Grant: Travel Awards - Institute Community Support

Youth suicide is a pressing public health issue and primary care setting plays a critical role in prevention as it is one of the emerging area where young people first seek help. However, implementing suicide prevention program in this setting is complex and need a comprehensive planning to deliver services effectively. To address, we developed a comprehensive framework called "BeFrIEND-PC" (Barriers and Facilitators in Implementing measures to END suicide for primary care setting) that would guide various program implementation for suicide prevention. BeFrIEND-PC was developed by critically reviewing existing literature and available frameworks in the field. It is combination of frameworks include the Consolidated Framework for Implementation Research (CFIR), Theoretical Domains Framework (TDF), Implementation Outcome Taxonomy (IOT), and the Zero Suicide Framework (ZSF). These combination ensures that the framework is thorough and practical. The framework has 8 key areas that guide the implementation and factors affecting implementation of suicide prevention: 1. individual, 2. provider, 3. family, community, 4. organizational, 5. societal, and 6. health system factors 7. suicide prevention interventions and 8. outcome the program aims to achieve. These domains are interconnected and provide a detail mapping of core seven elements of zero suicide and simultaneously identify the challenges at various level for implementing suicide prevention measures. This framework provides a structured approach that would guide service providers, policy makers and researchers to tailor the implementation of youth suicide prevention interventions in primary care contexts.