Suicide Prevention

Thank you for being here! Please note that this website is not a suicide prevention or crisis hotline. If you or someone you know feels the need to speak with a mental health professional, you can contact the National Suicide Prevention Lifeline at 1-800-273-8255 or contact the Crisis Text Line by texting HOME to 741-741.

Preventing deaths by suicide is a priority of The Sophie Fund. Since we launched this nonprofit advocacy organization in 2016, we have sought to raise awareness about mental health and suicide by providing information and perspective via our online platforms and through programming and training in the community and on local college campuses.

The Sophie Fund is focused on suicide prevention initiatives aimed at making a tangible impact. In April 2017, we hosted a meeting of community mental health stakeholders representing 18 organizations who adopted The Watershed Declaration pledging to intensify suicide prevention efforts in Ithaca and Tompkins County. In July 2017, The Sophie Fund became one of the founding members of the Tompkins County Suicide Prevention Coalition. In October of that year, we organized a top-expert briefing for healthcare principals to introduce the Zero Suicide Model for suicide prevention in healthcare.

LEARN MORE: The Zero Suicide Model in Tompkins County

DOWNLOAD: Mental Health Support and Crisis Services in Tompkins County

Suicide is a serious public health challenge in the United States. In 2019, 47,511 Americans died by suicide. It is the 10th leading cause of death in the U.S. and the 2nd leading cause of death in the 10-14, 15-24, and 25-34 age groups, according to the Centers for Disease Control and Prevention. In addition, 1.38 million suicide attempts occurred in the U.S. in 2019, and 12 million Americans have serious thoughts of taking their own lives, according to the American Foundation for Suicide Prevention (AFSP).

Nevertheless, important advances like the Zero Suicide Model are being made and are providing hope in the movement to prevent deaths by suicide. We can achieve further progress with the knowledge that everyone has a role to play in saving lives. You can know the risk factors and warning signs for suicide, understand that treatment is available and essential, and learn how to get support for yourself or others. Thank you for doing your part.

Support Information

Risk Factors, Protective Factors, and Warning Signs

Treatments for Suicidal Thoughts and Behaviors

Mental Health Conditions

Mental Health Treatments

Take a Mental Health Screening Test

Self-Care Tools for Living Better

Crisis Resources

National Suicide Prevention Lifeline

Call 1-800-273-8255 for free and confidential emotional support to people in suicidal crisis or emotional distress 2/7.

Crisis Text Line

Text HOME to 741741 to reach a trained crisis counselor 24/7.

Veterans Crisis Line

Call 1-800-273-8255 and press 1 for support from the Department of Veterans Affairs.

The Trevor Project

Call 1-866-488-7386 or text START to 678678 for the 24/7 crisis hotline for LGBTQ youth.

RAINN National Sexual Assault Hotline

Call 1-800-656-4673 for confidential support.


American Foundation for Suicide Prevention

National Alliance on Mental Illness

Mental Health America

Suicide Prevention Resource Center

National Institute of Mental Health

Rape, Abuse & Incest National Network (RAINN)

Resources—New York State

Suicide Prevention Center of New York State


Tompkins County Suicide Prevention Coalition [Strategic Plan 2022-2025]

Suicide Prevention and Crisis Service

Tompkins County Mental Health Services

American Foundation for Suicide Prevention—Central New York

National Alliance on Mental Illness—Finger Lakes

Mental Health Association in Tompkins County

Alcohol and Drug Council of Tompkins County

Advocacy Center of Tompkins County

Family and Children’s Service of Ithaca

MindWell Center LLP

Cornell University Counseling and Psychological Services

Ithaca College Center for Counseling and Psychological Services

Suicide Prevention Documents

2012 National Strategy for Suicide Prevention

The Surgeon General’s Call to Action to Implement the National Strategy for Suicide Prevention January 2021

1,700 Too Many: New York State’s Suicide Prevention Plan 2016–17

Suicide Prevention Tools

Zero Suicide Model

National Patient Safety Goal for Suicide Prevention (NPSG) 15.01.01 The Joint Commission R3 Report November 20, 2019

Collaborative Assessment and Management of Suicidality (CAMS)

“The PHQ-9: Validity of a Brief Depression Severity Measure,” Kurt Kroenke, Robert L. Spitzer, and Janet B. W. Williams, Journal of General Internal Medicine, 2001

PHQ-9 Patient Questionnaire

C-SSRS Baseline Screening

Ask Suicide-Screening Questions (ASQ) Toolkit

“Safety Planning Intervention: Current Evidence Base and Innovations,” Lisa Brenner, Gregory Brown, Barbara Stanley, U.S. Department of Veterans Affairs

Stanley-Brown Safety Plan Template

QPR Institute

“Support for Suicidal Individuals on Social and Digital Media”

Suicide Prevention Suggested Reading

“Suicide as a Never Event in New York State”

“Communities United for a Suicide Free New York: Suicide Prevention Task Force Report April 2019”

“How We Dramatically Reduced Suicide” by M. Justin Coffey, MD & C. Edward Coffey, MD

“Evidence-Based Psychotherapies for Suicide Prevention: Future Directions” Brown, G. K., & Jager-Hyman, S. (2014)

“Preventing suicide through improved training in suicide risk assessment and care: an American Association of Suicidology Task Force report addressing serious gaps in U.S. mental health training,” Schmitz WM Jr., Allen M.H., Feldman B.N., Gutin N.J., Jahn D.R., Kleespies P.M., Quinnett P., Simpson S., Suicide and Life-Threatening Behavior, 2012

Tompkins County Suicide Prevention Timeline (2017-present)

March 28, 2017: Sharon MacDougall, deputy commissioner of Tompkins County Mental Health Services (TCMHS), surveyed community organizations about interest in establishing a state-encouraged Suicide Prevention Coalition for Tompkins County.

April 17, 2017: Community mental health stakeholders representing 18 organizations adopted The Watershed Declaration, calling suicide a “serious public health concern” and pledging to intensify suicide prevention efforts in Ithaca and Tompkins County.

June 7, 2017: Ithaca Mayor Svante Myrick issued a proclamation in support of The Watershed Declaration, a commitment by local mental health stakeholders to intensify efforts to prevent suicide in the community.

July 31, 2017: More than 40 local mental health leaders launched the Tompkins County Suicide Prevention Coalition at a day-long working meeting held in Ithaca. Garra Lloyd-Lester, associate director of the Suicide Prevention Center of New York, facilitated a SWOT analysis among the meeting’s participants. TCMHS organized the meeting and said that “continued coalition development and leadership will come from one of our community partners.”

September 5, 2017: The Tompkins County Legislature proclaimed September 2017 to be “The Watershed Declaration Month” in support of intensified suicide prevention efforts in the community.

September 25, 2017: The Tompkins County Suicide Prevention Coalition held a meeting and unanimously endorsed the Watershed Declaration and discussed the Zero Suicide initiative.

October 16, 2017: The Sophie Fund organized a briefing at the Statler Hotel on the Zero Suicide Model attended by healthcare leaders from the Tompkins County Health Department, Cayuga Medical Center, Family and Children’s Service, Suicide Prevention and Crisis Service, Cornell Health, Ithaca College Health Services, and Tompkins Cortland Community College Counseling Center. The briefing was given by Michael Hogan, a developer of the Zero Suicide Model, who served as New York State Mental Health Commissioner, Ohio Department of Mental Health Director, and Connecticut Mental Health Commissioner; and Sigrid Pechenik, associate director of the New York State Suicide Prevention Office.

October 20, 2017: The Tompkins County Suicide Prevention Coalition held a meeting to advance strategic planning.

March 26, 2018: Jay Carruthers and Sigrid Pechenik, director and associate director of the New York State Suicide Prevention Office, issued a statement: “We consider Tompkins County and its newly formed Suicide Prevention Coalition an exemplary testament to vision, dedication and mobilization of community stakeholders. Thank you for your work, and we look forward to our continued partnership.”

March 27, 2018: The Tompkins County Suicide Prevention Coalition took concrete steps toward the adoption of the Zero Suicide Model for local suicide prevention, advancing a strategic plan to guide suicide prevention policies and practices in the community and appointing a coordination committee.

June 18, 2018: The Tompkins County Suicide Prevention Coalition voted to recommend the Zero Suicide Model for healthcare providers as a countywide suicide prevention initiative. Seven local healthcare providers declared themselves “Zero Suicide Champions” and commenced with internal efforts to implement the model: Cayuga Medical Center; Tompkins County Mental Health Services; Alcohol and Drug Council of Tompkins County; Suicide Prevention and Crisis Service; Cornell Health; Family and Children’s Service; and Cayuga Health Partners. The champions agreed to report back on implementation progress within 12 months.

July 17, 2018: The Tompkins County Legislature unanimously passed a resolution to support the Zero Suicide Model, calling on local healthcare and behavioral healthcare providers to follow the model’s systematic clinical approach to preventing suicides.

October 29, 2019: Nineteen members attended a meeting of the Tompkins County Suicide Prevention Coalition. Several Zero Suicide Champions reported adoption of the Columbia-Suicide Severity Rating Scale (C-SSRS) as a screening tool. Suicide Prevention and Crisis Service agreed to assume role of convener of the coalition.

January 21, 2020: The Tompkins County Suicide Prevention Coalition held a sparsely attended meeting.

February 24, 2021: Resuming meetings after a 13-month hiatus amid the COVID-19 pandemic, the Tompkins County Suicide Prevention Coalition reviewed past accomplishments and discussed next steps.

March 25, 2021: The Tompkins County Suicide Prevention Coalition agreed to conduct a reach-out effort to improve the diversity and inclusiveness of the coalition; over the next month, members contacted 86 potential new members representing community organizations, public safety, veterans, education, healthcare, clergy, students, and the firearms-owning community.

April 22, 2021: The Tompkins County Suicide Prevention Coalition invited volunteers to serve as coalition co-convenors; and agreed to form work groups on strategic planning, Zero Suicide, and diversity and membership outreach.

May 27, 2021: The Tompkins County Suicide Prevention Coalition approved Sally Manning, SPOA Coordinator for Tompkins County, to serve as a coalition convenor; and agreed to schedule a strategic planning meeting.

June 29, 2021: The Suicide Prevention Center of New York conducted a two-hour workshop that outlined a six-step strategic planning model to help Tompkins County identify suicide risk factors in the community and appropriate mitigation tools for addressing them. [WATCH]

February 24, 2022: The Tompkins County Suicide Prevention Coalition unanimously adopted a three-year strategic plan guided by a vision “for a community where no lives are lost to suicide” and using data, science, and collaborations to implement effective strategies.

July 20, 2022: Top healthcare leaders in Tompkins County participated in “Zero Suicide Roundtable: A Discussion on Best Practices in Suicide Prevention with Tompkins County Healthcare Leaders,” hosted by The Sophie Fund and Tompkins County Mental Health Services. They agreed to form a steering committee to drive local implementation of the Zero Suicide Model.

November 10, 2022: Top local healthcare leaders held the first meeting of the Tompkins County Zero Suicide Steering Committee to implement the suicide prevention model within and across healthcare systems serving the community. The meeting was attended by 17 healthcare leaders representing 11 provider organizations.

Tompkins County Suicide Prevention in the News

“The Watershed Declaration”

The Sophie Fund April 17, 2017

“Mental Health Stakeholders Renew Suicide Prevention Efforts”

Cornell Daily Sun April 20, 2017

“Mayor Svante Myrick: Support Suicide Prevention”

The Sophie Fund June 8, 2017

“New Tompkins Suicide Prevention Coalition Forming” July 25, 2017

“New suicide prevention coalition to form in Tompkins”

Ithaca Journal July 26, 2017

“Meet the Tompkins County Suicide Prevention Coalition”

The Sophie Fund July 31, 2017

“Successful Launch of Tompkins Suicide Prevention Coalition” August 2, 2017

“Suicide deaths doubled in Tompkins from 2015 to 2016”

Ithaca Journal August 4, 2017

“Tompkins Suicide Prevention Coalition Launches”

Lansing Star August 4, 2017

“Local Groups Launch Suicide Prevention Coalition”

Tompkins Weekly August 14, 2017

“It’s Watershed Declaration Month”

The Sophie Fund September 6, 2017

“State, Campus Leaders Discuss Preventing Suicide in Health Care System”

Cornell Daily Sun October 17, 2017

“Q&A: Expert discusses ‘Zero Suicide’ concept and Tompkins prevention efforts”

Ithaca Voice October 18, 2017

“Our Goal: Zero Suicide for Tompkins County”

The Sophie Fund December 5, 2017

“Spotlight On… Suicide Prevention and Crisis Service”

Tompkins Weekly February 12, 2018

“Albany Lauds Tompkins County Suicide Prevention Steps”

The Sophie Fund March 27, 2018

“Suicide Documentary Screening Fosters Mental Health Discussions on Campus”

Cornell Daily Sun April 17, 2018

“Learn about achieving ‘Zero Suicide’ in Tompkins County”

Ithaca Voice June 15, 2018

“Tompkins Coalition: ‘Yes’ to Zero Suicide Model”

The Sophie Fund June 19, 2018

“Tompkins County Adopts the Zero Suicide Model”

The Sophie Fund July 18, 2018

“Local organizations work to bring ‘Zero Suicide’ model to Tompkins”

Ithaca Voice June 27, 2018

“Tompkins County officially adopts Zero Suicide model”

Ithaca Voice July 18, 2018

“NYS Pushes Suicide Prevention Strategy”

WSKG June 19, 2018

“Albany Honors The Sophie Fund with Mental Health Advocacy Award”

The Sophie Fund September 20, 2018

“The Sophie Fund honored for ‘profound suicide prevention efforts’”

Ithaca Voice September 24, 2018

“Let’s Talk, Cornell. Enough With This ‘Grin and Bear It’ Stuff.”

Cornell Daily Sun September 24, 2019

“Versatile Turecek stepping up at Crisis Services”

Ithaca Times October 23, 2019

“Ithaca Crisis Hotline Fields Surge of New Callers”

Cornell Daily Sun April 17, 2020

“Preventing Suicide Deaths in Tompkins: What’s Next?”

The Sophie Fund, July 2, 2021

“New Plan for Preventing Suicides in Tompkins County”

The Sophie Fund, February 26, 2022