1 Identifying programs practices and policies with evidence of impact on

1 identifying programs practices and policies with

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1 Identifying programs, practices, and policies with evidence of impact on suicide, suicide attempts, or beneficial effects on risk or protective factors for suicide is only the first step. In practice, the effectiveness of the programs, policies and practices identified in this package will be strongly dependent on how well they are implemented, as well as the partners and communities in which they are implemented. Practitioners in the field may be in the best position to assess the needs and strengths of their communities and work with community members to make decisions about the combination of approaches included here that are best suited to their context. Data-driven strategic planning processes can help communities with this work. 53-55 These planning processes engage and guide community stakeholders through a prevention planning process designed to address a community’s profile of risk and protective factors with evidence-based programs, practices, and policies. These processes can also be used to monitor implementation, track outcomes, and make adjustments as indicated by the data. The readiness of the program for broad dissemination and implementation (e.g., availability of program materials, training and technical assistance) can also influence program effects. Implementation guidance to assist practitioners, organizations and communities will be developed separately. This package includes strategies where public health agencies are well positioned to bring leadership and resources to implementation efforts. It also includes strategies where public health can serve as an important collaborator (e.g., strategies addressing community and societal level risks), but where leadership and commitment from other sectors such as business, labor or health care is critical to implement a particular policy or program (e.g., workplace policies; treatment to prevent re-attempts). The role of various sectors in the implementation of a strategy or approach in preventing suicide is described further in the section on Sector Involvement . In the sections that follow, the strategies and approaches with the best available evidence for preventing suicide are described. 
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Preventing Suicide: A Technical Package of Policy, Programs, and Practices 15 Strengthen Economic Supports Rationale Studies from the U.S. examining historical trends indicate that suicide rates increase during economic recessions marked by high unemployment rates, job losses, and economic instability and decrease during economic expansions and periods marked by low unemployment rates, particularly for working-age individuals 25 to 64 years old. 56,57 Economic and financial strain, such as job loss, long periods of unemployment, reduced income, difficulty covering medical, food, and housing expenses, and even the anticipation of such financial stress may increase an individual’s risk for suicide or may indirectly increase risk by exacerbating related physical and mental health problems.
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