CLASSIFICATION: UNCLASSIFIED// ROUTINE R 011751Z OCT 24 MID120001427989U FM CNO WASHINGTON DC TO NAVADMIN INFO CNO WASHINGTON DC BT UNCLAS NAVADMIN 205/24 PASS TO OFFICE CODES: FM CNO WASHINGTON DC//N1// INFO CNO WASHINGTON DC//N1// MSGID/GENADMIN/CNO WASHINGTON DC/N1/OCT// SUBJ/SUICIDE PREVENTION MONTH// RMKS/1. September was Suicide Prevention Month. This year's Department of Defense theme of "Joining Your Fight: Connect to Protect," is a year-long campaign to raise awareness, connection, safety and hope across the military community. This message is a reminder that suicide prevention must be a sustained focus throughout the entire year. 2. Suicide prevention is an all-hands effort. It begins with setting the foundation for building Great People, Leaders and Teams as outlined in the Culture of Excellence (COE) 2.0, released with NAVADMIN 051/24 in March 2024. a. The COE 2.0 Placemat provides a Navy standard for "what right looks like," and a self-assessment tool for key programs, moving beyond checklists and towards real outcomes. b. The COE 2.0 Playbook aligns existing Navy programs essential to developing great culture. 3. Effective suicide prevention is dependent on Navy units having a command-wide climate built on trust and respect that builds connection, safety and cohesion within their unit. There is no checklist for building great culture. Success is based on bringing key principles to life through consistent action. Measuring progress on building great culture and climates is achieved through the Command Climate Assessment process. NAVADMIN 152/24, Calendar Year 2024 Command Climate Assessments, provides guidance and responsibilities for command leaders. 4. Building on the foundation, the Mental Health Playbook (V1.1) is designed to assist Navy leaders in preventing, mitigating, or addressing mental health issues within their commands. This work begins well before a mental health issue occurs. It starts with the culture our leaders create and how they lead the people in their care. These strategies are designed to identify and respond to Sailor stressors before the issues become acute. 5. A goal of all units should be to build a culture where Sailors ask for help before a crisis occurs. Additionally, suicide prevention should be part of a command's daily business, and every member of our Navy team should be prepared to recognize warning signs and provide our people the help and care they need. Response Plans should be prepared, practiced, and executed with the same level of care as a warfighting tactic, technique, or procedure. Best practices include: a. Consistent, active messaging about suicide prevention at all levels of the chain of command, to include comprehensive Lethal Means Safety initiatives. b. Conduct meaningful, discussion-based annual Suicide Prevention Training that encourages active peer-to-peer engagement and awareness, through programs such as "Project One Small ACT (Ask- Care-Treat)," "No Wrong Door," and "SafeTALK." c. Accurately and quickly report any Suicide, Suicide Attempt, or Suicide Related Behavior, executing postvention protocols for each. d. If a Suicide Attempt, or Suicide Related Behavior occurs, ensure 100 percent referral to the Sailor Assistance and Intercept for Life (SAIL) program for Active Duty Sailors. e. Develop and practice a command Crisis Response Plan annually. f. If a suicide death occurs, precisely execute postvention protocols, putting special emphasis on effective messaging. g. The Suicide Related Behavior Response and Postvention Guide is designed to ensure effective reintegration for any person who leaves the command for mental health or suicide related reasons. The guide provides streamlined references to suicide crisis response, suicide related behavior response, reintegration, and suicide postvention. 6. In line with MILPERSMAN 1320-307, Warm Hand-Off Fact Sheet released in December 2023, Commanders must ensure warm hand-offs occur between losing and gaining command triads before a Sailor with known challenges or issues is transferred, regardless of type of orders. The warm hand-off must consist of positive contact between both triads. 7. Commanders' Risk Mitigation Dashboard-CRMD is a tool for Commanders to better understand the level of destructive behavior risk within their commands and take appropriate mitigation measures. The tool provides Action Plans that contain prioritized lists of actions commands can take to mitigate risk. 8. Numerous resources are available for commands, Service Members and their families. a. Service Members are encouraged to use all resources available to improve mental well-being. They may self-refer to mental health services without chain of command involvement and utilize the mental health care roadmap located on the back of the Mental Health Playbook for resources on access to care. b. The NAVADMIN 166/23, Self-Initiated Referral Process for Mental Health Evaluations of Service Members was established. Any Service Member serving on Active Duty with a Navy command who specifically requests a Mental Health Evaluation (MHE) must be scheduled for an appointment with a uniformed mental health provider, a local military mental health clinic or closest military treatment facility as soon as practicable and provided the opportunity to attend. c. Chaplains are also a significant part of our continuum of care. Chaplains offer a uniquely protected confidentiality to our Sailors that makes them a safe place to start seeking care. If you or someone you know is struggling with suicidal thoughts or feelings, you can reach out to a chaplain. d. Service Members within the Continental United States (CONUS) experiencing suicidal ideation should call the Veterans Crisis Line at 988 and press 1, text 838255, or go directly to the nearest emergency room. e. Service Members outside the Continental United States (OCONUS) experiencing suicidal ideation should call DSN; Europe: 1 844-702-5495; Southwest Asia: 1 855-422-7719; Pacific: 1 844-702-5493 or go to the nearest military treatment facility. Alternatively, Service Members can open a chat at https://www.veteranscrisisline.net/get-help-now/military-crisis-line. 9. The point of contact for Navy specific suicide prevention questions is the Navy Culture and Force Resilience Office via e-mail at suicideprevention@navy.mil. More information can be found at: https://www.mynavyhr.navy.mil/Support-Services/Culture-Resilience/ 10. Released by Vice Admiral Richard J. Cheeseman, Jr., N1.// BT #0001 NNNN CLASSIFICATION: UNCLASSIFIED//