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<p>Over 16 million Americans struggle with serious thoughts of suicide; deaths by suicide have increased significantly over the past 30&#xa0;years and represent a major public health concern in the United States and around the world. In the U.S. almost 50,000 people die by suicide making it the 11th leading cause of death impacting millions across the country. Historically, clinical work related to suicide has relied on the assessment of risk factors for suicide and an over-reliance on increasingly brief inpatient psychiatric admissions and a medication-only treatment approach, both of which have either little, mixed, or no support for effectively reducing suicidal risk. Moreover, these interventions can be expensive and may even <i>increase</i> the risk of suicide. At the national level there is an increasing awareness of the need for new community-based approaches to suicidal risk that rely on proven, suicide-specific treatments. To this end, The Hope Institute (THI) model relies on evidence-based treatments within a community care setting focusing on stabilization thereby averting emergency department or inpatient admissions. This article seeks to provide an overview of The Hope Institute approach as a compelling alternative outpatient approach with promising effectiveness that warrants further research.</p>

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The Hope Institute Approach to Suicidal Risk

  • 期刊论文

  • 发表日期：

    2025年3月24日

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  • Derek Lee,
  • David Jobes

摘要

Over 16 million Americans struggle with serious thoughts of suicide; deaths by suicide have increased significantly over the past 30 years and represent a major public health concern in the United States and around the world. In the U.S. almost 50,000 people die by suicide making it the 11th leading cause of death impacting millions across the country. Historically, clinical work related to suicide has relied on the assessment of risk factors for suicide and an over-reliance on increasingly brief inpatient psychiatric admissions and a medication-only treatment approach, both of which have either little, mixed, or no support for effectively reducing suicidal risk. Moreover, these interventions can be expensive and may even increase the risk of suicide. At the national level there is an increasing awareness of the need for new community-based approaches to suicidal risk that rely on proven, suicide-specific treatments. To this end, The Hope Institute (THI) model relies on evidence-based treatments within a community care setting focusing on stabilization thereby averting emergency department or inpatient admissions. This article seeks to provide an overview of The Hope Institute approach as a compelling alternative outpatient approach with promising effectiveness that warrants further research.