​​​​Zero Suicide 

Zero Suicide

Suicide is a uniquely serious problem for Utah. Why?

  • Every day, 2 people in Utah (on average) die by suicide while another 13 people ages 10 and older are treated for suicide attempts.1
  • Suicide is the leading cause of death among young people ages 10–17.2
  • In Utah, access to lethal means is common. Of gun deaths, 85% are suicides, and about 50% of Utah households have a firearm.3


Healthcare providers play an important role by talking to their patients about suicide prevention.

  • We can make a difference. The average rate of contact with primary care providers in the year prior to suicide is 80%.4 
  • Although suicide has no single cause or event, we know what factors either put someone more at risk for or help protect them from self-harm.
  • Screening tools, such as the Columbia Rating Scale (see resources), can help guide a meaningful conversation with patients.


Learn more about key suicide prevention strategies. These strategies include:*

  • Identify – Identify and assess suicide risk among those receiving care.
  • Engage – Have a suicide care management plan that includes collaborative safety planning and steps to restrict access to lethal means.
  • Treat – Rely on evidence-based treatments developed to directly target suicidal thinking.
  • Transition – Promote consistent follow-up contact and support after hospitalization or ED visits.

For each of these, SelectHealth provides guidance for inpatient or outpatient care settings in the Zero Suicide Key Strategies: Quick Reference Guide​.

* Adapted from

Online Resources

  • Preventing Suicide: A Technical Package of Policy, Programs, and Practices:
    This technical package, developed by the Centers for Disease Control (CDC), provides information on the best-available evidence for suicide preventions. Available in both English and Spanish.
  • Preventing Suicide: A Toolkit for High Schools – Developed by the Substance Abuse and Mental Health Services Administration (SAMHSA), this resource includes tools for implementing a multi-faceted suicide prevention program geared to the needs and cultures of high school students.
  • Suicide Prevention Resource Center (SPRC) Resources

  • Assessing and Managing Suicide Risk (AMSR) training program: Training program that features videos, group discussion, paired practice, documentation practice, reflection, and expert teaching; CME credits available
  • CALM Training: Free, online training course for providers who counsel individuals and their families at risk for suicide; CME credits available
  • Emergency Department (ED) Guide: Guide designed to help ED healthcare professionals with care and discharge decision making for patients with a suicide risk
  • Zero Suicide Toolkit: Online toolkit containing information, tools, resources, and activities for health and behavioral healthcare leaders and teams implementing the seven elements of Zero Suicide

  • Suicide Prevention Coalitions: Partnerships of community members, suicide survivors, service providers, researchers, and others that provide online resources including prevention plans, 24-hour crisis lines, education and training, information on firearm safety, and what to do after a suicide attempt or loss.


  1. Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health, 2015-2017 data queried via Utah's Indicator Based Information System for Public Health (IBIS-PH) [cited 2019 January]. IBIS Version 2017.
  2. Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Ten Leading Causes of Death by Age Group, United States, 2017. Available at:​njury/wisqars/LeadingCauses.html. Accessed August 14, 2019.
  3. Barber C, Azrael D, Berrigan J, Miller M, Sobelson M, Hemenway D. Suicide and Firearm Injury in Utah: Linking Data to Save Lives. Boston, MA: Harvard T. H. Chan School of Public Health. October 2018. Available at:

    Utah%20-%20Executive%20Summary.pdf. Accessed August 14, 2019.

  4. Stene-Larsen K, Reneflot R. Contact with primary and mental health care prior to suicide: A systematic review of the literature from 2000 to 2017. Scand J Public Health. 2019;47(1):9-17.​​​​​

24/7 Crisis Hotlines

  • Utah Statewide CrisisLine: 801-587-3000
  • Idaho Suicide Prevention Hotline: 208-398-HELP (4357)
  • National Suicide Prevention LifeLine: 1-800-273-TALK (8255)

Zero Suicide Tools for Your Practice

Provider Suicide Prevention Tools

Provider Screening Tools

Patient Education

Fact Sheets

(Note: Downloads automatically subject to Terms of Use​)

Access Spanish Language Patient Education
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