CAN/HSO 5064:2020 (E) Suicide Prevention Standard – Public Review

The public review of HSO’s revised Suicide Prevention standard is taking place between September 25, 2020 and November 24, 2020.

Public reviews are an opportunity for anyone to review and comment on draft standards before they are published. HSO incorporates applicable feedback from public reviews into the final versions of standards.

Important note: The version of this standard currently out for public review will eventually be incorporated into Accreditation Canada’s assessment programs. If you are part of an assessment program, such as Qmentum, your accreditation body will provide you with an update, and copy of the standard, prior to the standard being incorporated into your program and used for surveys or assessment purposes.

Summary of changes

CAN/HSO 5064:2020 (E) Suicide Prevention is a revision of HSO 5064:2009 (E) Suicide Prevention Required Organizational Practice (ROP) . The revision is led by the HSO Suicide Prevention Working Group under the oversight of HSO TC011 Mental Health and Addictions Technical Committee. Overall development of the standard is under the authority of the HSO Standards Steering Committee.

The revised standard will specify the responsibilities of system provider health and social services organizations (“system partners”) as well as their associated interdisciplinary teams (“people-centred teams” or “PCTs”) in preventing suicide among clients in their care settings and community, with a specific focus on the holistic needs of clients and families across their journey to recovery. It provides evidence-informed guidance for system partners and PCTs working under a defined health system to enable cross-collaboration and integration of suicide prevention programs and services across a health system and throughout the continuum of care.

CAN/HSO 5064:2020 (E) Suicide Prevention:

  • Expands the scope of the original Suicide Prevention ROP, beyond comprehensive screening and assessment to include the co-design and cross-collaborative delivery of system-wide, integrated suicide prevention programs and services.
  • Addresses the need for more integrated suicide prevention efforts across a given health system, and among the system partners and PCTs that deliver these services throughout the continuum of care.
  • Specifies the responsibilities of system partners and PCTs to ensure timely and coordinated delivery of safe and quality suicide prevention programs and services.
  • Contains several updated criteria, including those related to the health system and its role in convening a suicide prevention network of services; how system partners can collaboratively co-design and deliver services across the suicide prevention network; and how PCTs work together to enable the timely deliver of these services (including comprehensive screening, assessment, and care planning) at any point in the client’s care journey and in any setting of care.
  • Incorporates people-centred care principles and language, ensuring engagement of clients and families throughout their care journey in a meaningful and purposeful manner.
  • Outlines what clients and families can expect from system partners and PCTs when seeking suicide prevention care and services.
  • Outlines how to deliver suicide prevention programs and services through virtual means, providing system partners and PCTs with guidance.
  • Contains the following normative references:
    • HSO0001:2018 – Service Excellence
    • CAN/HSO 76000:2020 – Integrated People-Centred Health Systems
    • CAN/HSO 83001:2018 –Virtual Health
    • HSO 5012:2018 –Information Transfer at Care Transitions

The technical content of the standard is divided as follows:

  • Population-Based Approaches to Suicide Prevention
  • Coordinate a Comprehensive Continuum of Integrated, People-Centred Suicide Prevention Programs and Services
  • Deliver Timely and Accessible Integrated, People-Centred Suicide Prevention Programs and Services
  • Comprehensive and Collaborative Screening and Assessment of Suicide Risk
  • Collaborative Care Planning for Appropriate Treatments and Interventions
  • Continuity of Integrated, People-Centred Suicide Prevention Programs and Services
  • Continuous Quality Improvement of Integrated, People-Centred Suicide Prevention Programs and Services

The standard provides:

  • System partners with information on how to collaboratively work with one another, and with people and communities, to understand the unique needs of the populations they serve, and to use this information to co-design an integrated, people-centred suicide prevention strategy and system-wide program.
  • Policymakers with a quality and safety blueprint and guide to policy development for suicide prevention services in their jurisdictions.
  • System partners and PCTs with guidance on how to collaborate and partner across a defined health system.
  • System partners and PCTs with guidance on how to deliver high quality and safe suicide prevention care and services within their unique organizational context, in collaboration with clients and families.
  • System partners and PCTs with guidance on how to enable coordinated efforts for seamless transitions across the health system.
  • External assessment bodies with measurable requirements to include in assessment programs.
  • Clients and families with information about what they can expect from organizations and PCTs when seeking suicide prevention care and services.

This standard will be undergoing periodic maintenance. HSO will review and publish this standard on a schedule not to exceed five years from the date of publication.

Tell us what you think

We are asking those who have an interest in this standard, such as people who have used related services, service providers or others that have expertise in this area, for their views on the proposed revised standard.

There is one main question in the public review document. We are not asking questions about every requirement or criteria, but we do welcome your comments on any or all aspects of the standard. When answering the questions, please keep in mind that the standard may apply globally. We may retain jurisdiction specific comments for local guidelines.

Our public review is open for 60 days. We would appreciate your feedback on the proposed changes. The public review is open until midnight on November 24, 2020.

The simplest way to respond is to follow the link at the bottom of this page, read a summary of the changes, and provide your feedback in the questionnaire that follows.

Draft StandardQuestionnaire

For more information, questions or concerns regarding the standards, please contact us at