05/26/2026
Su***de is the 11th leading cause of death in the United States, and rates have risen 35% over 20 years.1 Across the country, almost half (45%) of individuals who die by su***de see a primary care provider in the month before their death.2 These visits offer critical opportunities to identify and support people at risk. Yet most clinics do not routinely assess su***de risk.3
The Zero Su***de framework, developed by the National Action Alliance for Su***de Prevention, is a systems-level model that highlights opportunities for prevention and offers tangible supports across care settings and care providers. It embeds evidence-based practices that help identify people at risk of su***de and engages them in supportive care to reduce risk. Evaluations suggest the framework is associated with reductions in su***de attempts.4
To date, implementation and evaluation of the Zero Su***de framework has mostly occurred in behavioral health settings rather than in primary care. Many clinics lack the training, infrastructure, and clinical support needed to implement systematic screening and follow-up at scale.5,6 As a result, real-world evidence on whether su***de prevention strategies can be successfully implemented in primary care has been limited.7
New research from Kaiser Permanente explores this issue, including questions of interest to policy audiences:
Does adding su***de screening and safety planning during regular doctor visits improve care quality and patient outcomes?
How can su***de prevention strategies be effectively implemented in primary care settings? What kinds of infrastructure and coordination supports are needed?
Overview