Education Development Center, Waltham, MA, USA.
New York Institute of Technology College of Osteopathic Medicine, Old Westbury, NY, USA.
Suicide Life Threat Behav. 2021 Apr;51(2):352-357. doi: 10.1111/sltb.12711.
The U.S. National Strategy for Suicide Prevention calls for states to identify supportive structures that encourage efficient, effective, and sustainable suicide prevention programming at the state, territorial, tribal, and local levels (HHS & Action Alliance, 2012). To meet this objective, the Suicide Prevention Resource Center (SPRC) completed a literature review and environmental scan, convened an advisory panel of suicide prevention experts, and conducted interviews with suicide prevention and policy experts to identify six essential state-level infrastructure elements: Authorize-Designate a lead organization for suicide prevention in the state and give it the resources to put a state plan into practice. Lead-Maintain a dedicated leadership and core staff positions in order to enact the plan. Create collaboration within state government. Partner-Ensure a state-level public-private partnership with a shared vision for suicide prevention. Examine-Encourage the collection and analysis of high-quality suicide data. Build-Support a multifaceted lifespan approach to suicide prevention across the state. Guide-Build state and local capacity for prevention. In this commentary, we recommend a framework for organizing an emerging evidence base on the infrastructure and systems that are needed to support an effective, sustainable, public health approach to suicide prevention.
美国国家预防自杀战略呼吁各州确定支持性结构，以鼓励在州、地区、部落和地方各级进行高效、有效和可持续的自杀预防规划（HHS 和行动联盟，2012 年）。为了实现这一目标，自杀预防资源中心（SPRC）完成了文献综述和环境扫描，召集了一个自杀预防专家咨询小组，并对自杀预防和政策专家进行了访谈，以确定六个基本的州级基础设施要素：授权-指定一个州内预防自杀的牵头组织，并为其提供将州计划付诸实践的资源。领导-维持专门的领导和核心工作人员职位，以实施该计划。在州政府内部建立合作关系。合作-确保州级公共-私营部门伙伴关系，共同制定预防自杀的愿景。检查-鼓励收集和分析高质量的自杀数据。支持全州范围内多方面的全生命周期预防自杀方法。指导-建立州和地方的预防能力。在这篇评论中，我们建议了一个框架，用于组织一个关于支持有效、可持续的公共卫生方法预防自杀所需的基础设施和系统的新兴证据基础。
