The approach will provide factual data about suicide in Wisconsin and present research and best practice to be used for widespread education and improvement of and access to treatment services. This annual report has contributed to recognition of suicide as a public health problem. Wisconsin's participation in the 1998 National Suicide Prevention Conference established the initial approach on integrating suicide prevention in all Bureau initiatives. As a result of a 1998 increase in jail suicides, a partnership with the Office of Detention Facilities on suicide prevention was initiated. Suicide is difficult to address even for administrators and service providers at all levels.
Suicide carries a complex stigma for survivors, affected others and service providers.
It includes blame and shame as well as the stigma of mental illness. The role of crisis services needs special attention. Outreach efforts to jails appear to be successful. Approaches must be community focused with leadership at the community level. Multidisciplinary partnerships and multiple funding sources are needed.