Primary Prevention (column 1)	Secondary Prevention (column 2)	Tertiary Prevention (column 3)	Capacity Building (column 4)	Policy Development (Column 5)
Definition	Reduces the occurrence of factors related to suicide by promoting life enhancing conditions and reducing negative societal conditions.	Involves intervening early when risk factors for suicide have just emerged or are emerging to prevent the onset of suicide related behaviour.	Involves the care and treatment of those in whom suicide related behaviours have already occurred.	Enhances skills and abilities required by individuals and communities to recognize and address issues related to suicide; enhancing community governance and supporting cultural revitalization.	Develops formalized mental health standards identifying promotion, prevention and advocacy goals relating to mental health particularly in terms of suicide prevention
Examples of current practices	parenting programs to enhance communication and support reduce substance abuse reduce exposure to violence life skills enhancement to increase self esteem and mastery re-establish or strengthen cultural and community ties.	increase recognition of symptoms by self or others timely access to broad range of crisis services by strengthening community resources reduce stigma around suicide (increase help seeking) appropriate media handling of suicide	assistance to return to a precrisis level of functioning by the development of support groups individual and family counselling enhanced training of primary health care providers to monitor survivors improved coordination between supports	establishing training protocols to increase individual, organizational and community capacities to implement all levels of preventions	Include suicide risk assessment as a core competency of mental health service staff
Who — target population	Youth Community gatekeepers Teachers/health professionals/other service providers Parents/Elders	Adolescents identified at risk of suicide Professionals/parents and other community members	Survivors of suicide Family and friends of survivors communities	Community members Community organizations Gate keepers (teachers, police, Elders) Professional care givers Community political leadership	Community political leadership Government departments (regional, provincial, federal) Community health organizations
What activities are used to interact with the target population	Youth groups/clubs Parent/child classes/activities Anti bullying campaigns Life skills courses Anti stigma campaigns	Counselling (one on one, group sessions, family, and/or community sessions) Life skills courses Building stronger family communication and support Yellow ribbon campaigns	Counselling (one on one, group sessions, family sessions) Life skills courses Build stronger family communication and support	Knowledge transfer how the health of the community relates to the health of the individual	Evidence-based lobbying
ACYRN contribution	Examines factors that influence adolescent day to day well being such as support systems (friends and family) self esteem, sense of mastery, levels of distress exposures to risk behaviours (drinking, drug use, violence) cultural/community ties			Enables communities to: identify risk factors faced by the adolescents in the community build support systems for adolescents at risk of suicide and suicide survivors	Provides evidence of prevalence of risk and resiliency factors in Aboriginal communities to facilitate policy development around suicide in the Aboriginal setting.