The Ask Suicide-Screening Questions (ASQ) Toolkit provides resources tailored to the emergency department, inpatient medical/surgical unit, outpatient primary care, and specialty clinics. It includes a brief suicide risk screening tool, resources for effectively implementing suicide risk screening, and guides for managing patients who screen positive. The toolkit also provides guidance for engaging families and creating a safety plan.
A multi-source collection of readings, tools, videos, and webinars to help you understand and implement Zero Suicide.
SPRC designed this guide to assist Emergency Department (ED) health care professionals with decisions about the care and discharge of patients with suicide risk. Its main goal is to improve patient outcomes after discharge. The guide helps ED caregivers answer these questions:
- How can I effectively intervene while this patient is in the ED?
- Can this patient be discharged or is further evaluation needed?
- What will make this patient safer after leaving the ED?
The Suicide Prevention Resource Center has created a seven-minute about The Patient Safety Screener (PSS-3), a tool for identifying patients in the acute care setting who may be at risk of suicide. The PSS-3 can be administered to all patients who come to the acute care setting, not just those presenting with psychiatric issues, and was developed by the University of Massachusetts Medical School. Accompanying materials provide help to administer the PSS-3, plan for patients who screen positive, and implement screening sustainably and effectively.
The Ask Suicide-Screening Questions (ASQ) Toolkit is a free resource for medical settings (emergency department, inpatient medical/surgical units, outpatient clinics/primary care) that can help nurses or physicians successfully identify youth at risk for suicide. The ASQ is a set of four screening questions that takes 20 seconds to administer. The Ask Suicide-Screening Questions (ASQ) toolkit is designed for screening youth ages 10-24 (for patients with mental health chief complaints, consider screening below age 10). The ASQ is free of charge and available in multiple languages.
The Rocky Mountain MIRECC for Suicide Prevention, part of the Department of Veterans Affairs, is offering a free consultation program for any clinician and provider who works with any Veteran at risk for suicide. Consultation topics may include things like risk assessment, conceptualization of suicide risk, lethal means safety counseling, strategies for how to engage veterans at high risk, best practices for documentation, provider support after a suicide loss, and more.
Following SAMHSA-funded evaluations that indicated the need for more consistent, uniform suicide risk assessment practices for crisis call centers, Lifeline assembled its Standards, Training & Practices Subcommittee (STPS). STPS developed evidence-informed Suicide Risk Assessment Standards and the Lifeline adopted these standards as policy, and verified full network membership adherence with these standards. The Suicide Risk Assessment Standards focus on four core principles: Suicidal Desire, Suicidal Capability, Suicidal Intent and Buffers along with the subcomponents for each.
These worksheets from the SAMHSA-HRSA Center for Integrated Health Solutions can help clinic managers, integrated care project directors, and billing/coding staff at community mental health centers and community health centers identify the available current procedural terminology codes they can use in their state to bill for services related to integrated primary and behavioral health care.
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.
This list of screening tools from the Center for Integrated Health Solutions includes many options for screening for suicide and depression risk.
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.
A fill-in-the-blank template for developing a safety plan with a patient who is at increased risk for a suicide attempt.
This free, online training from the New York State Office of Mental Health and Columbia University provides an overview of the instrument and teaches how and when to administer it in real world settings. Behavioral healthcare practitioners in New York State working in non-profit settings can receive a certificate of completion by completing the training through the Center for Practice Innovations (CPI) Learning Community. Practitioners outside of New York State are not eligible to receive a certificate of completion.
Three versions of the Columbia Suicide Severity Rating Scale are available for use in clinical practice. The Lifetime/Recent version allows practitioners to gather lifetime history of suicidality as well as any recent suicidal ideation and/or behavior. The Since Last Visit version of the scale assesses suicidality since the patient’s last visit. The Screener version of the C-SSRS is a truncated form of the full version.
The PHQ-9 is used to diagnose and monitor the severity of depression. Question 9 screens for the presence and duration of suicide ideation.
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