Cuyahoga County Title

Cuyahoga County Suicide Prevention Coalition

Suicide is a major, preventable public health problem.

If you are in crisis and need immediate help: 

  • 216-623-6888: Call Cuyahoga County’s 24/7 Suicide Prevention Crisis Hotline
  • Text "4Hope" to 741741 
  • Call 9-1-1
  • Go to the nearest hospital emergency department

Teens from Cuyahoga Valley Career Center (CVCC) Create Crisis Text Video for Cuyahoga County Suicide Prevention Coalition

As part of Mental Health Awareness activities at CVCC, students participated in a contest to create a video to help the ADAMHS Board promote the Crisis Text Line (Text "4Hope" to 741741).

The video chosen to promote the crisis text line is called 4Hope and can be viewed here:

Data collected by the Prevention Research Center at Case Western Reserve University as part of the 2017 Youth Risk Behavior Survey (YRBS) shows an increase in suicidal ideation in teens in Cuyahoga County. One in every three high school students felt so sad and hopeless in the past 12 months that they stopped doing usual activities. Seventeen percent of students seriously considered attempting suicide in the past 12 months. Twelve percent of students attempted suicide in the past 12 months.
Infographic of these stats.

The Centers for Disease Control (CDC) released a report on June 7, 2018, which read: "Suicide rates have been rising in nearly every state, according to the latest Vital Signs report. In 2016, nearly 45,000 Americans age 10 or older died by suicide. Suicide is the 10th leading cause of death and is one of just three leading causes that are on the rise. 

Tragically, Ohio had 1,707 deaths by suicide in 2016 and has continues to climb in recent years. The 
American Association of Suicidology states that nationally:
  • One person dies by suicide every 11.7 minutes
  • One older adult (65+) dies by suicide every hour and 4 minutes; one young person (15-24) dies by suicide every 1 hour and 32 minutes (if children less than 15 years of age are included that number moves to every one hour and 25 minutes).
  • Suicide is the tenth leading cause of death in the United States; homicide ranks 16th.
  • More males die by suicide than females (3.4 males die per every 1 female death)
  • 1.3 million adults (Ages 18+) attempt suicide annually; that is one attempt every 28 seconds.
  • For each suicide, there are 6 Suicide Loss Survivors (family, friends bereaved and intimately affected by suicide). 

Research shows that risk factors for suicide include:

  • depression and other mental disorders, or a substance-abuse disorder (often in combination with other mental disorders). More than 90 percent of people who die by suicide have these risk factors.
  • prior suicide attempt
  • family history of mental disorder or substance abuse
  • family history of suicide
  • family violence, including physical or sexual abuse
  • firearms in the home, the method used in more than half of suicides
  • incarceration
  • exposure to the suicidal behavior of others, such as family members, peers, or media figures.

However, suicide and suicidal behavior are not normal responses to stress; many people have these risk factors, but are not suicidal. Research also shows that the risk for suicide is associated with changes in brain chemicals called neurotransmitters, including serotonin. Decreased levels of serotonin have been found in people with depression, impulsive disorders, and a history of suicide attempts, and in the brains of suicide victims.

Cuyahoga County’s Suicide Prevention Coalition

2020 Meeting Schedule

The Cuyahoga County Suicide Prevention Coalition is composed of organizations,
community members and survivors dedicated to instilling hope, raising awareness, providing education and promoting resources in an effort to reduce the incidence of suicide and suicidal behavior in Cuyahoga County.

Coalition membership spans a broad range of community partners including mental health and addiction treatment and recovery agencies, social service, family advocates as well as representatives from the education, healthcare and faith-based community.

To join the Coalition or for more information, contact Chardé Hollins, LSW
, Chair of the Coalition and the ADAMHS Board's Behavioral Health Prevention Specialist.

Suggested Screening Tool: Columbia Suicide Severity Rating Scale (C-SSRS)

Columbia-Suicide Severity Rating Scale (C-SSRS) is a questionnaire used for suicide assessment. It is available in 114 country-specific languages. Mental health training is not required to administer the C-SSRS. Various professionals can administer this scale, including physicians, nurses, psychologists, social workers, peer counselors, coordinators, research assistants, high school students, teachers and clergy.


Question, Persuade, Refer (QPR) Suicide Prevention Training 

The ADAMHS Board of Cuyahoga County is providing free QPR Training to gatekeepers in Cuyahoga County. A gatekeeper is anyone in a position to recognize a crisis and warning signs that someone may be contemplating suicide.

Question, Persuade, and Refer (QPR) teaches three simple steps that anyone can learn to help save a life from suicide. Just as people trained in CPR and the Heimlich Maneuver help save thousands of lives each year, people trained in QPR learn how to recognize the warning signs of a suicide crisis and how to question, persuade, and refer someone to help.

Gatekeepers include primary health care providers, teachers, law enforcement, correctional staff, community volunteers, hospice and nursing home staff, mental health and substance abuse providers, family members, friends, neighbors, colleagues, youth ministers, coaches, academic advisors, Sunday school teachers, and supervisors in the workplace.

Help & Resources
If the situation is urgent:
  • 216-623-6888: Call Cuyahoga County’s Suicide Prevention Crisis Hotline, 24 hours a day, 7 days a week
  • Call 9-1-1. 
  • Crisis Text: 4HOPE to 741741
  • Go to the nearest hospital emergency department. 
  • Call the National Suicide Prevention Hotline (Crisis) at 1-800-273-TALK (8255), 1-800-799-4TTY (4889) TTY
  • TrevorLifeline: 1-866-488-7386

Mental Health Resources 

Suicide-Specific Resources

Problem Gambling Specific Resources

Alcohol/Drug Addiction Specific Resources

During the week of the Republican National Convention (2016), the National Alliance of Mental Illness (NAMI) Ohio Chapter hosted an event to raise awareness of the need for comprehensive national mental health reform and increase national support, Bringing Mental Illness Out of the Shadows. Click here to listen to the event.

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