The Oregon Health Authority, Public Health Division, Injury and Violence Prevention Program (OHA/PHD/IVPP) proposes to implement and evaluate the Oregon Comprehensive Suicide Prevention Program (OR-CSP) in partnership with the Behavioral Health Unit of the OHA Health Systems Division (HSD). The purpose of this proposal is to implement and evaluate a comprehensive public health approach to suicide prevention in Oregon to reduce suicide morbidity and mortality in rural adults aged 55 and older by 10%, with focus on culturally responsive interventions to reduce disparate burden in firearm owners and veterans. ii. Outcomes. The OR-CSP logic model clearly indicates how our comprehensive suicide prevention (SP) approach is designed to achieve all the outcomes outlined in the funding announcement by the end of the period of performance. The short-term outcomes for Year 1 set the stage for the medium-term outcomes starting in Year 2, which in turn, we expect to lead to achieving the long-term outcomes of a 10% reduction in both suicide mortality and morbidity by 2027. As a part of the annual work plan, OHA will work with program partners and local key partners to finalize the comprehensive approach and anticipated outcomes aligned with our strategies and activities. OHA’s evaluation team will work with CDC to finalize the following proposed measures: Short-term (1 year): Increases in: 1) Partner engagement and coordination, 2) Awareness of contributors to suicide risk and emergent trends, 3) Use of surveillance data to select Disproportionately Affected Populations (DAPs), address contributors, & inform selection of strategies, 4) Awareness of existing SP activities & gaps. 5) Number of risk reduction strategies used from CDC SP Tech package, 6) Partner awareness of (i) programmatic progress, successes, lessons learned, and (ii) emergent trends in suicide morbidity/mortality, 7) Partner engagement in surveillance and activities, 8) Use o
f indicators & metrics for tracking strategy impacts 9) Use of evaluation data for CQI/program improvement. Medium-term (2-5 years): Sustained: 1) Partner engagement in program & surveillance, 2) OHA use of surveillance data. Decreases in: 3) Risk factors for suicide. Increases in: 4) Coordinated SP among OHA & partners, 5) Partner use of surveillance data, 6) Capacity to sustain comprehensive SP, 7) Protective factors for suicide. Long-term (4-5 years): Reduction in: 1) suicide deaths, 2) suicide attempts and re-attempts, among members of the DAP (adults 55+ in rural/remote counties).