Vision of the Framework
The vision for the Suicide PIP Initiative for BC is to provide an evidence informed Framework and Planning Template around suicide PIP priorities in BC. The Framework and Planning Template would provide guidance on how current suicide prevention, intervention and postvention supports, services and programs to be developed, improved, implemented or evaluated in priority areas.
In its broadest definition, a framework is a basic conceptual structure used to solve or address a complex issue.
The Suicide PIP Framework will identify the top five priority areas for suicide prevention, intervention and postvention in the province through consensus processes with the 40+ project stakeholders. The framework will be further developed to provide objectives and actions around the top priorities.
A planning template is an action oriented document or tool that provides a detailed description of how objectives will be achieved.
For the Suicide PIP Planning Template, it is considered that not all suicide PIP programs, services and supports are at the same evaluative stages. It highlights that in the life of a program, service or support, there may be 4 particularly important stages of progress: development, implementation, improvement and evaluation. The Planning Template will consider the top 5 priority areas by 4 stages of progress and articulate what is needed in terms of supports (i.e. infrastructure, leadership, partnerships and collaborations) to guide programs from moving from one stage to the next.
Developing the Framework
The Framework and Planning Template are based on the results of the snapshot survey and evidence informed practice review. The analyses of both of those project activities have provided an understanding of best practices, promising practices, current practice and desired practice for suicide PIP in BC. In analyzing this information, we have come up with approximately 16 recommendations for suicide PIP in BC. The recommendations will be examined by our 40+ stakeholders to determine the top 5 priorities for PIP in BC. The top 5 priorities will form the basis of the Suicide PIP Framework and Planning Template.
The Framework and Planning Template addressed 6 priorities for Suicide PIP in BC
(Click on the links below for the each priority for its associated framework and planning template):
School-based programs focusing on mental health promotion and preventing mental health and substance use problems and disorders for children and youth that integrates behavioural changes, coping skills and social supports
Gatekeeper training for all populations including:
a) Peers, health professionals, community leaders, spiritual advisors, within school and post-secondary settings, the workplace, acute care settings and long term care facilities, justice system
b) How to identify at-risk individuals and improve access to suicide intervention and mental health and substance use resources
Physician and health professional education on early recognition, risk assessment, clinical assessment, mental health conditions and comorbidities and treatment of suicidal behaviour and/or ideation across the lifespan
a) Education efforts include addressing depression, other mental health conditions and concurrent disorders as well as the interpretation of policies around treatment provision (BC Mental Health Act, Infants Act, Freedom of Information and Protection of Privacy Act)
Culturally appropriate services, cultural safety and diversity training for service providers regarding suicide prevention, intervention and postvention including:
a) Improved translation services, expanded language capacity or improved awareness of existing services
b) Coping skills training and workshops for emotion regulation and coping
c) Providing stigma reduction, mental health awareness and education messages through TV, newspapers, and radio
d) Gay, lesbian, bisexual and transgendered (GLBT) resiliency training administered by GLBT agencies and/or service providers
Coordination of services for suicide prevention, intervention and postvention in the mental health system, health care system, school/post-secondary systems and community including:
a) Interdisciplinary teams and case approaches such as active case management, assertive community teams and integrated case management
b) Possible development of day programs to address suicidality and/or concurrent disorders and crisis stabilization teams/units to address people in acute crisis or suicide states and/or provide ongoing support
c) Improved access to psychiatrists and psychiatric services
d) Promoting a trauma informed response to suicidal people and their families
Development and enhancement of postvention bereavement programs, services and supports among persons touched by a suicide including:
a) Educational workshops, support groups, group therapy and survivor groups for those bereaved by a suicide-related death
b) Postvention response protocols involving referral practices, community response teams, critical incident management and treatment