# Innovating military suicide prevention: learnings from the Australian Defence SafeSide Project

**Authors:** Kylie Druett, Sarah Donovan, Jennifer Harvey, Dan Mobbs, Annamarie Bailey, Melanie Clark, Anthony R. Pisani

PMC · DOI: 10.3389/fpsyt.2026.1757232 · Frontiers in Psychiatry · 2026-03-13

## TL;DR

This paper describes a new approach to military suicide prevention in Australia that focuses on personalized support and system-wide changes.

## Contribution

The study introduces the CARE Model, a tailored suicide prevention framework adapted for military contexts with a focus on collaborative risk formulation.

## Key findings

- The Defence SafeSide Project successfully implemented the CARE Model across the Australian Defence workforce.
- Training programs reached over 72,000 Defence members, indicating widespread adoption of the new approach.
- Early outcomes suggest a shift toward a prevention-oriented culture in military suicide prevention.

## Abstract

Military suicide remains an urgent global concern, with Service members facing unique stressors including frequent relocations, postings to remote and regional locations where there is a lack of external facilities, reduced social connections, extended family separations, and operational demands that heighten psychological strain. In 2021, the Australian Department of Defence (Defence) partnered with SafeSide Prevention to enhance its Suicide Prevention Program through implementation of evidence-based best practices in suicide prevention. This Community Case Study describes the rationale, implementation, and early outcomes of the Defence SafeSide Project, which aimed to embed a contemporary clinical framework and develop a system-wide approach to modernising policy, practice, and workforce education across the organisation. The partnership implemented the SafeSide Framework for Suicide Prevention, adapting it as the CARE Model (Connect, Assess, Respond, Extend) for Defence contexts. This prevention-oriented approach tailors support to each member’s circumstances through collaborative risk formulation rather than stratified risk categorisation. Major achievements included revising health and military personnel policies to remove “low”, “medium”, and “high” risk classifications, developing role-specific customised trainings, and integrating lived experience perspectives throughout implementation. Between January 2024, when the training rollout commenced, and August 2025, the national Defence workforce completed the following courses: Defence Suicide Awareness annual training (approximately 72,050 completions), CARE-Leaders and Managers (approximately 19,250 completions), CARE-Risk Formulation (approximately 1,010 completions), and CARE-Support (approximately 1600 completions). The project demonstrates how synchronised changes in policy, systems, and training can propel cultural transformation in military suicide prevention. Key lessons learned include the importance of collaborative governance structures, integration of lived experience voices, and addressing challenges in shifting from risk stratification to member-centred safety planning. While implementation is ongoing, preliminary outcomes suggest successful adoption of a prevention-oriented approach that extends suicide prevention beyond mental health settings to become a whole-of-Defence responsibility.

## Full-text entities

- **Diseases:** suicidal distress (MESH:D012128), HIGH (MESH:D052456), deaths (MESH:D003643), SD (MESH:D012735), DM (MESH:D009223)
- **Species:** Homo sapiens (human, species) [taxon 9606], Acanthamoeba sp. PS (species) [taxon 348804]

## Full text

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## References

41 references — full list in the complete paper: https://tomesphere.com/paper/PMC13021891/full.md

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Source: https://tomesphere.com/paper/PMC13021891