Greater manchester heath system zero suicide project - the geographic catchment area for this zero suicide implementation into the health system is the greater manchester NH area, which is comprised…

Greater manchester heath system zero suicide project - the geographic catchment area for this zero suicide implementation into the health system is the greater manchester NH area, which is comprised of the city of manchester and the seven towns of candia, hooksett, auburn, bedford, londonderry, goffstown, and new boston, and directly serves a population of about 207K or about 15% of the population of new hampshire. The partners in this endeavor includes a level 3 (catholic medical center) trauma hospitals, the VA medical center of manchester, and the mental health center of greater manchester (MHCGM) and will be supported by the manchester health department, amoskeag health, and manchester school district. Combined the partnering organizations engage with 250K+ people a year whether as patients or their family from the greater manchester area and across the state. All of these partners are located in manchester, which constitutes new hampshire's urban center, and is a federal refugee resettlement zone. The population of manchester is 77% white, 10.5% hispanic, 5.5 % asian, 4.2% black/african american, and 2.3% two or more races. The issue with rising suicide rates have been well documented across the united states by the washington post, USA today, local and national news just to name a few. Whether IT is the 123 suicides a day or that suicide is the number two cause of death in 10 to 34 year olds, or that there are more than two times the number of suicide deaths as there are homicides in the US, the data is staggering. New hampshire has not escaped these issues, in fact over the last eight years the suicide rate for new hampshire has increased each year and the data for NH is much worse. Suicide is the 8TH leading cause of death in NH, the state ranks 17TH in the nation for highest suicide rate at 4.77 people per 100,000 higher than the national rate (18.77 to 14.00), and 5.2% of adults in NH had thoughts about suicide which is higher than the national (4.1%) and regional averages (4.2%) . Beyond these statistics there are the disturbing mental health and other social determinant data that paint a dark picture of this issue in NH. The number of drug deaths per 100,000 in the state of NH is 35.2 compared to the national average of 19.2, 19.7% of youth have 2+ adverse childhood experiences. Zooming in closer to our proposed service area the statistics get even starker. Recent data has shown that 13.4% of adults within the service area report frequent mental distress more than 1.2% higher than the national average . According to AMR manchester suspected opioid overdose reports in 2019 there were 568 overdoses in manchester with a 10% fatality rate. Meanwhile there was a 2016 dcyf report that found that 9.5% of people in greater manchester have experienced 4 or more adverse childhood experiences (ACE). Research has found that both of these factors opioid use and experienced aces increase the likelihood of suicide and suicidal thoughts by almost 2 times. The goal of this projects is to decrease the suicide rate for people 25+ within the designated health system service area from the current rate of 18.77 people per 100,000 to below 10 per 100,000 within 5 years and create a health system that is leadership driven, safety oriented, and committed to reducing suicide that has fully embedded the zero suicide model within all identified health system organizations