Suicide Facts/Why's
The 13th ranked state in the US based on suicide rate.
Oregon
CSSRS Screener is required for all youth.
8 years old and older.
The deliberate, self-inflicted destruction of body tissue without suicidal intent and for purposes not socially sanctioned, includes behaviors such as cutting, burning, biting and scratching skin.
Non-Suicidal Self-Injurious Behavior
Texting is not the appropriate form of communication during this situation.
Crisis Situation
In the US, 90% of those who died by suicide also had this at the time of their death.
Diagnosable mental health condition
Use this screener for youth 4 or 5 years old rather than the C-SSRS Screener when there is a known history or clinical reason.
C-SSRS Very Young Child/Cognitively Impaired Lifetime Recent Version
Youth stands on edge on the bridge for 10 minutes with the intent to jump and then steps back and calls for help.
Aborted or Self Interrupted Attempt
This is where IHS-104, IHS-105 and OHS-117 can be found.
YV Central under Polices and Procedures.
Core Competency 1
Managing one’s own reactions to suicide (know when to seek supervision and support)
You use this screener for all youth 6 or 7 years old with typical development with known history or clinical reason to screen.
C-SSRS Lifetime/Recent Version.
Youth collecting pills and hiding them under their pillow to have enough to take that would be more lethal.
Preparatory Act or Behavior.
List a critical event that must be reported immediately to supervisor.
•Runaway/unknown location of youth
•Threat of suicide with a plan by the youth
•Suicide attempt by youth or other family member
•Homicidal ideation/threat/attempt by youth or family member
•Police involvement/arrests
•Sexual contact that conflict with the law/PSB
•Death/serious injury to youth or immediate family member
•CPS report/Suspicion of abuse/neglect
•Hospitalization or ER treatment for a serious injury
•Any ER treatment for a medically fragile youth
•New access to weapons that pose high safety risk
•Physical or verbal threats made towards the Specialist that may result in imminent harm or create a significant safety risk
Core Competency 4
Enhancing protective factors and reducing risk factors
Yes response to Question #4, Question # 5, and/or Question #6.
High ACUTE Suicide Risk
Overdose with Intent to die-Person has pills in hand but is stopped from ingesting them.
Interrupted Attempt
List a critical event that has to be reported after session to supervisor.
•Physical altercation that resulted in injury
• Continued access to weapons that pose high safety risk INCLUDING weapons that are left unlocked
• Circumstances that create immediate risk for placement disruption
•Intoxication by a primary caregiver during session that does not result in abuse/neglect of children in their care
•Illegal drugs or drug paraphernalia found in the home
•Failed drug screens by the youth
•Caregiver demand for immediate removal of youth from the home; imminent instability in placement
•Hospitalization or Emergency Medical Treatment of a family member
•Vehicular accident involving the youth or youth’s caregiver that did not result in serious injury
•Out of school suspension/expulsion
•Gang activity that doesn’t fall into a category above
The population in Oregon three times more likely to die by suicide.
Male Youth
This is where you document any justification for an incongruent risk level on a CSSRS.
Session Note.
This is added in Evolv as an alert once there is a high acute suicide risk identified.
High Suicide Risk Alert
Policy Number for Suicidal Ideation and Behavior
IHS-117