A Cascade of Care Model for Suicide Prevention

Affiliations

¹ Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland. Electronic address: eharoz1@jhu.edu.
² Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
³ Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore, Maryland.
⁴ Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore, Maryland; Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
⁵ Johns Hopkins School of Nursing, Baltimore, Maryland; Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
⁶ Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
⁷ Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore, Maryland.

PMID: 36402646
PMCID: PMC10166000
DOI: 10.1016/j.amepre.2022.09.022

A Cascade of Care Model for Suicide Prevention

Emily E Haroz et al. Am J Prev Med. 2023 Apr.

. 2023 Apr;64(4):599-603.

doi: 10.1016/j.amepre.2022.09.022. Epub 2022 Nov 17.

Authors

Affiliations

¹ Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland. Electronic address: eharoz1@jhu.edu.
² Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
³ Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore, Maryland.
⁴ Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore, Maryland; Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
⁵ Johns Hopkins School of Nursing, Baltimore, Maryland; Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
⁶ Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
⁷ Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore, Maryland.

PMID: 36402646
PMCID: PMC10166000
DOI: 10.1016/j.amepre.2022.09.022

No abstract available

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Conflict of interest statement

No financial disclosures were reported by the authors of this paper.

Figures

**Figure 1.**
An approximate Cascade of Care for individuals at risk of suicide.

**Figure 2.**
Interventions at multiple socioecologic levels to address the Cascade of Care.

See this image and copyright information in PMC

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Demographic predictors of emergency service utilization patterns in youth at risk of suicide.
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Battiola T, Ellison T, Dummer D, Weir R, Kaput K, Reddy D. Battiola T, et al. BMJ Open. 2025 Jan 11;15(1):e088973. doi: 10.1136/bmjopen-2024-088973. BMJ Open. 2025. PMID: 39800399 Free PMC article.

References

1. WHO. Suicide worldwide in 2019: global health estimates. Geneva, Switzerland: WHO; 2021. https://www.who.int/publications/i/item/9789240026643. Accessed June 1, 2022.
1. Curtin S, Hedegaard H. Provisional numbers and rates of suicide by month and demographic characteristics: United States. Atlanta, GA: Centers for Disease Control and Prevention; 2020. https://stacks.cdc.gov/view/cdc/110369.
1. Kazemian P, Shebl FM, McCann N, Walensky RP, Wexler DJ. Evaluation of the cascade of diabetes care in the United States, 2005–2016. JAMA Intern Med. 2019;179(10):1376–1385. 10.1001/jamainternmed.2019.2396. - DOI - PMC - PubMed
1. Williams AR, Nunes EV, Bisaga A, Levin FR, Olfson M. Development of a Cascade of Care for responding to the opioid epidemic. Am J Drug Alcohol Abuse. 2019;45(1):1–10. 10.1080/00952990.2018.1546862. - DOI - PMC - PubMed
1. Alvarez K, Polanco-Roman L, Samuel Breslow A, Molock S. Structural racism and suicide prevention for ethnoracially minoritized youth: a conceptual framework and illustration across systems. Am J Psychiatry. 2022;179(6):422–433. 10.1176/appi.ajp.21101001. - DOI - PMC - PubMed

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A Cascade of Care Model for Suicide Prevention

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A Cascade of Care Model for Suicide Prevention

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Conflict of interest statement

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