Suicide Prevention in Emergency Departments Resources

Since 2022, VPQHC has partnered with emergency departments across Vermont to strengthen care for individuals experiencing suicidal thoughts or behaviors.

Through the Suicide Prevention in Emergency Departments Quality Improvement Initiative, VPQHC supports hospital teams in developing and improving evidence-informed clinical workflows, strengthening workforce readiness, and embedding suicide care best practices into everyday emergency department operations.


Implementing reliable, high-quality suicide care is an ongoing process. It requires thoughtful planning, testing, refinement, and reinforcement as staff, workflows, organizational needs, and available data change over time. Teams may move through this process over several years, progressing from initial assessment and planning to implementation, continuous improvement, and long-term sustainment.

Resources developed through this initiative can be found below.


Suicide Prevention in Emergency Departments Implementation Toolkit

This toolkit reflects the initiative’s longitudinal, learning-based approach to improving suicide care. It is designed to support emergency department and hospital teams wherever they are in their implementation journey, from assessing current practices and developing reliable workflows to measuring progress and sustaining improvements over time.



Download the Toolkit

Suicide Prevention in Emergency Departments Video

A look inside Vermont’s statewide effort to strengthen suicide-safer care in emergency departments through collaboration and evidence-based practices.
Learn how hospitals across Vermont are working together to strengthen suicide-safer care in emergency departments. This video highlights the Suicide Prevention in the ED Quality Improvement Initiative—a statewide effort driven by collaboration, evidence-based practices, and a shared commitment to compassionate, and effective, care. 



Essential Elements of a Suicide Care Pathway

A framework to guide safer, more effective, and coordinated suicide care across healthcare settings.

The Essential Elements of a Suicide Care Pathway offer a clear framework to help healthcare organizations provide safer, more effective, and more coordinated care for individuals at risk of suicide. Designed to support system-wide improvement, the resource promotes alignment with best practices in suicide care.

View the PDF

More Resources:

By Bill Marcinkowski May 28, 2026
Annually, 90 Sexual Assault Nurse Examiners provide approximately 400 exams in 16 hospitals across Vermont. National data reveals that 1 in 2 women and 1 in 3 men experience contact sexual violence, and in Vermont, 156,000 women and 103,000 men have experienced contact sexual violence in their lifetimes. Rural sexual assault survivors face isolation, lack of anonymity, and limited community resources, and are less likely to report assault or seek support services. Part of the HRSA Rural Northern Border Region Outreach Program, the SANE Care Collaborative & Innovation Network (2024-2027) is a 3-year initiative focused on expanding capacity for SANE services, enhancing quality of care within SANE programs, and increasing collaboration and innovation among rural hospitals in Vermont. Resources and reports related to the SANE Care Collaborative & Innovation Network can be found below.
Telehealth and Suicide Safer Care with Dr. Frederic Reamer
By Bill Marcinkowski February 19, 2026
Telehealth Resource Guide: Tools and Guidance for Managing Suicide Risk in Telehealth Settings This resource guide is designed to support mental health clinicians providing telehealth services focused on suicide prevention and treatment. It offers evidence-based guidelines, practical tools, and best practices for delivering high-quality, safe, and effective care in a virtual environment.* When viewed digitally, the guide is interactive and includes clickable links for quick access to referenced materials.
Preventing Workplace Violence Toolkit
By Bill Marcinkowski December 16, 2025
Act 9 of 2025, An act relating to preventing workplace violence in hospitals, requires hospitals to develop and implement comprehensive security plans to prevent workplace violence. This toolkit is intended to help hospitals comply with Act 9. It contains resources to support hospital security plan development teams in assessing compliance and filling any gaps identified. The toolkit is designed to assist hospitals in improving workplace safety and managing aggressive behaviors. 
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