title: Facilitating Action for Suicide Prevention by Learning Health Care Systems.
abstract: The Mental Health Research Network (MHRN), funded by the National Institute of Mental Health to serve as a national laboratory to improve mental health care, includes researchers embedded in 13 health systems in 15 states. This column describes practice changes and effectiveness and exploratory research undertaken by MHRN partners when they found a sustained elevated risk of suicide attempts among patients who reported suicidal ideation on the nine-item Patient Health Questionnaire. Challenges described include finding common ground between what health care systems and funding agencies find compelling, choosing study designs that balance research and clinical tensions, and implementing studies in ways that minimize disruption to health systems. The authors conclude that the greatest benefit to working collaboratively with care system partners is the opportunity to improve care and to simultaneously measure the impact of change.
authors.affiliation: Dr. Rossom and Dr. Solberg are with HealthPartners Institute, Minneapolis, Minnesota (e-mail: rebecca.c.rossom@healthpartners.com ). Dr. Simon is with Group Health Research Institute, Seattle. Dr. Beck is with the Institute for Health Research, Kaiser Permanente Colorado, Denver. Dr. Ahmedani is with Behavioral Health Services and Center for Health Policy and Health Services Research, Henry Ford Health System, Detroit, Michigan. Dr. Steinfeld is with Behavioral Health Support Services, Group Health Cooperative, Seattle. Dr. Trangle is with HealthPartners Behavioral Health, Minneapolis, Minnesota. Lisa B. Dixon, M.D., M.P.H., and Brian Hepburn, M.D., are editors of this column.
authors.forename: Rebecca C
authors.initials: RC
authors.lastname: Rossom
authors.affiliation: Dr. Rossom and Dr. Solberg are with HealthPartners Institute, Minneapolis, Minnesota (e-mail: rebecca.c.rossom@healthpartners.com ). Dr. Simon is with Group Health Research Institute, Seattle. Dr. Beck is with the Institute for Health Research, Kaiser Permanente Colorado, Denver. Dr. Ahmedani is with Behavioral Health Services and Center for Health Policy and Health Services Research, Henry Ford Health System, Detroit, Michigan. Dr. Steinfeld is with Behavioral Health Support Services, Group Health Cooperative, Seattle. Dr. Trangle is with HealthPartners Behavioral Health, Minneapolis, Minnesota. Lisa B. Dixon, M.D., M.P.H., and Brian Hepburn, M.D., are editors of this column.
authors.forename: Gregory E
authors.initials: GE
authors.lastname: Simon
authors.affiliation: Dr. Rossom and Dr. Solberg are with HealthPartners Institute, Minneapolis, Minnesota (e-mail: rebecca.c.rossom@healthpartners.com ). Dr. Simon is with Group Health Research Institute, Seattle. Dr. Beck is with the Institute for Health Research, Kaiser Permanente Colorado, Denver. Dr. Ahmedani is with Behavioral Health Services and Center for Health Policy and Health Services Research, Henry Ford Health System, Detroit, Michigan. Dr. Steinfeld is with Behavioral Health Support Services, Group Health Cooperative, Seattle. Dr. Trangle is with HealthPartners Behavioral Health, Minneapolis, Minnesota. Lisa B. Dixon, M.D., M.P.H., and Brian Hepburn, M.D., are editors of this column.
authors.forename: Arne
authors.initials: A
authors.lastname: Beck
authors.affiliation: Dr. Rossom and Dr. Solberg are with HealthPartners Institute, Minneapolis, Minnesota (e-mail: rebecca.c.rossom@healthpartners.com ). Dr. Simon is with Group Health Research Institute, Seattle. Dr. Beck is with the Institute for Health Research, Kaiser Permanente Colorado, Denver. Dr. Ahmedani is with Behavioral Health Services and Center for Health Policy and Health Services Research, Henry Ford Health System, Detroit, Michigan. Dr. Steinfeld is with Behavioral Health Support Services, Group Health Cooperative, Seattle. Dr. Trangle is with HealthPartners Behavioral Health, Minneapolis, Minnesota. Lisa B. Dixon, M.D., M.P.H., and Brian Hepburn, M.D., are editors of this column.
authors.forename: Brian K
authors.initials: BK
authors.lastname: Ahmedani
authors.affiliation: Dr. Rossom and Dr. Solberg are with HealthPartners Institute, Minneapolis, Minnesota (e-mail: rebecca.c.rossom@healthpartners.com ). Dr. Simon is with Group Health Research Institute, Seattle. Dr. Beck is with the Institute for Health Research, Kaiser Permanente Colorado, Denver. Dr. Ahmedani is with Behavioral Health Services and Center for Health Policy and Health Services Research, Henry Ford Health System, Detroit, Michigan. Dr. Steinfeld is with Behavioral Health Support Services, Group Health Cooperative, Seattle. Dr. Trangle is with HealthPartners Behavioral Health, Minneapolis, Minnesota. Lisa B. Dixon, M.D., M.P.H., and Brian Hepburn, M.D., are editors of this column.
authors.forename: Bradley
authors.initials: B
authors.lastname: Steinfeld
authors.affiliation: Dr. Rossom and Dr. Solberg are with HealthPartners Institute, Minneapolis, Minnesota (e-mail: rebecca.c.rossom@healthpartners.com ). Dr. Simon is with Group Health Research Institute, Seattle. Dr. Beck is with the Institute for Health Research, Kaiser Permanente Colorado, Denver. Dr. Ahmedani is with Behavioral Health Services and Center for Health Policy and Health Services Research, Henry Ford Health System, Detroit, Michigan. Dr. Steinfeld is with Behavioral Health Support Services, Group Health Cooperative, Seattle. Dr. Trangle is with HealthPartners Behavioral Health, Minneapolis, Minnesota. Lisa B. Dixon, M.D., M.P.H., and Brian Hepburn, M.D., are editors of this column.
authors.forename: Michael
authors.initials: M
authors.lastname: Trangle
authors.affiliation: Dr. Rossom and Dr. Solberg are with HealthPartners Institute, Minneapolis, Minnesota (e-mail: rebecca.c.rossom@healthpartners.com ). Dr. Simon is with Group Health Research Institute, Seattle. Dr. Beck is with the Institute for Health Research, Kaiser Permanente Colorado, Denver. Dr. Ahmedani is with Behavioral Health Services and Center for Health Policy and Health Services Research, Henry Ford Health System, Detroit, Michigan. Dr. Steinfeld is with Behavioral Health Support Services, Group Health Cooperative, Seattle. Dr. Trangle is with HealthPartners Behavioral Health, Minneapolis, Minnesota. Lisa B. Dixon, M.D., M.P.H., and Brian Hepburn, M.D., are editors of this column.
authors.forename: Leif
authors.initials: L
authors.lastname: Solberg
mesh_terms: D035843:Biomedical Research / Q000458:organization & administration / Q000592:standards; D006801:Humans; D008605:Mental Health Services / Q000458:organization & administration / Q000592:standards; D000092864:Suicide Prevention