Office of Performance Improvement

HO-18: Suicide PreventionPhyllis Brashler, Office of Performance Improvement (OPI)Janet Olstad, Community & Family Health (CFH)

Office of Performance Improvement

CDC PBG Grant• Funding/Use of Funds• Leveraging and maximizing state dollars• FT staff position focused on suicide and mental health

• Essential Services• Three: Inform & Educate• Four: Mobilize Partnerships

• Presentation• Suicide data (population health status)• Activities and Strategies• HP 2020• Capacity needs

Office of Performance Improvement

Monitoring Population Health• MDH Center for Health Statistics, Vital Statistics• Suicide Rate• Minnesota Student Survey Data for additional information about

mental health, suicide ideation, attempts among youth

• In 2010, 599 people in Minnesota died by suicide—a rate of 11.3 per 100,000.• 8th leading cause of death overall• Nearly the same as the national suicide rate• Gradually increasing since 2000

• Mostly middle age men & older adults. • 45 deaths of young people under the age of 20.• 2nd leading cause of death for youth/young adults in MN

Office of Performance Improvement

Suicide rate per 100,000all ages, 1990-2010

1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 20108

10

12

14

Office of Performance Improvement

Why?• Evidence• Connections between physical and mental illness, wellbeing• Costs (YLL, health care, productivity)• Premature mortality of individuals with serious & persistent

mental illness from heart disease, diabetes, cancer, etc.• Suicide is preventable, mental illness treatable

• Opportunity to leverage state dollars• Demand from the community

NEED STAFF CAPACITY

Office of Performance Improvement

Landscape• Suicide Prevention Plan• 2001, last updated 2007

• Suicide Prevention Legislation & Funding

• No specific identified role for mental health promotion

• Three state-funded suicide prevention grantees (FFY2011-2012)

• One federally funded suicide prevention project (SAMHSA)

Office of Performance Improvement

FY11 -12 PBG ES-3: Inform and Educate

• Presentations and Workshops• Diverse audiences, professional associations

• Technical Assistance• Schools, National Guard, grantees, others

• Training• (Grantees): lethal means education training, gatekeeper training

• Public Education• (Grantees): suicide prevention public education campaign

• Results: more effective programs and policies, better access to treatment, greater reach and broader impact

Office of Performance Improvement

FY11-12 PBGES-4: Mobilizing Partnerships• Collaborate with internal & external partners• Department of Human Services

• Mental Health Crisis Teams• Department of Education

• School Climate Specialist• Bullying Task Force

• State Advisory Council on Mental Health and Children’s Mental Health Subcommittee

• MDH – Violence Prevention• MDH – Other

• Adolescent Health• EPSDT• Young Parent Support Initiative

• Results: improved oversight, visibility, programs and services; greater reach and broader impact

Office of Performance Improvement

HP 2020: Mental Health• MH Status Improvement• Suicide is a leading health indicator (LHI)• Addresses MHMD 1 (reduce rate), MHMD 2 (reduce attempts

by adolescents)

Office of Performance Improvement

Capacity: Barriers and Needs

Limited Funding

Weak Local and State Suicide Prevention Infrastructure• Suicide is complex, interdisciplinary• Requires full community participation and engagement• Supported by knowledgeable coordinators/staff at state and local

levels• With evaluation support

Requires federal, state and local investment