\/strong><\/mark><strong>&nbsp;of students also report being concerned about a friend&nbsp;<\/strong>having suicidal thoughts or behaviors.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><mark style=\"background-color:var(--global-color-8)\" class=\"has-inline-color\">82%<\/mark> of students have heard of the <a href=\"https:\/\/988lifeline.org\/\">988 Suicide &amp; Crisis Lifeline. <\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>All Missouri student data is taken from the 2025 Missouri Assessment of College Health Behaviors (MACHB) survey.<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/dmh.mo.gov\/media\/pdf\/suicide-missouri-where-we-stand-0\" target=\"_blank\" rel=\"noreferrer noopener\">View data on suicide in Missouri from the Missouri Department of Mental Health. <\/a><\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"riskandprotectivefactors\">Risk and Protective Factors<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Risk factor<\/strong><strong>s are characteristics that make it more likely that individuals will consider, attempt or die by suicide. These include:&nbsp;<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Previous suicide attempts<\/li>\n\n\n\n<li>Mental illness, particularly depression, anxiety disorders, posttraumatic stress disorder, schizophrenia and certain personality disorders<\/li>\n\n\n\n<li>Alcohol or other substance use disorders<\/li>\n\n\n\n<li>Family history of mental illness or substance use disorder<\/li>\n\n\n\n<li>History of trauma, abuse, or sexual assault<\/li>\n\n\n\n<li>Family history of suicide or exposure to others that have died by suicide<\/li>\n\n\n\n<li>Family violence<\/li>\n\n\n\n<li>Chronic physical illness, including chronic pain<\/li>\n\n\n\n<li>Firearms in the home or access to other lethal means<\/li>\n\n\n\n<li>Lack of social support or social isolation<\/li>\n\n\n\n<li>Major life adjustment<\/li>\n\n\n\n<li>Incarceration<\/li>\n\n\n\n<li>Perfectionism<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>The risk of suicide can be lowered by certain protective factors.&nbsp;<\/strong>They include:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Having a strong support system (family, friends, and school)<\/li>\n\n\n\n<li>Spiritual beliefs or participation in a religious community<\/li>\n\n\n\n<li>Good self-care and positive thinking skills<\/li>\n\n\n\n<li>Communication, planning, and problem-solving skills<\/li>\n\n\n\n<li>An ability to manage strong emotions\/emotional regulation<\/li>\n\n\n\n<li>Access to mental health care and willingness to seek and accept help<\/li>\n\n\n\n<li>A school environment that encourages help seeking and promotes health<\/li>\n\n\n\n<li>Other environmental protections, such as reducing access to firearms and other lethal means<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"warningsigns\">Warning Signs<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Warning signs may indicate an immediate possibility of suicide,&nbsp;<\/strong>whereas risk factors indicate someone has an increased likelihood for suicide, but indicate little or nothing about immediate danger.&nbsp;Warning signs include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Starting or increasing use of alcohol or drugs<\/li>\n\n\n\n<li>Aggressive, impulsive, reckless or disruptive behavior<\/li>\n\n\n\n<li>Talking about death and dying, expressing a strong wish to die or talking about wanting \u201cpain\u201d to end<\/li>\n\n\n\n<li>Preoccupation with death<\/li>\n\n\n\n<li>Planning a suicide<\/li>\n\n\n\n<li>Giving away belongings, tying up loose ends, saying goodbye to friends and family<\/li>\n\n\n\n<li>Purchasing a firearm<\/li>\n\n\n\n<li>Obtaining other means of killing oneself<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"populationconsiderations\">Population Considerations<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Nearly<\/strong>&nbsp;<mark style=\"background-color:var(--global-color-8)\" class=\"has-inline-color\">&nbsp;<strong>50%&nbsp;<\/strong><\/mark><strong>&nbsp;of U.S. military veteran college students reported considering suicide,<\/strong>&nbsp;and&nbsp;<mark style=\"background-color:var(--global-color-8)\" class=\"has-inline-color\">&nbsp;<strong>20%&nbsp;<\/strong><\/mark>&nbsp;reported currently having suicidal thoughts and a plan.5 An estimated 22 veterans die by suicide every day.<sup>5<\/sup><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>People who have experienced rape or sexual assault are&nbsp;<\/strong><mark style=\"background-color:var(--global-color-8)\" class=\"has-inline-color\"><strong>13 times more likely<\/strong>&nbsp;<strong>to attempt suicide<\/strong><\/mark>&nbsp;than individuals who have not experienced sexual violence.<sup>7<\/sup><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><mark style=\"background-color:var(--global-color-8)\" class=\"has-inline-color\">Lesbian, gay, and bisexual+ students are&nbsp;3-4 times more likely&nbsp;to attempt suicide<\/mark><\/strong>&nbsp;when compared to non-LGB+ students.<sup>8<\/sup><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><mark style=\"background-color:var(--global-color-8)\" class=\"has-inline-color\"><strong>Young adult American Indian and Alaskan Natives have higher rates of suicide<\/strong>&nbsp;<\/mark>deaths than young adults of any other ethnicity.<sup>1<\/sup><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Overall,&nbsp;<strong><mark style=\"background-color:var(--global-color-8)\" class=\"has-inline-color\">the suicide death rate is higher in men<\/mark><\/strong>, especially European American\/White men. This is because this group typically chooses more lethal means. <strong><mark style=\"background-color:var(--global-color-8)\" class=\"has-inline-color\">However, women attempt suicide at higher rates than men.<\/mark><\/strong><sup>12<\/sup><\/p>\n\n<\/div><\/details><\/div>\n\n<div class=\"lightweight-accordion\"><details><summary class=\"lightweight-accordion-title\"><span>Data Briefs<\/span><\/summary><div class=\"lightweight-accordion-body\">\n\n<h4 class=\"wp-block-heading\">At a Glance<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/04\/PIP_13_MH_Glance.pdf\"><strong>2024 MACHB At a Glance: Mental Health<\/strong><\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/02\/PIP_Glance_2021_MACHB_02.pdf\"><strong>2021 MACHB Key Findings at a Glance: Mental Health, Well-being, and Interpersonal Violence<\/strong><\/a><\/li>\n\n\n\n<li><strong><a href=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/02\/PIP_Glance_e-Cig.pdf\">2020 MACHB At a Glance: E-Cigarette Use, Mental Health &amp; Well-being<\/a><\/strong><\/li>\n\n\n\n<li><a href=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/02\/PIP_Glance_WB_Key_01_2020.pdf\"><strong>2020 Students&#8217; Well-being Survey Key Findings: Well-being and Mental Health<\/strong><\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/02\/PIP_Glance_Suicide.pdf\"><strong>2019 MACHB At a Glance: Suicidal Ideation<\/strong><\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/02\/PIP_Glance_Key_Findings.pdf\"><strong>2019 MACHB At a Glance: Key Findings from the 2019 MACHB<\/strong><\/a><\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Volume 14 <\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/10\/PIP_14_6_Suicidality-Among-Missouri-College-Students.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Volume 14, Number 6:&nbsp;<strong>Suicidality Among Missouri College Students<\/strong><\/a><\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Volume 13<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2024\/12\/PIP_13_03.pdf\">Volume 13, Number 3:&nbsp;<strong>Help Seeking Behaviors and Warning Signs of Suicidality and Mental Health Crises in Missouri College Students<\/strong><\/a><\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Volume 12<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2024\/12\/PIP_12_09.pdf\">Volume 12, Number 9:&nbsp;<strong>Suicidality and Help-Seeking among Missouri College Students<\/strong><\/a><\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Volume 11<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2024\/12\/PIP_11_03.pdf\">Volume 11, Number 3:&nbsp;<strong>Suicidality and Help-Seeking<\/strong><\/a><\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Volume 10<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2024\/12\/PIP_10_02.pdf\">Volume 10, Number 2:<strong>&nbsp;Cannabis Use and Mental Health<\/strong><\/a><\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Volume 8<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2024\/12\/PIP_8_03.pdf\" data-type=\"attachment\" data-id=\"304\" target=\"_blank\" rel=\"noreferrer noopener\">Volume 8, Number 3:&nbsp;<strong>Outcomes of the Ask Listen Refer Online Suicide Prevention Training Program<\/strong><\/a><\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Volume 7<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2024\/12\/PIP_7_02.pdf\" data-type=\"attachment\" data-id=\"290\" target=\"_blank\" rel=\"noreferrer noopener\">Volume 7, Number 2:&nbsp;<strong>Anxiety, Stress, and Suicide<\/strong><\/a><\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Volume 6<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2024\/12\/PIP_6_10.pdf\" data-type=\"attachment\" data-id=\"285\" target=\"_blank\" rel=\"noreferrer noopener\">Volume 6, Number 10:&nbsp;<strong>Mental Health Concerns and Suicidal Ideation Among LGBQQ Students<\/strong><\/a><\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Volume 5<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.mopip.org\/pip\/suicide-prevention\/\" data-type=\"page\" data-id=\"701\" target=\"_blank\" rel=\"noreferrer noopener\">Volume 5, Number 6:&nbsp;<strong>Anxiety, Stress, and Suicide<\/strong><\/a><\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Volume 4<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2024\/12\/PIP_4_10.pdf\" data-type=\"attachment\" data-id=\"259\" target=\"_blank\" rel=\"noreferrer noopener\">Volume 4, Number 10:&nbsp;<strong>Suicidal Ideation and Ask Listen Refer<\/strong><\/a><\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Volume 3<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2024\/12\/PIP_3_13.pdf\" data-type=\"attachment\" data-id=\"249\" target=\"_blank\" rel=\"noreferrer noopener\">Volume 3, Number 13:&nbsp;<strong>Prevalence of Mental Health Issues with Missouri College Students<\/strong><\/a><\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Volume 2<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2024\/12\/PIP_2_17.pdf\" data-type=\"attachment\" data-id=\"233\" target=\"_blank\" rel=\"noreferrer noopener\">Volume 2, Number 17:&nbsp;<strong>Differences in Help Seeking Behaviors by Institutional Classification<\/strong><\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2024\/12\/PIP_2_6.pdf\" data-type=\"attachment\" data-id=\"222\" target=\"_blank\" rel=\"noreferrer noopener\">Volume 2, Number 6:&nbsp;<strong>Best Practices in Campus Suicide Prevention<\/strong><\/a><\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Volume 1<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2024\/12\/PIP_1_9.pdf\" data-type=\"attachment\" data-id=\"207\" target=\"_blank\" rel=\"noreferrer noopener\">Volume 1, Number 9:&nbsp;<strong>Missouri College Students and Suicide<\/strong><\/a><\/li>\n<\/ul>\n\n<\/div><\/details><\/div>\n\n<div class=\"lightweight-accordion\"><details><summary class=\"lightweight-accordion-title\"><span>Best Practices<\/span><\/summary><div class=\"lightweight-accordion-body\">\n\n<h4 class=\"wp-block-heading\" id=\"strategicplan\">Strategic Plan<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Craft a strategic plan to address suicide prevention.<\/strong>&nbsp;Keep in mind \u2013 what specific results or changes do you hope to achieve and how will those help reduce suicide? The Suicide Prevention Resource Center has <a href=\"https:\/\/sprc.org\/effective-prevention\/strategic-planning\/\">great resources and an online course for strategic planning<\/a>. The Community-Led Suicide Prevention Toolkit also has information on <a href=\"https:\/\/communitysuicideprevention.org\/element\/planning\/\" target=\"_blank\" rel=\"noreferrer noopener\">planning efforts for suicide prevention<\/a>. <\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Strategic Planning Process<\/h4>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1000\" height=\"300\" src=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/01\/StrategicPlan.png\" alt=\"Strategic plan graphic\" class=\"wp-image-713\" style=\"width:678px;height:auto\" srcset=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/01\/StrategicPlan.png 1000w, https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/01\/StrategicPlan-300x90.png 300w, https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/01\/StrategicPlan-768x230.png 768w\" sizes=\"auto, (max-width: 1000px) 100vw, 1000px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/jedfoundation.org\/wp-content\/uploads\/2021\/07\/campus-mental-health-action-planning-jed-guide.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">The Jed Foundation&#8217;s Guide to Campus Mental Health Action Planning<\/a> is also a good resource for campuses. <\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Thomas Joiner&#8217;s Model of Suicide Risk, 2006<\/h4>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"500\" src=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/01\/Suicide_Risk.png\" alt=\"Suicide risk graphic\" class=\"wp-image-714\" style=\"width:393px;height:auto\" srcset=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/01\/Suicide_Risk.png 800w, https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/01\/Suicide_Risk-300x188.png 300w, https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/01\/Suicide_Risk-768x480.png 768w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\"><strong>Wanting death is composed of two psychological experiences:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A perception of being a burden to others (perceived burdensomeness). \u201cI am worth more dead to the people that love me than I am alive.\u201d&nbsp;<\/li>\n\n\n\n<li>Social disconnection to something larger than oneself (thwarted belongingness).<\/li>\n\n\n\n<li>By themselves, however, neither of these states is enough to move a person to act on the desire for death, but together with an acquired capacity (or fearlessness) they result in a high risk state for suicide.<\/li>\n\n\n\n<li>The risk is elevated where the two factors overlap \u2013 when a desire for suicide is met with the ability to carry it out.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>What is acquired capacity?&nbsp;<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A series of painful and provocative experiences over the course of a lifetime can disinhibit a person from the fear of pain and death associated with suicide.&nbsp;<\/li>\n\n\n\n<li>Experiences may be trauma and abuse, high risk behaviors, injuries from contact sports, and a knowledge of and comfort with deadly means of suicide (e.g., firearms or lethal drugs).<\/li>\n\n\n\n<li>A previous suicide attempt is the strongest predictor of a future attempt.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Comprehensive Approach<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Shift the paradigm from individual to problem-centered (Drum et al, 2009).<\/li>\n\n\n\n<li>Empower the administrative structure of the university to become engaged with the problem of suicidality by intervening at all points along the suicidal continuum.<\/li>\n\n\n\n<li>Ensure that efforts span the breadth of prevention, early intervention, crisis response, treatment, and postvention<\/li>\n\n\n\n<li>Expanding campus dialogue around issues of suicide to include all stakeholders will help involve a greater cross-section of campus personnel.<\/li>\n\n\n\n<li>Create a suicide prevention taskforce.<\/li>\n\n\n\n<li>Address policy issues on campus such as means restriction.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Suicide Prevention Resource Center<\/strong><br>Please visit the Resources and Programs Page from the Suicide Prevention Resource Center for more about evidence-based practices (<a href=\"http:\/\/www.sprc.org\/resources-programs\">www.sprc.org\/resources-programs<\/a>)&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>After a Suicide: A Toolkit for Schools&nbsp;<\/strong><br><a href=\"http:\/\/www.sprc.org\/resources-programs\/after-suicide-toolkit-schools\">www.sprc.org\/resources-programs\/after-suicide-toolkit-schools<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>National Action Alliance for Suicide Prevention<\/strong><br>Visit the National Action Alliance for Suicide Prevention for resources and information regarding their strategy and work (<a href=\"http:\/\/actionallianceforsuicideprevention.org\">actionallianceforsuicideprevention.org<\/a>)&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Ask. Listen. Refer<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Pretest (M=21.32, SD=3.46) and posttest (M=25.95, SD=3.57) scores measuring the consumer\u2019s cultural knowledge of risk factors, warning signs, and protective factors of suicide indicated a statistically significant improvement from pretest to posttest (t=87.404, p&lt; 0.000)<\/li>\n\n\n\n<li>In 2009, when the program began, early data analysis showed that 31.2% of consumers returned to the Ask Listen Refer site after their initial login. This suggests that the online training is appealing and consumers appreciate its constant availability.<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"policies\">Policies<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>The Show Me Compassionate Medical Education Act requires:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Each public institution of higher education to develop and implement a policy to advise students and staff on suicide prevention programs available on and off campus that includes crisis intervention access, mental health program access, multimedia application access, student communication plans, and post intervention plans.<\/li>\n\n\n\n<li>Said policy should advise students, faculty, and staff for identifying and addressing the needs of students exhibiting suicidal tendencies or behaviors, and require training where appropriate.<\/li>\n\n\n\n<li>Institutions must provide all incoming students with information about depression and suicide prevention and must be available on the website of each institution.<\/li>\n\n\n\n<li>The Ask. Listen. Refer Training Program was designed to help faculty, staff, and students prevent suicide by teaching participants to identify people at risk for suicide; recognize the risk factors, protective factors and warning signs of suicide; and respond to and get help for people at risk. Ask. Listen. Refer is free for colleges and universities in the state of Missouri and includes a customized site with campus and community resources. We also provide a monthly newsletter with suicide prevention resources and data on who has completed the training on your campus. To view a demo of the site or for questions, concerns, or to get started with Ask. Listen. Refer for your campus please contact us at&nbsp;<a href=\"mailto:muwrcasklistenrefer@missouri.edu\">muwrcasklistenrefer@missouri.edu<\/a>&nbsp;or at (573) 882-2123.<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"culturalcompetencies\">Additional Competencies<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">The Suicide Prevention Resource Center has a great guide on creating linguistically and culturally competent suicide prevention materials and can be <a href=\"https:\/\/sprc.org\/wp-content\/uploads\/2022\/12\/CalMHSA-CulturalGuide-v12.5.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">viewed here<\/a>.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"interventions\">Interventions<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Evidence-Based Interventions<\/strong>&nbsp;(taken from the Zero Suicide Toolkit:&nbsp;<a href=\"http:\/\/zerosuicide.sprc.org\/toolkit\/treat\">zerosuicide.sprc.org\/toolkit\/treat<\/a>)<br>Evidence-based interventions include interventions and treatment that are designed to target suicide risk directly. These interventions have demonstrated effectiveness in reducing suicidal thoughts and behaviors. At this time, only a few interventions are supported by research:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Non-demand \u201ccaring contacts\u201d<\/li>\n\n\n\n<li>Structured, problem-solving therapies<\/li>\n\n\n\n<li>Collaborative assessment and treatment planning<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Whichever specific model is used, interactions with patients should always be person-centered, collaborative, and careful to acknowledge the ambivalence that patients contemplating suicide risk often feel. Understanding that ambivalence\u2014the desire to find a solution to the intense pain they feel versus the innate human desire to live\u2014is essential for any clinician working with a patient at risk of suicide.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Non-Demand Caring Contacts<\/strong><br>A growing body of evidence suggests that post-discharge follow-up contacts with high-risk individuals may be an effective suicide prevention strategy. While non-demand, caring contacts are not treatment per se, they can be used as adjuncts to treatment to:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Keep patients engaged<\/li>\n\n\n\n<li>Follow up with patients who are difficult to engage<\/li>\n\n\n\n<li>Extend the connection between provider and patient after treatment has ended<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Caring contact interventions include:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Postcards and\/or letters containing brief expressions of caring&nbsp;<\/li>\n\n\n\n<li>Telephone follow-up contacts with patients after discharge<\/li>\n\n\n\n<li>Telephone calls combined with in-person contact<\/li>\n\n\n\n<li>Organizations can use automated systems to send postcards, letters, e-mails, or text messages<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Cognitive Behavioral Therapy for Suicide Prevention<\/strong><br>This intervention, known as CBT-SP, is theoretically grounded in principles of cognitive behavior therapy (CBT); dialectical behavioral therapy (DBT); and targeted therapies for suicidal, depressed adolescents and adults.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Two studies tested the efficacy of this intervention: one study with adults, which found reductions in attempts and symptoms, and a second study demonstrating the feasibility of using a similar intervention with adolescents.45 In Brown and colleagues&#8217; (2005) research with adults, a 10-session cognitive therapy intervention focused specifically on identifying proximal suicidal thoughts, images, and core beliefs activated before a suicide attempt. Subsequently, Stanley, Brown, and colleagues (2009) manualized a cognitive therapy intervention specifically for adolescent suicide attempters, called Cognitive Behavioral Therapy for Suicide Prevention (CBT-SP).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>CBT-SP can be used with adults and adolescents and includes:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Cognitive restructuring strategies, such as identifying and evaluating automatic thoughts from cognitive therapy<\/li>\n\n\n\n<li>Emotion regulation strategies, such as action urges and choices, emotions thermometer, index cue cards, mindfulness, opposite action, and distress tolerance skills from DBT<\/li>\n\n\n\n<li>Other CBT strategies, such as behavioral activation and problem-solving strategies<\/li>\n\n\n\n<li>Because adolescents\u2019 suicidal crises occur within an environment that may include problematic relationships, abuse, family dysfunction, or poor school performance, CBT-SP includes family interventions if needed<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Dialectical Behavior Therapy (DBT)&nbsp;<\/strong><br>The term dialectical means a synthesis or integration of opposites, and in DBT, it refers to the seemingly opposite strategies of acceptance and change. DBT has four components, although these may be adjusted in practice to suit specific circumstances:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A skills training group meeting once a week for 24 weeks<\/li>\n\n\n\n<li>Individual treatment once a week, running concurrently with the skills group<\/li>\n\n\n\n<li>Phone coaching, upon request by the client<\/li>\n\n\n\n<li>Consultation team meetings\u2014a kind of \u201ctherapy for the therapists\u201d<\/li>\n\n\n\n<li>Numerous research studies, including several randomized control trials, have shown DBT to be effective in reducing suicidal behavior and other behavioral health issues. For example, Linehan et al. (2006) compared one year of DBT with women with borderline personality disorder and two or more suicide attempts and\/or self-injuries in the past 5 years and at least one in the past 8 weeks to non-behavioral community treatment by experts. Those receiving DBT were significantly less likely to:\n<ul class=\"wp-block-list\">\n<li>Drop out of treatment<\/li>\n\n\n\n<li>Attempt suicide&nbsp;<\/li>\n\n\n\n<li>Visit psychiatric emergency rooms<\/li>\n\n\n\n<li>Experience psychiatric hospitalization<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Collaborative Assessment and Management of Suicidality<\/strong><br>Outpatient care is the explicit goal of the Collaborative Assessment and Management of Suicidality (CAMS), which is designed to strengthen the therapeutic alliance and increase patient motivation. CAMS is best understood as a therapeutic framework that emphasizes a collaborative assessment and treatment planning process between the patient at risk of suicide and the clinician. <a href=\"https:\/\/cams-care.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Learn more about CAMS here.<\/a> CAMS is supported by six published correlational studies and one randomized feasibility study, described briefly as follows:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Two studies of suicidal college students in a college counseling center showed reductions in suicidal ideation.<\/li>\n\n\n\n<li>Two studies in outpatient settings in Denmark demonstrated the cross-cultural feasibility of CAMS.<\/li>\n\n\n\n<li>One study in an inpatient psychiatric setting showed reductions in suicidal ideation, depression, hopelessness, and suicidal cognitions.<\/li>\n\n\n\n<li>One study in U.S. Air Force outpatient clinics found suicidal ideation was reduced more quickly than in a control group. The intervention was also correlated with reductions in primary care appointments and emergency department visits.<\/li>\n\n\n\n<li>One study to test the feasibility of a randomized control trial, in an outpatient community mental health center, found reductions in suicidal ideation, overall symptom distress, and optimism\/ hope, with the most robust effects occurring at the most distal assessment point\u201412 months after the start of treatment.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Research-Informed Interventions&nbsp;<\/strong><br>The standard of care for patients with suicide risk includes some interventions that may be informed by research and clinical practice but do not have a body of research to support them. Safety planning and lethal means reduction are two such interventions.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Safety Planning<\/strong><br>A safety plan is a prioritized written list of coping strategies and sources of support developed by a clinician in collaboration with patients who are at high risk for suicide. According to Dr. Stanley&#8217;s webinar presentation to the right, safety planning incorporates elements of four evidence-based suicide risk reduction strategies:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Reducing access to lethal means<\/li>\n\n\n\n<li>Teaching brief problem-solving and coping skills<\/li>\n\n\n\n<li>Enhancing social support and identifying emergency contacts<\/li>\n\n\n\n<li>Using motivational enhancement to increase likelihood of engagement in further treatment<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">A safety plan is not a \u201cno-suicide contract,\u201d which is not recommended by experts in the field of suicide prevention. As they are generally used, no-suicide contracts ask patients to promise to stay alive without telling them how to stay alive.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Reducing Access to Lethal Means<\/strong><br>Limiting access to medications and chemicals and removing or locking up firearms and other weapons are important actions to keep patients safe.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Reducing access to lethal means is based on the following suppositions:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Many suicide attempts occur with little planning during a short-term crisis<\/li>\n\n\n\n<li>Intent isn\u2019t all that determines whether an attempter lives or dies; means also matter<\/li>\n\n\n\n<li>90% of attempters who survive do NOT go on to die by suicide later&nbsp;<\/li>\n\n\n\n<li>Access to firearms is a risk factor for suicide<\/li>\n\n\n\n<li>Firearms used in youth suicide usually belong to a parent<\/li>\n\n\n\n<li>Reducing access to lethal means saves lives<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Reducing access to possible methods of suicide may be one of the most challenging tasks a clinician faces with a patient. Organization policies should clearly state what clinicians should do regarding lethal means, including the protocol to follow in the event a patient brings a weapon or other lethal means to the clinical setting.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"mediaconsiderations\">Media Considerations<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>General Concerns and Recommendations regarding the Reporting of Suicide and Suicide Contagion<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Suicide is often newsworthy, and it will probably be reported.<\/strong>&nbsp;The mission of a news organization is to report to the public information on events in the community. If a suicide is considered newsworthy, it will probably be reported. Health-care providers should realize that efforts to prevent news coverage may not be effective, and their goal should be to assist news professionals in their efforts toward responsible and accurate reporting.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>&#8220;No Comment&#8221; is not a productive response to media representatives who are covering a suicide story.<\/strong>&nbsp;Refusing to speak with the media does not prevent coverage of suicide; rather, it precludes an opportunity to influence what will be contained in the report. Nevertheless, public officials should not feel obligated to provide an immediate answer to difficult questions. They should, however, be prepared to provide a reasonable timetable for giving such answers or be able to direct the media to someone who can provide the answers.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>All parties should understand that a scientific basis exists for concern that news coverage of suicide may contribute to the causation of suicide.<\/strong>&nbsp;Efforts by persons trying to minimize suicide contagion are easily misinterpreted. Health officials must take the time to explain the carefully established, scientific basis for their concern about suicide contagion and how the potential for contagion can be reduced by responsible reporting.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Some characteristics of news coverage of suicide may contribute to contagion, and other characteristics may help prevent suicide.<\/strong>&nbsp;Clinicians and researchers acknowledge that it is not news coverage of suicide per se, but certain types of news coverage, that promote contagion. Persons concerned with preventing suicide contagion should be aware that certain characteristics of news coverage, rather than news coverage itself, should be avoided.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Health professionals or other public officials should not try to tell reporters what to report or how to write the news regarding suicide.<\/strong>&nbsp;If the nature and apparent mechanisms of suicide contagion are understood, the news media are more likely to present the news in a manner that minimizes the likelihood of such contagion. Instead of dictating what should be reported, public officials should explain the potential for suicide contagion, associated with certain types of reports and should suggest ways to minimize the risk for contagion.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Public officials and the news media should carefully consider what is to be said and reported regarding suicide.<\/strong>&nbsp;Reporters generally present the information that they are given. Impromptu comments about a suicide by a public official can result in harmful news coverage. Given the potential risks, public officials and the media should seek to minimize these risks by carefully considering what is to be said and reported regarding suicide.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Aspects of News Coverage That Can Promote Suicide Contagion<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Presenting simplistic explanations for suicide.<\/strong>&nbsp;Suicide is never the result of a single factor or event, but rather results from a complex interaction of many factors and usually involves a history of psychosocial problems. Public officials and the media should carefully explain that the final precipitating event was not the only cause of a given suicide. Most persons who have completed suicide have had a history of problems that may not have been acknowledged during the acute aftermath of the suicide. Cataloguing the problems that could have played a causative role in a suicide is not necessary, but acknowledgement of these problems is recommended.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Engaging in repetitive, ongoing, or excessive reporting of suicide in the news.<\/strong>&nbsp;Repetitive and ongoing coverage, or prominent coverage, of a suicide tends to promote and maintain a preoccupation with suicide among at-risk persons, especially among persons 15-24 years of age. This preoccupation appears to be associated with suicide contagion. Information presented to the media should include the association between such coverage and the potential for suicide contagion. Public officials and media representatives should discuss alternative approaches for coverage of newsworthy suicide stories.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Providing sensational coverage of suicide.<\/strong>&nbsp;By its nature, news coverage of a suicidal event tends to heighten the general public&#8217;s preoccupation with suicide. This reaction is also believed to be associated with contagion and the development of suicide clusters. Public officials can help minimize sensationalism by limiting, as much as possible, morbid details in their public discussions of suicide. News media professionals should attempt to decrease the prominence of the news report and avoid the use of dramatic photographs related to the suicide (e.g., photographs of the funeral, the deceased person&#8217;s bedroom, and the site of the suicide).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Reporting &#8220;how-to&#8221; descriptions of suicide.<\/strong>&nbsp;Describing technical details about the method of suicide is undesirable. For example, reporting that a person died from carbon monoxide poisoning may not be harmful; however, providing details of the mechanisms and procedures used to complete the suicide may facilitate imitation of the suicidal behavior by other at-risk persons.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Presenting suicide as a tool for accomplishing certain ends.<\/strong>&nbsp;Suicide is usually a rare act of a troubled or depressed person. Presentation of suicide as a means of coping with personal problems (e.g., the break-up of a relationship or retaliation against parental discipline) may suggest suicide as a potential coping mechanism to at-risk persons. Although such factors often seem to trigger a suicidal act, other psychopathological problems are almost always involved. If suicide is presented as an effective means for ac-complishing specific ends, it may be perceived by a potentially suicidal person as an attractive solution.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Glorifying suicide or persons who complete suicide.<\/strong>&nbsp;News coverage is less likely to contribute to suicide contagion when reports of community expressions of grief (e.g. public eulogies, flying flags at half-mast, and erecting permanent public memorials) are minimized. Such actions may contribute to suicide contagion by suggesting to susceptible persons that society is honoring the suicidal behavior of the deceased person, rather than mourning the person&#8217;s death.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Focusing on the suicide completer&#8217;s positive characteristics.<\/strong>&nbsp;Empathy for family and friends often leads to a focus on reporting the positive aspects of a suicide completer&#8217;s life. For example, friends or teachers may be quoted as saying the deceased person &#8220;was a great kid&#8221; or &#8220;had a bright future,&#8221; and they avoid mentioning the troubles and problems that the deceased person experienced. As a result, statements venerating the deceased person are often reported in the news. However, if the suicide completer&#8217;s problems are not acknowledged in the presence of these laudatory statements, suicidal behavior may appear attractive to other at-risk persons\u2014especially those who rarely receive positive reinforcement for desirable behaviors.<\/p>\n\n<\/div><\/details><\/div>\n\n<div class=\"lightweight-accordion\"><details><summary class=\"lightweight-accordion-title\"><span>988 Suicide and Crisis Lifeline<\/span><\/summary><div class=\"lightweight-accordion-body\">\n\n<h4 class=\"wp-block-heading\">SAMHSA&#8217;s 988 Partner Toolkit<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">SAMHSA recognizes the need for governments, states, territories, tribes, crisis centers, and partners to speak with one voice to ensure there is a clear understanding about what 988 is and how it will work. We encourage you to use these communication outreach materials and build upon them with your community coalitions to meet the needs of your specific audiences.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Access the toolkit here:<\/strong>&nbsp;<a href=\"https:\/\/www.samhsa.gov\/find-help\/988\/partner-toolkit\">samhsa.gov\/find-help\/988\/partner-toolkit<\/a><\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Background<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">In July 2020, the Federal Communications Commission (FCC) designated 988 as the new number for the National Suicide Prevention Lifeline. By July 2022, all telecommunications companies are expected to have made the necessary changes so that 988 is accessible.<sup>1<\/sup>The need for this comes from the reality that the current approach to mental health crises is simply not working.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Purpose<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">To connect those who are experiencing suicidal or mental health crises with appropriate and accessible services that can de-escalate mental health crises and connect individuals to the most appropriate care. The hope of the 988 system is:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A change in community response to behavioral health crises<\/li>\n\n\n\n<li>A decrease in suicides and other poor mental health outcomes<\/li>\n\n\n\n<li>A reduction in health care spending and use of law enforcement with more cost-effective early intervention<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Additionally, there is a hope that the 988 system will create a&nbsp;<strong>\u201cno wrong-door integrated crisis system\u201d<\/strong>&nbsp;that provides:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Someone to talk to<\/li>\n\n\n\n<li>Someone to respond; and when needed<\/li>\n\n\n\n<li>Somewhere to go<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Note:<\/strong>&nbsp;Given that many states are not in a place to be fully operational, the national roll-out of information related to 988 will most likely be seen in December 2022 or January 2023.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">How will 988 operate in the state of Missouri?<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>As of July 2022, Missouri is situated in the top 5% of states prepared for the roll out and implementation of 988<\/li>\n\n\n\n<li>The hope is that 988 will become \u201cmore than just a three-digit number\u201d that will fill in gaps that the system has unknowingly created \u2013 including the hope for both follow-up and a place\/person for connection after a crisis episode (i.e., wraparound services)<\/li>\n\n\n\n<li>The following flow chart can help to visualize how a person in crisis will be helped within the state<sup>3<\/sup>:<\/li>\n<\/ul>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"666\" src=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/01\/Advancement-1024x666.jpg\" alt=\"Flow chart\" class=\"wp-image-719\" style=\"width:678px;height:auto\" srcset=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/01\/Advancement-1024x666.jpg 1024w, https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/01\/Advancement-300x195.jpg 300w, https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/01\/Advancement-768x500.jpg 768w, https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/01\/Advancement-1536x999.jpg 1536w, https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/01\/Advancement.jpg 1800w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/div>\n\n\n<ul class=\"wp-block-list\">\n<li>988 is&nbsp;<strong>active as of July 16, 2022<\/strong>, via call, text, or chat services at&nbsp;<a href=\"https:\/\/988lifeline.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/988lifeline.org<\/a>&nbsp;(operated with the assistance of DeafLEAD)<\/li>\n\n\n\n<li>Information related to 988&nbsp;<strong>must be included on all newly issued (and replaced) student identification cards<\/strong>&nbsp;at public institutions of higher education by July 1, 2023<sup>4<\/sup><\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Who will individuals be connected to when they contact 988?<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Although 988 is currently NOT related to geolocation (as this will require federal legislation\/regulation), the Missouri Task Force believes that there will be at least an 80% chance that someone within Missouri who contacts 988 will be connected to an individual in Missouri with a secondary call center \u2013 Provident Behavioral Health. The National Backup Network will only come into play when neither the Missouri centers nor Provident Behavioral Health are unable to answer.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The following flow chart explains who an individual will be connected to when they contact 988<sup>5<\/sup>:<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"548\" src=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/01\/988_Call-1024x548.jpg\" alt=\"988 call chart\" class=\"wp-image-720\" style=\"width:642px;height:auto\" srcset=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/01\/988_Call-1024x548.jpg 1024w, https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/01\/988_Call-300x161.jpg 300w, https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/01\/988_Call-768x411.jpg 768w, https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/01\/988_Call-1536x823.jpg 1536w, https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/01\/988_Call.jpg 1800w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\"><strong>988\/Lifeline is a confidential service,<\/strong>&nbsp;although if there is a need for a release of information due to a court order, further direction may be found through use of the Lifeline\u2019s \u201cContact Us\u201d form.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">How is 988 different than 911?<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>988 was established to&nbsp;<strong>improve access to crisis services<\/strong>&nbsp;to meet the growing suicide\/mental health crisis need<\/li>\n\n\n\n<li>911 is for&nbsp;<strong>public safety\/medical emergency purposes<\/strong>&nbsp;(where the focus is on dispatching emergency medical services, fire, and police as needed)<\/li>\n\n\n\n<li>If a mental health crisis is at the point of being a medical emergency, continue to use 911<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">How is 988 different from the Crisis Text Line?<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">The Crisis Text Line (text HOME or MOSAFE to 741741) will still operate as a complementary service to 988 given the mental health crisis throughout the country and that \u201cthe need for mental health services is too great for any one organization to meet the demand alone.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Additional Resources:<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Missouri Department of Mental Health:<\/strong>&nbsp;<a href=\"https:\/\/dmh.mo.gov\/behavioral-health\/988-suicide-and-crisis-lifeline\" target=\"_blank\" rel=\"noreferrer noopener\">dmh.mo.gov\/behavioral-health\/988-suicide-and-crisis-lifeline<\/a><\/li>\n\n\n\n<li><strong>988 Suicide and Crisis Lifeline:<\/strong> <a href=\"https:\/\/988lifeline.org\" target=\"_blank\" rel=\"noreferrer noopener\"><\/a><a href=\"https:\/\/988lifeline.org\" target=\"_blank\" rel=\"noreferrer noopener\">988lifeline.org<\/a>\n<ul class=\"wp-block-list\">\n<li>Social Media Guidelines re: Supporting Others:&nbsp;<a href=\"https:\/\/988lifeline.org\/wp-content\/uploads\/2022\/07\/SupportForSuicidalIndividuals_988.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">988lifeline.org\/wp-content\/uploads\/2022\/07\/SupportForSuicidalIndividuals_988.pdf<\/a><\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Missouri 988<\/strong>: <a href=\"https:\/\/missouri988.org\/\">missouri988.org\/<\/a><\/li>\n\n\n\n<li><strong>SAMHSA:<\/strong><a href=\"https:\/\/www.samhsa.gov\/find-help\/988\" target=\"_blank\" rel=\"noreferrer noopener\"> samhsa.gov\/find-help\/988<\/a>\n<ul class=\"wp-block-list\">\n<li>Partner Toolkit:&nbsp;<a href=\"https:\/\/www.samhsa.gov\/find-help\/988\/partner-toolkit\">samhsa.gov\/find-help\/988\/partner-toolkit<\/a><\/li>\n\n\n\n<li>Branding Standards:&nbsp;<a href=\"https:\/\/www.samhsa.gov\/sites\/default\/files\/988-branding-standards.pdf\">samhsa.gov\/sites\/default\/files\/988-branding-standards.pdf<\/a><\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Basecamp:<\/strong>&nbsp;<a href=\"https:\/\/3.basecamp.com\/3780642\/buckets\/16830079\/vaults\/5131156589\">3.basecamp.com\/3780642\/buckets\/16830079\/vaults\/5131156589<\/a>&nbsp;(if you are a PIP member and need access, please contact Margo or Molly)<\/li>\n<\/ul>\n\n<\/div><\/details><\/div>\n\n<div class=\"lightweight-accordion\"><details><summary class=\"lightweight-accordion-title\"><span>National and Missouri Resources<\/span><\/summary><div class=\"lightweight-accordion-body\">\n\n<h4 class=\"wp-block-heading\">National Resources<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>988 Suicide &amp; Crisis Lifeline:<\/strong>&nbsp;Call or text 988 or chat online at <a href=\"https:\/\/chat.988lifeline.org\/\">chat.988lifeline.org\/<\/a><\/li>\n\n\n\n<li><strong>Community-Led Suicide Prevention<\/strong>: <a href=\"http:\/\/communitysuicideprevention.org\/\">communitysuicideprevention.org\/<\/a><\/li>\n\n\n\n<li><strong>National Action Alliance for Suicide Prevention:<\/strong>&nbsp;<a href=\"http:\/\/www.actionallianceforsuicideprevention.org\">actionallianceforsuicideprevention.org<\/a><\/li>\n\n\n\n<li><strong>National Alliance on Mental Illness (NAMI):<\/strong>&nbsp;<a href=\"http:\/\/www.nami.org\">nami.org<\/a><\/li>\n\n\n\n<li><strong>Substance Abuse and Mental Health Services Administration (SAMHSA):<\/strong>&nbsp;<a href=\"http:\/\/www.samhsa.gov\">samhsa.gov<\/a><\/li>\n\n\n\n<li><strong>Suicide Prevention Resource Center:<\/strong>&nbsp;<a href=\"http:\/\/www.sprc.org\">sprc.org<\/a><\/li>\n\n\n\n<li><strong>Trevor Lifeline:<\/strong>&nbsp;Call 1-866-488-7386, text START to 678-678, or chat online at <a href=\"https:\/\/chat.trvr.org\/\">https:\/\/chat.trvr.org\/<\/a><\/li>\n\n\n\n<li><strong>Veterans Crisis Line:<\/strong>&nbsp;Dial 988, then press 1 or text 838255, or chat online at <a href=\"https:\/\/www.veteranscrisisline.net\/\">veteranscrisisline.net<\/a><\/li>\n\n\n\n<li><strong>Zero Suicide in Health and Behavioral Health Care:&nbsp;<\/strong><a href=\"http:\/\/www.zerosuicide.sprc.org\">zerosuicide.sprc.org<\/a><\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Missouri Resources<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Missouri Institute of Mental Health (MIMH):&nbsp;<\/strong><a href=\"https:\/\/www.mimh.edu\/\">mimh.edu<\/a> <\/li>\n\n\n\n<li><strong>Missouri 988<\/strong>: <a href=\"https:\/\/missouri988.org\/\">missouri988.org\/<\/a><\/li>\n\n\n\n<li><strong>Missouri Department of Mental Health<\/strong>: <a href=\"https:\/\/dmh.mo.gov\/\">dmh.mo.gov\/<\/a><\/li>\n\n\n\n<li><strong>Missouri Suicide Prevention Network<\/strong>: <a href=\"https:\/\/www.mospn.org\/\">mospn.org\/<\/a><\/li>\n\n\n\n<li><strong>Missouri Suicide Prevention Coalition Academy:<\/strong> <a href=\"https:\/\/www.mopiptraining.org\/mospca\/\">https:\/\/www.mopiptraining.org\/mospca\/<\/a><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Inclusion of a particular resource is not an official endorsement from Partners in Prevention or any of our funding sources. <\/em><\/p>\n\n<\/div><\/details><\/div>\n\n<div class=\"lightweight-accordion\"><details><summary class=\"lightweight-accordion-title\"><span>PIP Resources<\/span><\/summary><div class=\"lightweight-accordion-body\">\n\n<h4 class=\"wp-block-heading\">Ask. Listen. Refer (ALR)<\/h4>\n\n\n\n<div class=\"wp-block-media-text has-media-on-the-right is-stacked-on-mobile\" style=\"grid-template-columns:auto 32%\"><div class=\"wp-block-media-text__content\">\n<p class=\"wp-block-paragraph\">Free online suicide prevention program designed to help faculty, staff, and students prevent suicide by teaching them to:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Identify people at risk for suicide<\/li>\n\n\n\n<li>Recognize the risk factors, protective factors, and warning signs of suicide among college students<\/li>\n\n\n\n<li>Respond to and get help for people at risk<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">ALR currently serves 50 campuses across the state of Missouri and 15 out of state schools. Visit <a href=\"https:\/\/asklistenrefer.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">asklistenrefer.org<\/a> and click on your campus to take the training! For questions email <a href=\"mailto:muwrcasklistenrefer@missouri.edu\">muwrcasklistenrefer@missouri.edu<\/a>.  <\/p>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-fe48e5de wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-contrast-color has-global-color-8-background-color has-text-color has-background has-link-color wp-element-button\" href=\"https:\/\/asklistenrefer.org\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Click here to access Ask. Listen. Refer.<\/strong><\/a><\/div>\n<\/div>\n<\/div><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"140\" src=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/01\/ALR.png\" alt=\"\" class=\"wp-image-587 size-full\"\/><\/figure><\/div>\n\n\n\n<div style=\"height:42px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h5 class=\"wp-block-heading\"><strong>Ask. Listen. Refer Resources<\/strong> (click to download)<\/h5>\n\n\n\n<div class=\"wp-block-group alignwide is-layout-grid wp-container-core-group-is-layout-9d260ee2 wp-block-group-is-layout-grid\">\n<figure class=\"wp-block-image size-full wp-container-content-69bc4bdf\"><a href=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2026\/02\/ALR_Bulletin_Board.pdf\"><img loading=\"lazy\" decoding=\"async\" width=\"546\" height=\"532\" src=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2026\/02\/ALR-bulletin-board-image-1.png\" alt=\"\" class=\"wp-image-2586\" srcset=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2026\/02\/ALR-bulletin-board-image-1.png 546w, https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2026\/02\/ALR-bulletin-board-image-1-300x292.png 300w\" sizes=\"auto, (max-width: 546px) 100vw, 546px\" \/><\/a><figcaption class=\"wp-element-caption\"><strong><a href=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2026\/02\/ALR_Bulletin_Board.pdf\">Bulletin Board<\/a><\/strong><\/figcaption><\/figure>\n\n\n\n<div class=\"wp-block-group is-layout-grid wp-container-core-group-is-layout-9d260ee2 wp-block-group-is-layout-grid\">\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/05\/2023_ALR_Brochure_General.pdf\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"829\" src=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2026\/02\/ALR-Brochure-Image-1-1024x829.png\" alt=\"\" class=\"wp-image-2587\" srcset=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2026\/02\/ALR-Brochure-Image-1-1024x829.png 1024w, https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2026\/02\/ALR-Brochure-Image-1-300x243.png 300w, https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2026\/02\/ALR-Brochure-Image-1-768x622.png 768w, https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2026\/02\/ALR-Brochure-Image-1.png 1170w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><figcaption class=\"wp-element-caption\"><strong><a href=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/05\/2023_ALR_Brochure_General.pdf\">Brochure<\/a><\/strong><\/figcaption><\/figure>\n<\/div>\n\n\n\n<figure class=\"wp-block-image size-full wp-container-content-69bc4bdf\"><a href=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2026\/02\/2025_ALR_Resource_Card_3x2.pdf\"><img loading=\"lazy\" decoding=\"async\" width=\"621\" height=\"718\" src=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2026\/02\/ALR-Resource-Wallet-Card-Image-1.png\" alt=\"\" class=\"wp-image-2588\" srcset=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2026\/02\/ALR-Resource-Wallet-Card-Image-1.png 621w, https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2026\/02\/ALR-Resource-Wallet-Card-Image-1-259x300.png 259w\" sizes=\"auto, (max-width: 621px) 100vw, 621px\" \/><\/a><figcaption class=\"wp-element-caption\"><strong><a href=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2026\/02\/2025_ALR_Resource_Card_3x2.pdf\">Resources Wallet Card<\/a><\/strong><\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full wp-container-content-69bc4bdf\"><a href=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2026\/02\/2025_ALR_Mental-Grounding-Exercises_3x2.pdf\"><img loading=\"lazy\" decoding=\"async\" width=\"624\" height=\"730\" src=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2026\/02\/Grounding-Mental-Exercises-Wallet-Card-Image-1.png\" alt=\"\" class=\"wp-image-2589\" srcset=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2026\/02\/Grounding-Mental-Exercises-Wallet-Card-Image-1.png 624w, https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2026\/02\/Grounding-Mental-Exercises-Wallet-Card-Image-1-256x300.png 256w\" sizes=\"auto, (max-width: 624px) 100vw, 624px\" \/><\/a><figcaption class=\"wp-element-caption\"><strong><a href=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2026\/02\/2025_ALR_Mental-Grounding-Exercises_3x2.pdf\">Mental Grounding Exercises Wallet Card<\/a><\/strong><\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><a href=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2026\/02\/ALR_Promotion_Strategies.pdf\"><img loading=\"lazy\" decoding=\"async\" width=\"772\" height=\"998\" src=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2026\/02\/ALR-Promotion-Strategies-1.png\" alt=\"\" class=\"wp-image-2594\" srcset=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2026\/02\/ALR-Promotion-Strategies-1.png 772w, https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2026\/02\/ALR-Promotion-Strategies-1-232x300.png 232w, https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2026\/02\/ALR-Promotion-Strategies-1-768x993.png 768w\" sizes=\"auto, (max-width: 772px) 100vw, 772px\" \/><\/a><figcaption class=\"wp-element-caption\"><strong><a href=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2026\/02\/ALR_Promotion_Strategies.pdf\">Promotion Strategies<\/a><\/strong><\/figcaption><\/figure>\n<\/div>\n\n\n\n<div style=\"height:42px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h4 class=\"wp-block-heading\">Missouri Ask. Listen. Refer (MOALR)<\/h4>\n\n\n\n<div class=\"wp-block-media-text has-media-on-the-right is-stacked-on-mobile\" style=\"grid-template-columns:auto 32%\"><div class=\"wp-block-media-text__content\">\n<p class=\"wp-block-paragraph\">In partnership with the Missouri Suicide Prevention Network (MSPN), MOALR provides free online suicide prevention training designed to help Missourians prevent suicide by teaching them to:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Identify people at risk for suicide<\/li>\n\n\n\n<li>Recognize the risk factors, protective factors, and warning signs of suicide<\/li>\n\n\n\n<li>Respond to and get help for people at risk<\/li>\n<\/ol>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-fe48e5de wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-contrast-color has-global-color-8-background-color has-text-color has-background has-link-color wp-element-button\" href=\"https:\/\/moasklistenrefer.org\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Click here to access Missouri Ask. Listen. Refer. <\/strong><\/a><\/div>\n<\/div>\n<\/div><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"530\" height=\"149\" src=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/05\/MOALR-Logo.png\" alt=\"\" class=\"wp-image-1584 size-full\" srcset=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/05\/MOALR-Logo.png 530w, https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/05\/MOALR-Logo-300x84.png 300w\" sizes=\"auto, (max-width: 530px) 100vw, 530px\" \/><\/figure><\/div>\n\n\n\n<div style=\"height:42px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h4 class=\"wp-block-heading\">Webinars and Trainings<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">This webinar from Partners in Prevention provides information on how to implement a comprehensive approach to suicide prevention on college campuses, including utilizing the Ask. Listen. Refer program. This video was originally recorded for the&nbsp;2021 Meeting of the Minds Training Series.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-vimeo wp-block-embed-vimeo wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" src=\"https:\/\/player.vimeo.com\/video\/528506628?dnt=1&amp;app_id=122963\" width=\"1200\" height=\"675\" frameborder=\"0\" allow=\"autoplay; fullscreen; picture-in-picture; clipboard-write; encrypted-media; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<div style=\"height:42px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-media-text has-media-on-the-right is-stacked-on-mobile\" style=\"grid-template-columns:auto 38%\"><div class=\"wp-block-media-text__content\">\n<h4 class=\"wp-block-heading\"><strong>Missouri Suicide Prevention Coalition Academy<\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>The Missouri Suicide Prevention Coalition Academy is designed to help community prevention coalitions implement sustainable, evidence-based suicide prevention efforts.&nbsp;<\/strong>The academy is a year-long cohort starting with a 2-day, in-person event and monthly virtual, follow-up Community of Practice sessions. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.mopiptraining.org\/mospca\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Click here to learn more about the Academy!<\/strong><\/a><\/p>\n<\/div><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"103\" src=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/10\/SPCA-1024x103.png\" alt=\"Missouri Suicide Prevention Coalition Academy Logo\" class=\"wp-image-2257 size-full\" srcset=\"https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/10\/SPCA-1024x103.png 1024w, https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/10\/SPCA-300x30.png 300w, https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/10\/SPCA-768x77.png 768w, https:\/\/www.mopip.org\/pip\/wp-content\/uploads\/2025\/10\/SPCA.png 1254w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure><\/div>\n\n<\/div><\/details><\/div>\n\n<div class=\"lightweight-accordion\"><details><summary class=\"lightweight-accordion-title\"><span>Research<\/span><\/summary><div class=\"lightweight-accordion-body\">\n\n<h4 class=\"wp-block-heading\">Relevant Research Articles<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.surgeongeneral.gov\/library\/reports\/national-strategy-suicide-prevention\/full_report-rev.pdf\">2012 National Strategy for Suicide Prevention<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.cdc.gov\/mmwr\/preview\/mmwrhtml\/mm6408a1.htm\">Suicide Trends Among Persons Aged 10\u201324 Years \u2014 United States, 1994\u20132012<\/a><\/li>\n\n\n\n<li><a href=\"http:\/\/www.sprc.org\/sites\/default\/files\/migrate\/library\/Hispanics%20Sheet%20Aug%2028%202013%20Final.pdf\">Suicide Among Racial\/Ethnic Populations in the U.S. &#8211; Hispanics<\/a><\/li>\n\n\n\n<li><a href=\"http:\/\/www.sciencedirect.com\/science\/article\/pii\/S0890856709600277\">12-Month and Lifetime Prevalence of Suicide Attempts Among Black Adolescents in the National Survey of American Life<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.va.gov\/opa\/publications\/factsheets\/Suicide_Prevention_FactSheet_New_VA_Stats_070616_1400.pdf\">VA Suicide Prevention Program- Facts about Veteran Suicide. July 2016<\/a><\/li>\n\n\n\n<li><a href=\"http:\/\/www.apa.org\/pi\/oema\/resources\/ethnicity-health\/asian-american\/suicide.aspx\">Suicide Among Asian- Americans<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.nami.org\/Find-Support\/LGBTQ\">LGBTQ and Mental Health<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.cdc.gov\/nchs\/data\/hestat\/suicide\/racial_and_gender_2009_2013.pdf\">Racial and Gender Disparities in Suicide Among Young Adults Aged 18\u201324: United States, 2009\u20132013<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/19792985\">Physical disability and suicidal ideation: a community-based study of risk\/protective factors for suicidal thoughts<\/a><\/li>\n\n\n\n<li><a href=\"http:\/\/www.apa.org\/news\/press\/releases\/2008\/08\/suicidal-thoughts.aspx\">Suicidal Thoughts among College Students More Common than Expected<\/a><\/li>\n<\/ul>\n\n<\/div><\/details><\/div>\n\n<div class=\"lightweight-accordion\"><details><summary class=\"lightweight-accordion-title\"><span>Citations<\/span><\/summary><div class=\"lightweight-accordion-body\">\n\n<h4 class=\"wp-block-heading\">Relevant Research Articles<\/h4>\n\n\n\n<ol class=\"wp-block-list\">\n<li>CDC Suicide Facts at a Glance, 2015<\/li>\n\n\n\n<li>Suicidal Thoughts among College Students More Common than Expected, 2008<\/li>\n\n\n\n<li>National College Health Assessment Fall 2015 Reference Group Executive Summary, 2015<\/li>\n\n\n\n<li>AFSP Suicide Fact Sheet, 2016<\/li>\n\n\n\n<li>Bowen, 2011<\/li>\n\n\n\n<li>Thompson, 2016; Kaplan, Huguet, McFarland, &amp; Newsom, 2007<\/li>\n\n\n\n<li>Kilpatrick, 2000<\/li>\n\n\n\n<li>LGBTQ Mental Health, 2016<\/li>\n\n\n\n<li>Hijioka &amp; Wong, 2012<\/li>\n\n\n\n<li>Joe et al., 2006<\/li>\n\n\n\n<li>Suicide among racial\/ethnic populations in the U.S.: Hispanics, 2013; Duarte-Velez &amp; Bernal, 2007<\/li>\n\n\n\n<li>Bilsker &amp; White, 2011<\/li>\n\n\n\n<li>Suicide among racial\/ethnic populations in the U.S.: Blacks, 2013; Goldston et al. 2008<\/li>\n\n\n\n<li>Haney &amp; O\u2019Neil, 2012<\/li>\n\n\n\n<li>Salvatore et al., 2016; Russel, Turner, &amp; Joiner, 2009<\/li>\n\n\n\n<li>El-Sayed, Tracy, Scarborough, and Galea, 2011<\/li>\n\n\n\n<li>Castle et. al (2011)<\/li>\n\n\n\n<li>SAMHSA, Prevention and Treatment of Anxiety, Depression, and Suicidal Thoughts and Behaviors Among College Students. (2021)<\/li>\n\n\n\n<li>Chen et al. (2019)<\/li>\n\n\n\n<li>Source: Centers for Disease Control and Prevention. (2001, May 2). Suicide contagion and the reporting of suicide: Recommendations from a national workshop. Retrieved October 20, 2004, from http:\/\/www.cdc.gov\/mmwr\/preview\/mmwrhtml\/00031529.htm<\/li>\n\n\n\n<li>From: Haberyan, A. &amp; Kibler, J. Suicide Prevention Training Manual. Northwest Missouri State University.<\/li>\n\n\n\n<li>AFSP\/SPRC After a Suicide: A Toolkit for Schools http:\/\/afsp.org\/wp-content\/uploads\/2016\/01\/toolkit.pdf<\/li>\n\n\n\n<li>HEMHA Postvention: A Guide for Response to Suicide on a College Campus<\/li>\n\n\n\n<li>2022 National Survey on LGBTQ+ Mental Health \u2013 https:\/\/www.thetrevorproject.org\/survey-2022\/<\/li>\n\n\n\n<li>Adams, R. E., T. G. Urosevich, S. N. Hoffman, et al. 2017. Social support, help-seeking, and mental health outcomes among veterans in non-VA facilities: results from the Veterans\u2019 Health Study. Military Behavioral Health 5, no. 4:393\u2013405.<\/li>\n\n\n\n<li>Marlow et al., Association Between Disability and Suicide-Related Outcomes Among U.S. Adults. Published August 28, 2021<\/li>\n\n\n\n<li>Community-Led Suicide Prevention, Integration Element. How to Use Multiple, Complementary Approaches. https:\/\/communitysuicideprevention.org\/element\/integration\/<\/li>\n<\/ol>\n\n<\/div><\/details><\/div>","protected":false},"excerpt":{"rendered":"<p>Suicide is the second leading cause of death for 15-34 year-olds.4&nbsp; College students may be at a high risk for suicide due to the pressures of college life and the changes in environment. According to the CDC, approximately 1,100 college students die by suicide each year. Compiled here are resources relating to suicide prevention best &#8230; <a title=\"Suicide Prevention\" class=\"read-more\" href=\"https:\/\/www.mopip.org\/pip\/suicide-prevention\/\" aria-label=\"Read more about Suicide Prevention\">Read more<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-701","page","type-page","status-publish"],"_links":{"self":[{"href":"https:\/\/www.mopip.org\/pip\/wp-json\/wp\/v2\/pages\/701","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mopip.org\/pip\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.mopip.org\/pip\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.mopip.org\/pip\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mopip.org\/pip\/wp-json\/wp\/v2\/comments?post=701"}],"version-history":[{"count":9,"href":"https:\/\/www.mopip.org\/pip\/wp-json\/wp\/v2\/pages\/701\/revisions"}],"predecessor-version":[{"id":2744,"href":"https:\/\/www.mopip.org\/pip\/wp-json\/wp\/v2\/pages\/701\/revisions\/2744"}],"wp:attachment":[{"href":"https:\/\/www.mopip.org\/pip\/wp-json\/wp\/v2\/media?parent=701"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}