Jessica Gifford, LICSW, explains the power of upstream versus downstream suicide prevention interventions and offers research-based strategies to help clients improve quality of life as a suicide prevention resource. Interview with Elizabeth Irias, LMFT. Note: Please note that the terminology to describe the voluntary ending of one's life is continually evolving alongside a deeper understanding of the phenomenon. Please note that Jessica uses various terms in this interview, including the phrase 'committed suicide'. Use of various lexicon is specific to each individual and situation.