21 After a Suicide | A Toolkit for Physician Residency/Fellowship Programs Moving Forward Promoting the wellbeing of residents and, in fact, all members of the institution, requires a long-term, sustained effort. Continuing to improve the learning environment and support for trainee wellness must occur beyond the acute phase after a suicide. A few months following the suicide, institutions should consider implementing: • Suicide awareness programs to educate residents and faculty about the symptoms of depression and the causes of suicidal behavior • Programs to educate residents and staff about physician mental health and the risk of suicide among physicians • The AMA has developed a set of resources to address physician mental health that is available at stepsforward.org/modules/physician-wellness • A suicide prevention program that utilizes an educational campaign directed at all levels of the institution and specific mechanisms for help seeking to be safe and encouraged4 • A database of such programs that have been determined by expert peer review to reflect best practices is available at the Best Practices Registry for Suicide Prevention (BPR), available at sprc.org • Another source is the National Registry of Evidence-Based Programs and Practices, maintained by the Substance Abuse and Mental Health Services Administration (SAMHSA) of the U.S. Department of Health and Human Services; while few of the programs are specific to suicide prevention, this database includes mental health interventions that have been scientifically tested (available at nrepp.samhsa.gov) • Some institutions may also wish to take collective action to address the problem of suicide, such as participating as a team in an awareness or fundraising event to support a national suicide prevention organization or local community mental health center