TRIGGER WARNING: Please note that this episode contains a discussion of suicide, self-injurious behavior, depression and/or reference of other mental health disorders that may act as triggers. 

https://302.buzz/PM-WhatAreYourThoughts

A national project called Zero Suicide aims to address the issue of suicide in the medical and mental health systems. The effort is founded on the idea that suicide can be stopped and that systems of medical and mental health care can do more to do so. Seven elements make up the entire Zero Suicide prevention strategy: LEAD, TRAIN, IDENTIFY, ENGAGE, TREAT, TRANSITION and IMPROVE. These elements insure a practical comprehensive approach to suicide care. In this episode, Dr. Gaggino interviews Dr. Julie Goldstein Grumet. Dr. Grumet is a clinical psychologist and public health expert. Dr. Grumet is the director of the Zero Suicide Institute at EDC, Inc. and she developed the Zero Suicide Toolkit to assist health and behavioral care leaders and leadership teams in implementing the seven elements (mentioned above) of the initiative.   Her goal has been to develop the framework, tools, and work schedules required for the Zero Suicide effort to be implemented effectively.

[00:30 - 06:29] Opening Segment

• Dr. Gaggino introduces us to Dr. Julie Goldstein Grumet
• Dr. Grumet tells us about her background and how she came into the field
• Julie recognized that the healthcare system had been left out of the first national strategy for Suicide Prevention.

[6:30 - 9:41] How Dr. Grumet came to develop the Toolkit 

• First launched in 2014
• Taking the guesswork out of implementing the recommendations   
• An organized, concise blueprint that outlines the seven elements

[09:42 - 22:07] What makes this program so different? 

• Evidence based Fidelity 
• The Core Clinical Components: Screen, Risk Assessment followed up with a safety plan
• The seven elements: LEAD, TRAIN, IDENTIFY, ENGAGE, TREAT, TRANSITION and IMPROVE
• The clinical data and being completely “evidence based” is what makes this program work as well as it does.
• How Zero Suicide is about a culture shift
• These components bundled with the seven elements will not only keep the patient safe but will also keep the staff safe as well.

[22:08 -48:39] Get comfortable having that conversation 

• Removing lethal means
• There are online courses you should take (see link below)
•  “I GOT THIS” ....

[48:40 - 54:26] Closing segment - Takeaways

• Thank you to Julie for her time today and to the entire ZS team at EDC for offering guidance and support for system change and ZS implementation.
• Zero Suicide is an aspirational goal and a methodology for suicide prevention.  In 2012, The Action Alliance included ZS as part of the National Strategy to transform healthcare systems. 
• ZS is a bundle of strategies that include both clinical components and implementation components.  Strap on your seat belt, this is your roadmap to better care.
• LEAD, TRAIN, IDENTIFY, ENGAGE, TREAT, TRANSITION, IMPROVE.  You can start at any spot though would HIGHLY recommend LEAD then TRAIN!!!  
• Many of you are already doing IDENTIFY with PHQ screening as we were.  With the new BF guidelines to add suicide screening this is a perfect opportunity to use TRAIN to implement ASQ or CSSR-S screening.
• Clinical components include screening, risk assessment, safety planning, lethal means...