Outpatient Mental Health Clinics With Higher Fidelity To ‘Zero Suicide’ Practices Had Lower Odds Of A Suicide Incident

Outpatient mental health clinics with higher fidelity to “Zero Suicide” (ZS) practices had a 69% lower likelihood of having a suicide incident. The odds of a suicide incident at clinics with high fidelity to ZS were lower than the odds for clinics with lower ZS fidelity. Suicide-specific quality improvement policies and activities and lethal means reduction had the largest effect sizes.

Across the 110 clinics, the average fidelity score was 3.1, and the range was 1.41 to 4.12. For each point increase in fidelity the odds that a consumer would have a suicide event dropped by . . .