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Primary Care Toolkit - 6) Resources

Providers | Patients, Families, & Community Members |
Rural Mental Health and Related Topics

The following is a resource guide for suicide prevention in Primary Care settings. The resources are grouped in various categories; however, many of these resources could fit appropriately in more than one category.

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Resources for Providers

Depression

Macarthur Depression Toolkit
URL: http://www.depression-primarycare.org/clinicians/toolkits/full/
The toolkit is provided free of charge and contains detailed, evidence-based information about treating depression as well as numerous tools for primary care providers. 

Improving Access to Health Care

Federally Funded Community Health Center Locator
URL: http://www.hrsa.gov
A locator for federally funded health centers—search by zip code.  These Health Centers work in communities, providing access to high quality, family oriented, comprehensive primary and preventive health care, regardless of patients' ability to pay.

Mental Health Services Locator
URL: http://mentalhealth.samhsa.gov/databases/
1-800-662-HELP (4357).  
The Substance Abuse and Mental Health Services Administration (SAMHSA) of the federal government provides an online service to locate mental health services.

Substance Abuse Treatment Facility Locator
URL: http://findtreatment.samhsa.gov/
1-800-662-HELP (4357).
The Substance Abuse and Mental Health Services Administration (SAMHSA) of the federal government provides an online service to locate treatment facilities for substance abuse problems.

Telemental Health Guide
URL: http://www.tmhguide.org/
The telemental health guide, which was funded by SAMHSA, contains an overview of what telemental health is and how it is being used to improve access to mental health services.  It provides information about how to develop and sustain telemental health services in your community.

Means Restriction

Lok It Up Campaign
URL: http://depts.washington.edu/lokitup/                                                      
Washington State Lok It Up campaign provides brochures about safe gun storage.  The website contains information for providers, such as answers to important questions regarding gun storage. The brochures can be downloaded free of charge online. Professionally printed copies may be ordered for 20 cents each by emailing Debbie Ruggles, MBA at: debbie.ruggles@doh.wa.gov.

Means Matters
URL: http://www.hsph.harvard.edu/means-matter/ 
The Means Matters website, created by the Harvard Injury Control Research Center at the Harvard School of Public Health, contains information on means reduction and why it is important.  Means reduction statistics and programs are provide by state.

Substance Abuse

Alcohol Screening and Brief Intervention 
URL: http://www.apha.org/NR/rdonlyres/39FB5EAB-E4DE-4701-B598-022E9FC7F9BF/0/SBIMANUAL.pdf
A printable guide for public health practitioners produced by the American Public Health Association.

Helping Patients Who Drink Too Much: A Clinician's Guide and Related Professional Support Resources
URL: http://www.niaaa.nih.gov/Publications/EducationTrainingMaterials/guide.htm
A guide for clinicians produced by the National Institute on Alcohol Abuse and Alcoholism. Includes the downloadable guide, a medications update, a PowerPoint presentation, and a 10 minute interactive video course. The downloadable and video courses include free CME/CE credits.

Screening for Tobacco, Alcohol and Other Drug Use
URL: http://drugabuse.gov/nidamed/screening/
A Web-based interactive tool produced by the National Institute on Drug Abuse to guide clinicians through a short series of screening questions and, based on the patient's responses, generate a substance involvement score that suggests the level of intervention needed. Also provides links to resources for conducting a brief intervention and treatment referral, if warranted.

Suicide Fact Sheets

Risk and Protective Factors for Suicide
URL: http://www.sprc.org/library/srisk.pdf
Risk and protective factors are listed, along with a reference list. This document is from the National Strategy for Suicide Prevention: Goals and Objectives for Action (2001).

U.S. Suicide Fact Sheet
URL: http://www.sprc.org/stateinformation/PDF/statedatasheets/sprc_national_data.pdf
A fact sheet of national data on suicide and self-inflicted injury, including data by age, race/ethnicity, gender, and method.

State Data Fact Sheets
URL: http://www.sprc.org/stateinformation/datasheets.asp
Fact sheets for each state that can contain statistics for deaths by suicide, estimated hospitalized attempts, and data on medical costs, work loss costs, gender, race/ethnicity, age and method of suicide.

Trainings and Guides

After an Attempt: A Guide for Medical Providers in the Emergency Department Taking Care of Suicide Attempt Survivors
URL: http://mentalhealth.samhsa.gov/publications/allpubs/SVP-0161/
Brochure intended to provide medical professionals with tips on how to enhance care in the emergency department for people who have attempted suicide. The guide also contains information on HIPAA, patient discharge, and resources about suicide for medical professionals, patients and their families.

Is Your Patient Suicidal?
URL: http://www.sprc.org/library/ER_SuicideRiskPosterVert2.pdf
A four-color poster that provides Emergency Department practitioners with information on recognizing and responding to acute suicide risk. It is designed to be hung in staff-only areas. The poster features the most common and noticeable warning signs of acute risk for suicide as well as simple questions clinical staff can ask to uncover suicide risk when warning signs are noticed or suspected. The poster, resource guide (http://library.sprc.org/item.php?id=584) and accompanying information insert (http://library.sprc.org/item.php?id=585) can be ordered from the Emergency Nurses Association through the ENA Marketplace (http://www.ena.org/store).

Recognizing and Responding to Suicide Risk in Primary Care
URL: http://www.suicidology.org
A training Developed by the American Association of Suicidology in collaboration with primary care practitioners specifically for primary care physicians and staff.

SAFE-T Pocket Card
URL: http://www.sprc.org/library/safe_t_pcktcrd_edc.pdf
The SAFE-T Card guides mental health clinicians through five steps which address the patient’s level of suicide risk and suggest appropriate interventions. It is intended to provide an accessible and portable resource to the professional whose clinical practice includes suicide assessment. The card lists key risk and protective factors that should be considered in the course of completing the five-steps. The PDF image of the card prints out on in the center of 8.5 X 11 paper because the original is a 6x7 2-sided, folded pocket card. Quantities of the SAFE-T cards are available for order through Screening for Mental Health, Inc at http://www.sprc.org/library/SAFE-TOrderForm.pdf. To obtain a free print-quality file for reproducing the cards, please email info@sprc.org, include your name, organization/company, and your plans for using the SAFE-T Cards.

Safety Planning Guide
URL: http://www.sprc.org/library/SafetyPlanningGuide.pdf
The pocket-sized safety planning guide reminds clinicians of the most important points to cover in collaboratively developing a safety plan with a patient. The guide was adapted from content developed by the Department of Veterans Affairs.

State Suicide Prevention Coordinators
URL: http://www.sprc.org/stateinformation/statecontacts/statecontacts.asp
Contact your state suicide prevention coordinator to determine whether there are additional suicide prevention posters and other materials available in your state. 

Suicide risk: A Guide for Evaluation and Triage
URL: http://www.sprc.org/library/ER_SuicideRiskGuide8.pdf
A short companion piece for Emergency Department staff that includes all the information on the "Is your patient suicidal?" poster as well as additional advice on gathering a history on, evaluating, triaging, and intervening with people at high, moderate, or low risk for suicide. The guide includes a discharge planning checklist to help suicidal patients stay safe after they leave the ED, and find the support and resources they need. The resource guide, poster (http://library.sprc.org/item.php?id=583), and accompanying information insert (http://library.sprc.org/item.php?id=585) can be ordered from the Emergency Nurses Association through the ENA Marketplace (http://www.ena.org/store).
 
Using the “Is Your Patient Suicidal?" Poster and Triage Guide
URL: http://www.sprc.org/library/UsingIsYourPatientSuicidal.pdf
A brief set of instructions for emergency department staff who are displaying the poster and referencing the resource guide. The poster (http://library.sprc.org/item.php?id=583), resource guide (http://library.sprc.org/item.php?id=584) and information insert can be ordered from the Emergency Nurses Association through the ENA Marketplace (http://www.ena.org/store).

Resources for Patients, Families, and Community Members

General Resources

National Suicide Prevention Lifeline
URL: http://www.suicidepreventionlifeline.org
 1-800-273-TALK (8255)              
The National Suicide Prevention Lifeline offers a free 24-hour hotline available to anyone in suicidal crisis or emotional distress. Calls are routed to the nearest crisis center to the caller.

National Suicide Prevention Lifeline Resources
URL: http://www.suicidepreventionlifeline.org/media/pdf/nspl_order_form.pdf             
The National Suicide Prevention Lifeline offers free resources including educational posters, pocket cards with warning signs, wallet sized cards with the lifeline’s phone number, and consumer education brochures.  Materials are available in Spanish and English and all materials contain the lifeline’s phone number.

Population-Specific Resources

American Indians and Native Alaskans

American Indian and Alaska Native Suicide Prevention Website
URL:http://www.ihs.gov/NonMedicalPrograms/nspn/index.cfm?page=NSPN_A40_S222.cfm
The Indian Health Services provides information about suicide prevention programs and  resources for providers and American Indian and Alaska Native community members.

Gay, Lesbian, Bisexual, Transgender

The Trevor Project
URL: http://www.thetrevorproject.org
The Trevor Project operates the nation’s only 24-hour toll-free suicide prevention helpline for gay, lesbian, transgender and questioning youth. (1-866-4-U-TREVOR).

Suicide Risk and Prevention for Lesbian, Gay, Bisexual, and Transgender Youth
URL: http://www.sprc.org/library/SPRC_LGBT_Youth.pdf
This publication addresses the special concerns related to suicide prevention among lesbian, gay, bisexual, and transgender (LGBT) youth. It summarizes the current state of knowledge about suicidality in this population, and outlines twenty-one recommendations for helping to reduce suicidal behavior among LGBT youth. Includes a resource appendix and an extensive bibliography.

Veterans

Veterans Administration Suicide Prevention Coordinators
URL: http://www.suicidepreventionlifeline.org/Veterans/ResourceLocator.aspx
Suicide prevention coordinators are licensed mental health professionals who ensure that veterans at high risk for suicide get the care they need.  This website contains information about the VA’s suicide prevention coordinators and how to locate the coordinator nearest you. 

Veterans Suicide Prevention Hotline
Telephone Number: 1-800-273-TALK, Veterans Press 1
The Department of Veterans Affairs' (VA) Veterans Health Administration (VHA) has founded a national suicide prevention hotline to ensure veterans in emotional crisis have free, 24/7 access to trained counselors. To operate the Veterans Hotline, the VA partnered with the Substance Abuse and Mental Health Services Administration (SAMHSA) and the National Suicide Prevention Lifeline. Veterans can call the Lifeline number, 1-800-273-TALK (8255), and press "1" to be routed to the Veterans Suicide Prevention Hotline.

Trainings and Guides

After an Attempt: A Guide for Taking Care of Your Family Member After Treatment in the Emergency Department
URL: http://mentalhealth.samhsa.gov/publications/allpubs/SVP-0159/
Brochure intended as a guide for families of suicide attempt survivors on what to expect in the emergency department and after release from the hospital. Includes information on national resources and organizations and contains advice for safety planning, ongoing support and learning about mental illness. (Also available in the Spanish Language Materials category)

After an Attempt: A Guide for Taking Care of Yourself After Your Treatment in the Emergency Department
URL: http://mentalhealth.samhsa.gov/publications/allpubs/SVP-0157/
Brochure intended as a guide for individuals on how to move forward after being treated in an emergency department for attempting suicide. Includes information on national resources and organizations and contains advice for safety planning, ongoing support and learning about mental illness. (Also available in Spanish in the Spanish Language Materials Category)

Applied Suicide Intervention Skills Training (ASIST)
URL: http://www.livingworks.net/AS.php
A workshop designed for caregivers of individuals at risk of suicide. Training dates and locations are provided on the website. Also online are a text and audiovisual overview of the workshop, research and evaluations on the program, and suicide awareness facts.

At-a-Glance: Safe Reporting on Suicide
URL: http://www.sprc.org/library/at_a_glance.pdf
A two page summary of the 2001 publication, Reporting on Suicide: Recommendations for the Media, by the Centers for Disease Control and Prevention, National Institute of Mental Health, Office of the Surgeon General, Substance Abuse and Mental Health Services Administration, American Foundation for Suicide Prevention, American Association of Suicidology and Annenberg Public Policy Center

Question, Persuade, Refer (QPR)
URL: http://www.qprinstitute.com/
A gatekeeper training program for suicide prevention based upon three basic steps. The website also includes literature, evidence for QPR, helpful links, and a QPR Gatekeeper Trainer Certification Course to certify individuals to become QPR instructors.

SafeTALK
URL:http://www.sprc.org/featured_resources/bpr/PDF/LivingworkssafeTALK_factsheet.pdf
SafeTALK is a half-day training program that teaches participants to recognize and engage persons who might be having thoughts of suicide and to connect them with community resources trained in suicide intervention. SafeTALK stresses safety while challenging taboos that inhibit open talk about suicide. The SafeTALK fact sheet is at The Living Works web site is (www.livingworks.net).

General Information on Rural Suicide Prevention and Related Topics

American Association on Suicidology
URL: http://www.suicidology.org

American Foundation for Suicide Prevention AFSP
URL: http://www.afsp.org

Centers for Disease Control and Prevention/NCIPC
URL: http://www.cdc.gov/ncipc/

Health Workforce Information Center (HWIC)
URL: http://www.healthworkforceinfo.org   

NAMI (formerly National Alliance for the Mentally Ill)
URL: http://www.nami.org

National Association of Rural Health (NRHA)
URL: http://www.ruralhealthweb.org

National Institutes of Health/National Institute on Mental Health
URL: http://www.nimh.nih.gov/

National Rural Recruitment and Retention Network
URL: http://www.3rnet.org

National Suicide Prevention Lifeline: 1-800 273=TALK (8255)
URL: http://www.suicidepreventionlifeline.org/about/contactform.aspx

Rural Assistance Resource Center (RAC)
URL: http://www.raconline.org

Substance Abuse and Mental Health Services Administration (SAMHSA)
URL: http://www.samhsa.gov/

Suicide Prevention Action Network
URL: http://www.spanusa.org

Suicide Prevention Resource Center
URL: http://www.sprc.org/index.asp

 

Order a Toolkit Now: Hard copies of the toolkit are available for $25.00 through WICHE Mental Health Program. For more information, please contact Tamara DeHay at tdehay@wiche.edu (preferred option) or 303-541-0254.