Desire
Intent
Capability
Buffers
100

Known as a feeling or state of despair; No expectation of success.

What is Hopelessness

100

When a caller has already taken action to harm themselves either right before or during the call

What is an Attempt in progress

100

The term used when a caller presents to the Lifeline after indulging in illicit substances

What is Intoxication

100

Known as the state of having mixed feelings or uncertainty about something

What is Ambivalence

200

Another term for thoughts of suicide, wishing one was dead or would not wake up, or thinking about ending one's own life.

What is Suicidal Ideation

200

The identified method in which a person intends to harm themselves

What is a Plan

200

True or False: Having a history of a suicide attempt increases the caller's risk level

TRUE --> History of attempts are an essential element of assessment that should be included in call log documentation when applicable

200

When a caller has readily available family, friends, professional supports, or resources on hand to help deescalate a situation or increase safety quickly

What are Immediate Supports

300

Also known as mental or emotional distress. Examples include depression, anxiety, grief, regret, loss, etc...

What is Psychological Pain

300

For example: Writing a will, giving away belongings, rehearsal of the plan, ensuring personal affairs are in order, etc...

What are Preparatory Behaviors

300

The term for when a caller is crying, yelling, hyperventilating, over reactive etc...

What is Dysregulation

300

For example: family/children, career goals, life aspirations, "bucket list", etc...

What are Reasons for Living

400

Two or more situational factors of DESIRE that can increase call risk when present?

What are:

*Perceived Burden

* Feeling Trapped

*Self-Hate

* Psychological Pain

* Feeling Alone

400

What are a caller's verbal cues called, like "I won't be here for long", "people won't need to worry about me much longer", etc...

What is Expressed intent to die

400

Two or more situational factors of CAPABILITY that increase risk when present

What are:

*SUD/Mental Illness

*Exposure to another's suicide

*Difficulties Sleeping

*Increased Anxiety

*History of violent behavior


400

Two or more situational factors of BUFFERS that can increase risk when present

What are:

* Sense of Purpose

* Future Orientation

* Engaging with the Helper

* Social Supports

* Strong Core Beliefs/ Values

500

Two essential elements of suicidal DESIRE that should be included in call log documentation

What are: 

*Suicidal Ideation

*Hopelessness

500

True or False: Situational factors like future orientation and engaging with the helper should be considered when assessing INTENT

What is False --> Future orientation and Engagement with the helper are BUFFERS that impact risk but do not wholly inform INTENT

500

Five essential elements of CAPABILITY that should be included in call log documentation

What are: 

*History of Attempts

*History of NSSI

*Available Means

*Dysregulation

*Intoxication

500

Three essential elements of BUFFERS that should be included in call log documentation

What are:

* Immediate Supports

* Reasons for Living

*Ambivalence

M
e
n
u