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Risk Assessment Decision Tree

This document outlines a suicide risk assessment protocol. It provides a series of questions to determine a caller's risk level, from not suicidal to imminent risk. Key questions assess for suicidal thoughts and plans, means to carry out plans, and timeframes. The assessment is meant to be ongoing, with risk reassessed before closure. It aims to safely de-escalate risk and end the assessment when callers are deemed not suicidal.

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Heather Rametta
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1K views1 page

Risk Assessment Decision Tree

This document outlines a suicide risk assessment protocol. It provides a series of questions to determine a caller's risk level, from not suicidal to imminent risk. Key questions assess for suicidal thoughts and plans, means to carry out plans, and timeframes. The assessment is meant to be ongoing, with risk reassessed before closure. It aims to safely de-escalate risk and end the assessment when callers are deemed not suicidal.

Uploaded by

Heather Rametta
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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SUICIDE RISK ASSESSMENT

Are you thinking of killing yourself?


YES NO

How are you thinking of killing yourself? Have you thought about suicide before?

If caller has YES NO: End Assessment and


Where is/are [the continue with
means in
means] right now? conversation.
mind:

Have you done anything today to try When was the last time you thought
to kill yourself? about suicide?

If within Greater than


If attempt is in progress, initiate intervention
the last 2 months:
immediately, then continue Assessment.
2 months End Assessment
and continue with
When are you thinking of killing yourself?
conversation.

Where are you thinking of killing yourself? What brought on these thoughts?

Assessment complete. Continue with


How long have you been feeling this way? conversation according to a risk level of
Not Suicidal.

Have you ever attempted to kill yourself?

If NO, end Assessment with:


If YES, continue: RISK REASSESSMENT
Carry out for all High and Imminent Risk contacts
How many times? before closure. May need to do this multiple times
throughout contact.

When was that or the most recent time?


Earlier you mentioned your plan to
[means, plan, timeframe]. How are you
What happened? feeling about that plan now?
What was going on?

What brought on these thoughts


you’re having today?

Assessment complete. Continue with


conversation according to risk level.

NOT SUICIDAL LOW RISK MEDIUM RISK HIGH RISK IMMINENT RISK
Has no current Current thoughts of Partial plan: Considering Plan: Accessible Plan: Accessible means
suicidal ideation suicide but no plans, suicide but lacking either means, timeframe and specified timeframe
means, or timeframe accessible means or a not within 48 hours within 48 hours
timeframe

Consult if timeframe is any time within 48 hours.

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