- Each and every day in the U.S., more than 160 people die as a result of violence due to homicides and suicides.1 These violent deaths constitute an urgent public health problem. Homicide and suicide, taken together, were the fourth leading cause of years of potential life lost in the U.S. in 2014.2 Each year, more than 55,000 people die in the U.S. as a result of violence-related injuries.3 In 2014, suicide was the tenth leading cause of death, claiming more than 42,000 lives1 and resulting in an economic cost estimated to be $53.2 billion, largely associated with lost work productivity.
- To capitalize on all the health benefits of providing evidence-based preventive services to individuals, there must be strategies that promote the delivery of these services at the population level. This is a critical underlying concept for the interaction between two distinct but interrelated working groups, well described by Fielding and Teustch,1 and acknowledged and supported by Congress in the Affordable Care Act: the U.S. Preventive Services Task Force (USPSTF) hosted by the Agency for Health Research and Quality (AHRQ), and the Guide to Community Preventive Services (the Community Guide) hosted by the CDC.
- In 1978 the first multi-site mental health epidemiologic study in the U.S. reported that more than 50% of community respondents with depressive disorders were treated exclusively within the primary care system.1 As a result, primary care was labeled the “de facto mental health system” for Americans with the more prevalent but less severe mental health disorders.1 Subsequent research over the next decade found that only 25% to 50% of patients with depressive disorders were accurately diagnosed by primary care physicians.