Thursday, November 21, 2024
11/21/2024
The goal of the proposed Zero Suicide in Indiana University (IU) Health System project is to prevent suicides in Indiana, particularly among individuals age 25+, by raising awareness of suicide, formalizing referral processes, and improving care and outcomes for individual at risk for suicide. The population to be served is the entire state of Indiana, a state in which the suicide rate has been increasing more rapidly than the national average over the past seven years. The current Indiana rate is 16.6 (defined as the number of deaths per 100,000 population, 2019) compared to the current national rate of 14.5. The suicide rates in Indiana among those age 25–54 are also higher than national averages. Objectives include: (1) By 8/29/2021, IU Health will fully establish a system infrastructure aligned with the Zero Suicide framework, including robust tracking mechanisms and health care workforce training; (2) By 12/30/2020, IU Health will implement a comprehensive risk assessment/screening and reassessment processes for individuals with suicidal ideation in all 15 of its emergency departments (EDs) statewide; (3) By 12/30/2020, ensure that all patients presenting to IU Health’s 15 EDs with suicidal ideation are connected with appropriate treatment and follow-up support through evidence-based Caring Contacts; (4) By 4/30/2021, IU Health will establish mechanisms for data tracking and individualized safety planning that will demonstrate a reduction in the number of suicides and suicide attempts among patients who present to IU Health’s 15 EDs with suicidal ideation and/or suicide attempts; and (5) By 8/29/2021, connect at least 51% of patients who present to IU Health’s 15 EDs with suicidal ideation and/or suicide attempts—including veterans and individuals with serious mental illness—with outpatient behavioral health treatment, and increase the percentage of connections by at least 10% each subsequent year. IU Health plans to serve 21,435 patients in Year 1 based on the anticipated number of patient encounters in the 15 EDs with behavioral health diagnoses (i.e. the number to receive C-SSR screenings in EDs). Based on literature and internal data, IU Health anticipates a 37% annual readmission rate, resulting in 13,507 to be served per year in Years 2-5 for a total of 83,391 over five years. IU Health plans to collect six month follow-up National Outcomes Measures (NOM) data on at least 35 patients in Year 1, 101 in Year 2, and 203 per year in Years 3-5, representing patients in rural areas that will receive more intensive transition services than patients in non-rural areas. All patients at IU Health EDs statewide who present with suicidal ideation will be provided safety planning and referrals from trained health care staff.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).
