Zero Suicide Colorado

What is Zero Suicide?

Zero Suicide is a framework for safety and quality improvement in heath care, rooted in the belief that suicide deaths among people receiving care in health systems are preventable. Established in 2012 by national experts in suicidology and public health, the framework’s name reflects an aspirational goal and bold challenge to hospitals, primary care, behavioral health providers, and public health agencies. Rising rates of suicide in Colorado and across the country demonstrate the urgent need for a more robust approach, and Zero Suicide offers a conceptual framework for health systems to implement evidence-based strategies and continuously improve performance. 

Learn more about this nation model at

Colorado’s Approach

With support from the state legislature and the U.S. Substance Abuse and Mental Health Services Administration, the Colorado Office of Suicide Prevention (OSP) began work on a statewide Zero Suicide strategy in 2017. Adapting the seven-element framework Zero Suicide applies to individual health systems, this approach combines targeted funding for framework implementation in pilot health systems, telephonic follow-up services for people transitioning out of hospital treatment, clinical training, and collaborative learning and community-building efforts led by the OSP.

Zero Suicide Framework

Join Zero Suicide Colorado

All Colorado health systems are welcome to join monthly learning collaborative discussions, explore training and networking opportunities, and connect with the OSP about challenges and opportunities in suicide prevention. Please email to learn more and get involved.

For exclusively hospital systems participating in the Health Quality Incentive Program (HQIP), please see this Workplan Template to guide your implementation effort and satisfy HQIP requirements.

Getting Started

Zero Suicide Organizational Self-Study 

Looking for a place to start your implementation? Are you a year or two into your Zero Suicide implementation and interested to see how far you’ve come and gather information about potential next steps? 

The Organizational Self-Study will help you understand where your organization stands in providing safer suicide care across all 7 elements. It’s a great tool to use annually.   

Visit the link below to learn more and get started!

Organizational Self-Study

After seeing where your system stands, you can make a plan to transform and improve its suicide care via implementing the Zero Suicide framework! Check out the Work Plan Template to start setting goals and mapping out the progress of the initiative.

You can access the Work Plan Template via the following link:

Work Plan Template

Learning Collaborative Resources 

The OSP hosts a monthly virtual Learning Collaborative for health systems on the fourth Thursday of each month from 10 - 11 a.m. These meetings cover a range of topics that can bolster your Zero Suicide implementation efforts, from elevating lived experience in your system to incorporating brief interventions in acute care to improve health outcomes. Come for the opportunity to learn from amazing guest speakers and experts in the field; stick around to be connected with a network of health systems all working together to improve safer suicide care for their patients.

Month Topic Meeting Recording Slides and Resources Shared
January 2023

Trauma-Informed Care and ZS Implementation

UCHealth Slides
OSP Slides
February 2023

Change Management and ZS Implementation

Recording Saint Mary's Hospital Slides 

OSP Slides
March 2023

Health System-Level Improvements for Healthcare Worker Wellbeing


MHTTC Slide Deck

OSP Slide Deck

April 2023 Meeting the Mental Health Needs of the Agricultural Community Recording

Office of Suicide Prevention Slides

Colorado Farm Bureau Slides

Month Topic Meeting Recording Slides and Resources Shared
January 2022

These are not normal times; how to be well anyway


Resilient Colorado Slides — Mental Health & Wellness During a Pandemic

February 2022 Postvention Recording

NORC at University of Chicago's Postvention Slides

OSP's slides

March 2022 National Hispanic and Latino Prevention Technology Transfer

National Hispanic and Latino
Prevention Technology Transfer
Center slides

PTTC Suicide Prevention Resources

Learning Collaborative Slides

April 2022 Lessons Learned in ZS Implementation from Centura Health Recording

Learning Collaborative Slides

May 2022 Zero Suicide Implementation at UC Health Recording

Zero Suicide Presentation UCHealth 2022

5-25-22 OSP Learning Collaborative Slides

June 2022 Authentic Community Engagement to Build Rapport with Immigrant and Refugee Communities, and Connecting Systems of Care Recording
Meghna Patta's Slides
Regional Health Connectors Slides
OSP Slides/Resources
July 2022 Using the Zero Suicide Toolkit at the Colorado Coalition for the Homeless Recording
CCH Slides
August 2022 Collaborative Assessment and Management of Suicidality (CAMS) Recording
Learning Collaborative Slides
September 2022 Zero Suicide Learning Collaborative:
Suicide prevention in the Construction Industry


CIASP / Living Works Slides
OSP Slides
October 2022 Affirming and Culturally Responsive Care for LGBTQ+ patients, from Envision : You Recording
Envision: You slides
OSP Slides
November 2022 Culturally Responsive ZS Implementation Recording
OSP Slides
December 2022 Professional Well-Being: How to Transform “Self-Care” Initiatives Recording
Suicide_ Final Slides






 Month Topic Meeting Recording Slides and Resources Shared
February 25 Incorporating and Elevating the Voice of Lived Experience



Slides and Resources


March 25

Main session: Brief Interventions to Prevent Suicide Dr. Craig Bryan, 

Breakout: Zero Suicide 101

Main Session Recording 


Breakout session Recording

Main Presentation Slides


Breakout Slides

April 22 Data Use Agreements with Kirk Bol Recording



Example Agreements

May 27

Main Session: Innovations from the Field Recording   
June 24 LGBTQ+ Provider Training, Steven Haden and Donaven Smith from Envision:You Recording
Envision: You Slide Deck
Research Article on Intersectional Minority Stress Disparities
Research Article on Minority Stress
Closing the Gap
July 22 Learning Collaborative Needs Recording
Zero Suicide Learning Collaborative
August 26 Empowering Lived Experience- Jess Stohlmann-Rainey Recording
Main Presentation Slides
OSP Slides


Additional Resources



September 23 Lethal Means Safety, Emmy Betz Recording
October 28 Suicide Care Pathway Development, Children’s Hospital of Philadelphia Spotlight Recording

Main Presentation Slides:

OSP Slides:

Past Presentation Slides:

November 15 Providing Culturally Competent Care for Veterans Recording

Main Presentation Slides

OSP Slides

December 21 Getting Creative with ZS Implementation Recording

JCMH Slides

Summitstone Slides

OSP Slides

Archived Meeting Resources

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12-17-20_ Planning for ZS-CO in 2021

12.17.20 ZSLC AVR


11-19-20 Screening in the Suicide Care Pathway

11.19.20 ZSLC Recording


10-22-20_ Systems-Centered Language and LC Pathway Project

10.22.20 ZSLC Recording


9-24-20_ Caregivers, Moral Injury, and Suicide

9.24.20 ZSLC Recording


8-27-20_ Older Adults and Zero Suicide

8.27.20 ZSLC Recording


7-23-2020_ Service Members, Veterans, _ Military Families

7.23.20 ZSLC Recording


6-25-2020_ LGBTQ+ Challenges and Resources

6.25.20 ZS-CO Learning Collaborative Recording


5-28-2020_ Learning from Lived Experience of Receiving Care

May 28, 2020 ZS Learning Collaborative Audio


4-23-2020_ Health Equity in Suicide Prevention



3-26-2020_ Responding to CoVID Pandemic


2-27-2020_ Collaborative Safety Planning

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01-23-2020_ Safety Assessments