For those who turn to healthcare, Zero Suicide offers a better experience when feeling suicidal. Suicidality is discussed openly, treated directly and managed in a least restrictive, recovery-oriented way. As each person transitions through the system, no person falls through the cracks.

Healthcare leaders are the drivers of the Zero Suicide framework and within their system protectors of a safe and just culture of learning and improving. Staff working in a Zero Suicide organisation are well trained and supported to provide excellent suicide prevention care; and feel safe to find and repair root causes underlying adverse events.

Below is a series of videos in which Australian experts examine each of the seven elements of the Zero Suicide Healthcare framework and identify considerations to address when implementing systems change.

Complementing the discussion on each element is the importance of having lived expertise actively participating on the implementation team. The final video offers learnings from the Gold Coast Health Service which has led the way in applying the framework to the Australian context.

Videos supporting Zero Suicide Healthcare


Leaders must understand their context and focus on a just, safety-driven culture informed by evidence and lived expertise.

John Mendoza is a Director of ConNetica, with the mission to ”Create Better Futures” and a focus on mental health and suicide prevention. He holds Adjunct Professor positions at the University of the Sunshine Coast and Brain and Mind Centre, University of Sydney.


Training in suicide prevention builds staff competencies and confidence in working with suicidal people.

Fiona Shand is Associate Professor at Black Dog Institute & Research Director for LifeSpan; a multi-sector suicide prevention framework being trialled in five regions of NSW and the ACT


Person-centred, treatment-oriented screening and assessment for suicidality is practised using risk formulation. 

Carmen Betterridge is Director and Principal Psychologist with Suicide Risk Assessment Australia (SRAA) and Senior Researcher & Sessional Lecturer with Australian Institute for Suicide Research and Prevention (Griffith University).


Active participation of people, health professionals and family members or carers in safety planning and transition to aftercare.

Professor Procter is Chair: Mental Health and Suicide Prevention Research Group Clinical and Health Sciences at the University of South Australia and Australia’s national representative to the International Association for Suicide Prevention.


Care management is determined through productive patient and staff interactions.Treat suicidalitydirectly in the least restrictive settings.

Carmen Betterridge is Director and Principal Psychologist with Suicide Risk Assessment Australia (SRAA) and Senior Researcher & Sessional Lecturer with Australian Institute for Suicide Research and Prevention (Griffith University).


Shared service responsibilities and communication between clinical staff within the hospital and providers in the wider community.

Pat O'Leary is the Operations Lead for The Way Back Support Service at Beyond Blue. His experience includes Policy, Operational and Service Development roles at the Victorian Government Mental Health Branch, headspace, Austin Health and the Royal Children’s Hospital in Melbourne.


Continuous quality improvement has its foundations in data collection and analysis and importantly, its application. 

Alan Woodward has worked in mental health, crisis support and suicide prevention for 20 years as a strategic leader, policy adviser, researcher, evaluator and communicator. He has specialist knowledge of tele-web support services from working at senior levels with Lifeline Australia and with helplines in various countries. Alan is a Fellow of the Australian Evaluation Society


Integral to system transformation is lived expertise. Pain and distress must be acknowledged in a timely, respectful and caring manner.

Tracey Gale has extensive experience in Central Queensland having worked with a Mental Health Clinic and working with the Hospital Health system with the Mental Health Unit. She has been on numerous community committees, openly giving of her time to the community. Has been on advisory panels and on a clinical governance group, as well as worked with Primary Health Networks as a facilitator and advisor. Tracey is highly regarded in the sector and community.


Those with lived experience of suicidal behaviours bring unique insights to support healthcare systems transformation.

Dan Price is an ambassador for RUOK? and a suicide attempt survivor. 

In each video Dan provides a comment on his perspective for the element. In doing so, he illustrates what worked well for him and where improvements could have made a difference to his recovery journey. He speaks to the value of mutual design because lived experience brings a different and unique understanding to support change within healthcare systems seeking to implement the Zero Suicide framework.


The Gold Coast Mental Health and Specialist Services began the journey to Zero Suicide Healthcare in 2015. It was ambitious and required open and frank conversations. 

Diana Grice joined Gold Coast Health as Director of Nursing – Mental Health and Specialist Services in 2010. As a Registered Mental Health Nurse with certificates in Forensic Psychiatry and Quality Assurance and a Master of Healthcare Leadership she has an ongoing commitment to continuous improvement. Diana is an integral member of the Health Service leadership team responsible for initiating Australia’s first implementation of Zero Suicide Healthcare.

© 2019 Zero Suicide Institute of Australasia

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