Risk Assessment

Suicide Risk Assessment

Prompt Questions:

  • Are you thinking of suicide?
  • Have you thought about Suicide in the last two months?
  • Have you ever attempted to kill yourself?
  • If the caller answers “yes” to any of these questions, please complete the following risk assessment.

Risk Assessment:

SUICIDAL DESIRE

Suicidal Ideation

  • killing self and others

Psychological pain

Hopelessness

Helplessness

Perceived burden on others

Feeling trapped

Feeling intolerably alone

SUICIDAL CAPABILITY

History of suicide attempts

Exposure to someone else’s death by suicide

HIstory of/current violence to others

Available means of killingself/other

Currently intoxicated

Substance abuse

Accute symptoms of mental illness, for example:

  • Recent dramatic mood change
  • Out of touch with reality

Extreme agitation/rage, for example:

  • Increased anxiety
  • Decreased sleep

SUICIDAL INTENT

Attempt in progress

Plant to kill self/other

  • method unknown

Preparatory behavious

Expressed intent to die

BUFFERS/CONNECTEDNESS

Immediate supports

Social supports

Planning for the future

Engagement with helper

  • Telephone worker

Ambivalence for living/dying

Core values/beliefs

Sense of purpose

Source: Suicide Prevention Lifeline www.suicidepreventionlifeline.org