This Performance Measure is tailored to align with a new County-funded contract that is specific to preventing youth suicide in Buncombe County. This and other related suicide-prevention performance measures will come from community partners awarded funding to address suicide prevention in Buncombe County.

https://abipa.org/

**NOTE: This data will not be representative of all youth in Buncombe County, as there is no centralized system for tracking this type of data.

The “story behind the measure” is a compilation of narrative from lived experiences shared during community listening sessions on the 2021 CHA health focus areas and cross-cutting results related to dismantling white supremacy culture and creating trauma-informed systems for a resilient community. The included “story” narrative below focuses more broadly on the systemic factors in the community environment in which programs operate and function. As programs and performance measures begin and/or strengthen, there will be organic opportunities for direct narrative collection to occur from program staff providing implementation and from community members engaged in the program’s services.

What's Helping Customer Change? These are the positive forces at work in our strategy/program that influence customer change.

• Peer supports - connecting with peers who have similar lived experiences

• Youth/peer leaders are accessible - they can connect with their peers and provide education/support around mental health

What's Hurting Customer Change? These are the negative forces at work in our strategy/program that influence customer change.

• Systemic racism and reasonable distrust in systems of oppression

• Impacts of social determinants of health - poverty, barriers to resources, exposure to community violence