This pocket guide summarizes VA/DoD clinical practice guidelines for structured assessment of adults suspected to be at risk of suicide and the immediate and long-term management and treatment that should follow if an individual is found to be at risk.
Resources
A multi-source collection of readings, tools, videos, and webinars to help you understand and implement Zero Suicide.
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The Columbia-Suicide Severity Rating Scale (C-SSRS)
Posner, K., Brown, G. K., Stanley, B., Brent, D. A., Yershova, K. V., Oquendo, M., . . . Mann, J. J. (2011). The Columbia-Suicide Severity Rating Scale (C-SSRS): Initial validity and internal consistency findings from three multi-site studies with adolescents and adults. American Journal of Psychiatry, 168(12): 1233–1234.
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Violence Risk Assessment: Getting Specific about Being Dynamic
Douglas, K. S., & Skeem, J. L. (2005). Violence risk assessment: Getting specific about being dynamic. Psychology, Public Policy, and Law, 11(3), 347.
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Advances in the Assessment of Suicide Risk
Bryan, C. J., & Rudd, M. D. (2006). Advances in the assessment of suicide risk. Journal of Clinical Psychology, 62(2), 185–200.
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Suicide Risk Assessment and Risk Formulation Part II: Suicide Risk Formulation and the Determination of Levels of Risk
Berman, A. L., & Silverman, M. M. (2014). Suicide risk assessment and risk formulation part II: Suicide risk formulation and the determination of levels of risk. Suicide and Life-Threatening Behavior, 44(4), 432–443.
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Suicide Risk Assessment and Risk Formulation Part I: A focus on Suicide Ideation in Assessing Suicide Risk
Silverman, M. M., & Berman, A. L. (2014). Suicide risk assessment and risk formulation part I: A focus on suicide ideation in assessing suicide risk. Suicide and Life-Threatening Behavior, 44(4), 420–431.
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VA/DoD Clinical Practice Guideline for Assessment and Management of Patients at Risk for Suicide Pocket Guide
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SAMHSA-HRSA Center for Integrated Health Solutions List of Screening Tools
This list of screening tools from the Center for Integrated Health Solutions includes many options for screening for suicide and depression risk.
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A Resource Guide for Implementing the Joint Commission 2007 Patient Safety Goals on Suicide
This document serves as a resource guide, using the SAFE-T protocol as a centerpiece, to facilitate implementation of the Joint Commission patient safety goal on suicide.
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SAFE-T Suicide Assessment Five-Step Evaluation and Triage
This card assists clinicians in conducting a suicide assessment using a five-step evaluation and triage plan to identify risk factors and protective factors, conduct a suicide inquiry, determine risk level and potential interventions, and document a treatment plan.
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Suicide Risk Factors and Risk Assessment Tools: A Systematic Review
This report reviews evidence about suicide risk factors and suicide risk assessment tools to inform practice guidelines for clinicians serving veterans and military populations. However, much of the information is also applicable to the general adult population.
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A Practical, Evidence-based Approach for Means-restriction Counseling with Suicidal Patients
Bryan, C.J., Stone, S.L., & Rudd, M.D. (2011). A practical, evidence-based approach for means-restriction counseling with suicidal patients. Professional Psychology: Research and Practice, 42(5), 339–346.
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Safety Planning Intervention: A Brief Intervention to Mitigate Suicide Risk
Stanley, B., & Brown, G. (2012). Safety Planning Intervention: A brief intervention to mitigate suicide risk. Cognitive and Behavioral Practice, 19(2), 256–264.
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An Emergency Department-based Brief Intervention for Veterans at Risk for Suicide (SAFE VET)
Knox, K., Stanley, B., Currier, G., Brenner L, Ghahramanlou-Holloway M., & Brown G. (2012). An emergency department-based brief intervention for veterans at risk for suicide (SAFE VET). American Journal of Public Health, 102(Suppl. 1), S33–37.
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Patient Safety Plan Template
A fill-in-the-blank template for developing a safety plan with a patient who is at increased risk for a suicide attempt.
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Safety Planning Guide: A Quick Guide for Clinicians
This quick guide for clinicians may be used to develop a safety plan—a prioritized written list of coping strategies and sources of support to be used by patients who have been deemed to be at high risk for suicide.
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