9-8-8: Suicide Crisis Helpline - Implementing a Pan-Canadian Program to Prevent Suicide.

Allison Crawford, Jenny Hardy, Stephanie Carter, Anne Kirvan, Chantalle Clarkin, Helen Davies, Amanda Gambin, Lee Fairclough, Eva Serhal
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Abstract

The 9-8-8: Suicide Crisis Helpline was launched in Canada in November 2023, aligned with an international movement to ensure access to crisis supports as part of a public health approach to suicide prevention. We describe the planning and implementation of 9-8-8 in Canada using the RE-AIM framework, considering the Reach, Effectiveness, Adoption, Implementation and Maintenance of 9-8-8 within the first six months of service (Glasgow et al. 2019). There is evidence of reach and adoption of 9-8-8 across Canada, and we discuss evidence-based strategies to evaluate and enhance effectiveness, implementation and maintenance. We also consider the importance of evaluating 9-8-8 within the larger socio-ecological and health system contexts. 9-8-8 must cultivate a learning health system approach and be part of a larger learning health system focused on reducing suicide in Canada.

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9-8-8:自杀危机帮助热线--实施泛加拿大预防自杀计划。
9-8-8:自杀危机帮助热线于 2023 年 11 月在加拿大启动,与确保获得危机支持的国际运动保持一致,作为预防自杀的公共卫生方法的一部分。我们采用 RE-AIM 框架描述了 9-8-8 在加拿大的规划和实施情况,考虑了 9-8-8 在服务最初六个月内的覆盖范围、有效性、采用、实施和维护情况(格拉斯哥等人,2019 年)。有证据表明,9-8-8 在加拿大各地的覆盖面和采用率都很高,我们讨论了评估和提高有效性、实施和维护的循证策略。我们还考虑了在更大的社会生态和卫生系统背景下评估 9-8-8 的重要性。9-8-8 必须培养一种学习型健康系统方法,并成为以减少加拿大自杀为重点的更大学习型健康系统的一部分。
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Data-Driven Insights and Solutions for the Health and Human Resource Crisis in Canada. Designing Peer-Led Strategies Meeting the Needs of People With Mental Illness and Substance Use Disorders. Emerging Through Adversity: Early Implementation Learnings of Leadership Capacity Supports to Bolster Team Resilience. From the Editors. 9-8-8: Suicide Crisis Helpline - Implementing a Pan-Canadian Program to Prevent Suicide.
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