The "story behind the indicator" helps us understand why the data on suicide ideation by percentage of emergency department visits is the way that it is in our community. When we understand the root causes of our community problems, we have a better chance of find the right solutions, together.

What's helping? These are the positive forces at work in our community and beyond that influence this issue in our community.

• General growing focus/interest in mental health
• Intentional convening of stakeholders to address mental health challenges
• Behavioral Health System Coordinator to convene partners and connect with first responders
• Trauma-informed/transformed organizations and care
• Partnerships between health, social service and government sectors
• Establishment of the Henderson County Resilience, ACEs, and Trauma Collaborative
• Family support services

What's hurting? These are the negative forces at work in our community and beyond that influence this issue in our community.

• Limited resources/funding for mental health programs
• Perception of the issue
• Substance misuse and neglect
• Capacity of behavioral/mental healthcare providers
• Generational trauma
• Stigma around mental health treatment
• Barriers to care from language and cultural differences