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.
A multi-source collection of readings, tools, videos, and webinars to help you understand and implement Zero Suicide.
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.
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.
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.
Stanley, B., & Brown, G. (2012). Safety Planning Intervention: A brief intervention to mitigate suicide risk. Cognitive and Behavioral Practice, 19(2), 256–264.
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.
This manual describes a brief clinical intervention, safety planning, that can serve as a valuable adjunct to risk assessment and may be used with individuals who have made a suicide attempt, have suicide ideation, have psychiatric disorders that increase suicide risk, or who are otherwise determined to be at high risk for suicide. It is intended to be used by VA mental health clinicians, but it is also relevant for clinicians who treat non-veterans.
These recommendations were developed in an effort to enhance the provision of care in inpatient and residential facilities and, in particular, to promote, when possible, the incorporation of families as meaningful members of the treatment team.
The Way Forward report, authored by the Suicide Attempt Survivors Task Force of the National Action Alliance for Suicide Prevention, provides recommendations based on evidence-based practices which incorporate personal lived experience of recovery and resilience.
May, E. L. (2013). The Power of zero: Steps toward high reliability healthcare. Healthcare Executive, 28(2), 16.
The Suicide Care in Systems Framework report, authored by the Clinical Care and Intervention Task Force of the National Action Alliance for Suicide Prevention, laid the groundwork for Zero Suicide. It outlines three critical factors common to initiatives that have reduced suicide attempts, deaths, and the costs associated with unnecessary hospital and emergency department care.
These comprehensive guidelines outline a framework 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. A summary version is available at this link: http://www.healthquality.va.gov/guidelines/MH/srb/VASuicideAssessmentSummaryPRINT.pdf
Fowler , J. C. (2012). Suicide risk assessment in clinical practice: Pragmatic guidelines for imperfect assessments. Psychotherapy, 49(1), 81–90.
Simon , G. E., Rutter, C. M., Peterson, D., Oliver, M., Whiteside, U., Operskalski, B., & Ludman, E. J. (2013). Does response on the PHQ-9 Depression Questionnaire predict subsequent suicide attempt or suicide death? Psychiatric Services, 64(12), 1195–1202.
This publication introduces two approaches to evaluating suicide risk and provides links to resources that offer additional guidance on choosing and implementing suicide screening and assessment programs.
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