Face the Fight

Evidence-informed intervention relies on the best available scientific evidence, ensuring that strategies are effective, efficient, and suitable for addressing specific issues. Such interventions are marked by rigorous scientific scrutiny and focus on well-researched treatments, like those confirmed through randomized controlled trials. These are the gold standard, recommended when strong empirical evidence supports their effectiveness and safety. The process involves systematically reviewing existing research to identify interventions that work best for particular conditions or issues, such as suicide prevention interventions proven to reduce suicide attempts.

Reducing firearm-related suicides involves a multifaceted approach at both clinical and community levels. The goal is to encourage safe and secure storage of firearms and, when necessary, temporary, voluntary removal of firearms from their immediate surroundings. This approach has been well-received by veterans and emphasizes respecting individuals’ autonomy in decision-making.

A commonly recommended approach for suicide screening involves the use of efficient evidence-based tool(s) in both community and healthcare settings. This practice is recommended irrespective of whether the person is seeking care and/or help specifically for mental health concerns.

• • For example, validated suicide risk screeners include Columbia Suicide Severity Rating Scale (C- SSRS), Patient Health Questionnaire – 9 (PHQ-9)

Managing suicide risk is focused on ensuring that veterans can survive their darkest moments. Interventions are focused on reducing risk factors related to suicide, including increasing social connections, treating psychiatric diagnoses, incorporating means safety strategies, and engaging in safety planning.

• • For example, Crisis Response Planning (CRP) and Safety Planning Intervention (SPI) are brief, collaborative interventions aimed at reducing acute suicide risk.

Treating suicidal veterans involves the clinician and the individual working collaboratively on identifying and resolving internal and external factors unique and intrinsic to the veteran’s suicide risk.

• • For example, cognitive behavioral therapies are the most effective intervention methods for reducing and preventing suicidal thoughts and behaviors.