Resources
Safety Planning
Stanley Brown safety planning tool (Access tool template here and mobile app here)
Virtual Hope Box
Other
988 Suicide and Crisis Lifeline - Dial 988 for phone, text or chat
Crisis Text Line text “talk” to 741 741
Suicide Prevention: What to do when someone is at risk
Suicide Prevention Resource Center
Veteran
Questions for Assessing Suicidality
- Other people with similar problems sometimes lose hope; have you?
- This must be a hard time for you; what do you think about when you’re feeling down?
- Do you ever consider running away from your problems?
- With this much stress, have you thought about hurting yourself?
- How would you do it?
- What would happen to your family or significant others if you did that?
- What has kept you from acting on these thoughts?
Management of Suicidal ideation
**Non-Imminent Risk
- First establish safety
- Offer voluntary commitment
- Contact family to remove any possible means
- Contracts are not useful and should be avoided
**Establish a clinical approach and a Safety Plan - Psychotherapy and Pharmacotherapy
- Increase provider contact
- Safety plan…
**Imminent risk
Inpatient:
- Psych
- Search room
- Sitter
- Capacity assessment?
**Outpatient: - Know how to access emergency psychiatric services and pursue hospitalization.
- Who can assess capacity?