Another issue that I have with "zero suicide" initiative as it is being implemented bureaucratically is that, from my experience, it's more about checking off boxes than the actual quality of care. In fact, I've seen the quality of care suffer as a result. As as has been mentioned, many of the policies that I've seen are actually more likely to reinforce suicidal behavior, and we have research that forced hospitalizations do not help suicidality. Not to mention that many of these policies impact the availability of effective services like DBT (for instance, I've seen full model DBT programs get closed because the wait list was too long since the treatment lasts one year).
I also wish that people would differentiate between chronic and acute risk. That seems to be a pretty big issue here--a provider is worried about a patient, so they request a high risk flag even though 1. the flag doesn't functionally change the patient's care at this time (they're already being seen weekly, followed by suicide prevention, etc) 2. the patient appears to have high chronic, but not imminent, risk.
I saw someone once post in a Psychiatry forum questioning how MH providers allowed themselves to become the gatekeepers of suicidal behavior, and I thought that was a fair point. Of course, there are things that we can do to reduce risk and help people find other ways of coping, and in the end it's still up to them (talk about a dialectic).