How to Coach Yourself and Others Empowering Coaching And Crisis Interventions | Page 162

This book is in B&W, not color - Print page in Grayscale for Correct view! Critical Item Suicide Potential Assessment This tool should be used in assessing the risk of suicide for clients. I. PRIMARY RISK FACTORS: If any one of the following is present, the client should be considered a high risk for potential suicide, which should be given serious consideration in placement decisions. A. Attempt: 1. Suicide attempt with lethal method (firearm, hanging/strangulation, jumping from heights, etc.). 2. Suicide attempt resulting in moderate to severe lesions/toxicity. 3. Suicide attempt with low rescuability (no communication prior to attempt, discovery unlikely because of chosen location or time, no one nearby, active prevention of discovery, etc.). 4. Suicide attempt with subsequent expressed regret that it was not successful and continued expression of intent or unwilling to accept treatment. B. Intent: (as expressed directly by client or by another based on their observations) 1. Intent to commit suicide immediately. 2. Intent with lethal method selected and readily available. 3. Intent with post-mortem preparations (disposal of personal property, writing a will, writing a suicide note, making business and insurance arrangements, etc.). 4. Intent with planned time, place and opportunity. 5. Intent without ambivalence or inability to see alternatives. 6. Command hallucinations to kill self regardless of expressed suicidal intent. 7. Intent with active psychotic symptoms, especially affective disorder or schizophrenia. 8. Intent or behavior indicates intent, but client unwilling to cooperate in adequate assessment. II. SECONDARY RISK FACTORS: An individual's risk increases with the presence of the following factors. If over half of the following factors are present, consider the person a high risk for potential suicide in making placement decisions. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. Expressed hopelessness. Recent death of significant other. Recent loss of job or severe financial setback. Significant loss/stress/change event (victimization, threat of prosecution, pregnancy, illness, etc.). Social isolation. Current or past major mental illness. Current or past chemical dependence/abuse. History of suicide attempt(s). History of family suicide (including recent suicide by close friend). Current or past difficulties with impulse control or antisocial behavior. Significant depression (clinical or not) especially with feelings of guilt, worthlessness or helplessness. 12. Recent separation or divorce. 13. Rigidity in adapting to change (Adapted from the CISPA form used at the Hennepin County Crisis Intervention Center, Minneapolis, MN.) For [email protected] Property of Bookemon, do NOT distribute 162