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Public Health Law Strategies for Suicide Prevention Using the Socioecological Model

Published online by Cambridge University Press:  01 January 2021

Abstract

Suicide is a public health problem which will require an integrated cross-sector approach to help reduce prevalence rates. One strategy is to include the legal system in a more integrated way with suicide prevention efforts. Caine (2013) explored a public health approach to suicide prevention, depicting risk factors across the socio-ecological model. The purpose of this paper is to examine laws that impact suicide prevention at the individual, relational, community, and societal levels. These levels are fluid, and some interventions will fall between two, such as a community-level approach to training that enhances provider-patient relationships. At the individual level, we will review laws to improve screening requirements across systems. At the relational level, we note interventions with couples having conflict, such as protection orders and access to attorney consultations, which have been known to be injury prevention mechanisms. At the community level, we discuss legislation that recommends suicide prevention efforts for key individuals working as frontline providers in the medical and educational systems. At the societal level, we explore public awareness campaigns that target stigma reduction for those suffering from mental health burden and enhance linkage to care. The article closes with the discussion that laws are good, but their implementation is essential.

Type
Symposium Articles
Copyright
Copyright © American Society of Law, Medicine and Ethics 2019

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References

Centers for Disease Control and Prevention, Vital Signs, Suicide Rising across the US, June 2018, available at <https://www.cdc.gov/vitalsigns/pdf/vs-0618-suicide-H.pdf> (last visited March 20, 2019).+(last+visited+March+20,+2019).>Google Scholar
Healthy People, available at <https://www.healthypeople.gov/> (last visited March 20, 2019).+(last+visited+March+20,+2019).>Google Scholar
American Foundation for Suicide Prevention, available at <https://afsp.org/> (last visited March 20, 2019).+(last+visited+March+20,+2019).>Google Scholar
National Suicide Prevention Lifeline, available at <https://suicidepreventionlifeline.org/> (last visited March 20, 2019).+(last+visited+March+20,+2019).>Google Scholar
Caine, E. D., “Forging an Agenda for Suicide Prevention in the United States,” American Journal of Public Health (May 2013): 822-829.CrossRefGoogle Scholar
Lifeline for Vets, available at <https://nvf.org/lifeline-forvets/> (last visited March 20, 2019).+(last+visited+March+20,+2019).>Google Scholar
See supra note 8.Google Scholar
Conner, K. R., Cerulli, C., and Caine, E. D., “Threatened and Attempted Suicide by Partner—Violent Male Respondents Petitioned to Family Violence Court,” Violence & Victims 17, no. 2 (2002): 115-125; M. T. Swogger, S. You, S. Cash-man-Brown, and K. R. Conner, “Childhood Physical Abuse, Aggression, and Suicide Attempts among Criminal Offenders,” Psychiatry Research 185, no. 3 (2011): 363-367.CrossRefGoogle Scholar
Serres, C., “Minnesota Expands Suicide Prevention Text Services Statewide,” Star Tribune, April 2, 2018, available at <http://www.startribune.com/minnesota-expands-suicide-prevention-text-services-statewide/478590713/> (last visited March 20, 2019).+(last+visited+March+20,+2019).>Google Scholar
See Conner et al., supra note 11.Google Scholar
Regenstein, M., Trott, J., Williamson, A., and Theiss, J., “Addressing Social Determinants Of Health through Medical-Legal Partnerships,” Health Affairs 37 (2018): 378-385.CrossRefGoogle Scholar
UR Medicine, “Mental Health & Wellness: Adult Services,” available at <https://www.urmc.rochester.edu/mental-health-wellness/adult-services/outpatient/heal/heal-collaborators.aspx> (last visited March 20, 2019).+(last+visited+March+20,+2019).>Google Scholar
Colorado Health Institute, “Interactive Dashboard,” available at <https://www.coloradohealthinstitute.org/research/suicides-colorado-reach-all-time-high> (last visited March 20, 2019).+(last+visited+March+20,+2019).>Google Scholar
Legislation text available at <https://leg.colorado.gov/bills> (last visited March 20, 2019).+(last+visited+March+20,+2019).>Google Scholar
See, e.g., Tinker, B., “Calls to Suicide Prevention Hotline Spike after VMA Performance,” August 29, 2017, available at <https://www.cnn.com/2017/08/25/health/logic-suicide-hotline-vma-18002738255/index.html> (last visited March 20, 2019); Trust for America's Health and Well-Being Trust, Pain in the Nation: The Drug, Alcohol, and Suicide Crises and the Need for a National Resilience Strategy (2017).+(last+visited+March+20,+2019);+Trust+for+America's+Health+and+Well-Being+Trust,+Pain+in+the+Nation:+The+Drug,+Alcohol,+and+Suicide+Crises+and+the+Need+for+a+National+Resilience+Strategy+(2017).>Google Scholar
Sama-Miller, E. et al., Home Visiting Evidence of Effectiveness Review: Executive Summary, OPRE Report # 2018-113 (October 2018), available at <https://homvee.acf.hhs.gov/homvee_executive_summary.pdf> (last visited June 14, 2019); C. S. Minkovitz et al., “Home Visiting: A Service Strategy to Reduce Poverty and Mitigate its Consequences,” Academic Pediatrics (2016), available at <https://www.academicpedsjnl.net/article/S1876-2859(16)00021-8/fulltext> (last visited March 20, 2019).+(last+visited+June+14,+2019);+C.+S.+Minkovitz+et+al.,+“Home+Visiting:+A+Service+Strategy+to+Reduce+Poverty+and+Mitigate+its+Consequences,”+Academic+Pediatrics+(2016),+available+at++(last+visited+March+20,+2019).>Google Scholar
N.Y. Education Law § 804.Google Scholar
The Aspen Institute, From A Nation at Risk to A Nation at Hope: Recommendations from the National Commission on Social, Emotional, and Academic Development (2019), available at <http://nationathope.org/> (last visited March 20, 2019).+(last+visited+March+20,+2019).>Google Scholar
Massachusetts Professional Standards for Teachers 2(e); Mental Health First Aid, “Break the Stigma: Educate Yourself,” available at <http://www.mhfaco.org/> (last visited March 20, 2019).+(last+visited+March+20,+2019).>Google Scholar
Id.; American Foundation for Suicide Prevention, State Laws: Training for Health Professionals in Suicide Assessment, Treatment, and Management (2016).Google Scholar
National Advisory Committee on Rural Health and Human Services, Understanding the Impact of Suicide in Rural America: Policy Brief and Recommendations (December 2017); California Pan-Ethnic Health Network, California Reducing Disparities Project, Strategic Plan to Reduce Mental Health Disparities (2018).Google Scholar
The Well-Being Project, 2017 Well-Being Index Findings Summary (Santa Monica, California, 2017).Google Scholar
CDC, National Center for Injury Prevention and Control, available at <https://www.cdc.gov/violenceprevention/pdf/ipv-technicalpackages.pdf> (last visited March 20, 2019).+(last+visited+March+20,+2019).>Google Scholar