SI/DTS
Name at least two protective factors that may reduce suicide risk.
Social support, reasons for living, future plans, coping skills, or willingness to seek help.
The caller says, 'I've been drinking.' What follow-up questions would you ask?
Ask what they drank, how much, when they last drank, and how it is affecting them.
The caller says, 'I'm so angry I could kill someone.' What would you prompt you CDS to ask/explore?
Clarify whether this is an expression of frustration or an actual thought of killing someone; ask about intent and a specific target.
Give an example of an open-ended question.
What has helped you get through difficult situations in the past?
Which PIP section captures the caller's reported concerns and interventions provided?
PRESENTATION.
P.
True or False:
A caller denying suicidal ideation means no further assessment is needed.
False. Assess other relevant risk factors and the overall presentation.
The caller reports using fentanyl and is now very sleepy. What questions are urgent?
Assess responsiveness, possible overdose signs, whether someone is present, and location. Initiate emergency medical response if suspected overdose.
The caller says, 'I want to hurt my neighbor.' What information is needed?
Explore what they mean by hurt, any plan, intent, access to weapons, and proximity to the neighbor.
A caller says, 'Nobody ever listens to me.' Give a reflective response.
You're feeling unheard, and it's been difficult to get the support you need.
Why should documentation distinguish reported statements from observed facts?
To maintain accuracy, objectivity, and a clear record of the interaction.
What is the difference between passive and active suicidal ideation?
Passive ideation involves wishing to be dead; active ideation involves thoughts of taking action to end one's life.
The caller reports alcohol use, suicidal thoughts, and access to a firearm. What would you prompt you CDS to ask/explore?
Assess immediate intent, access to the firearm, intoxication, location, and immediate safety.
The caller reports hearing voices telling them to kill someone. What would you prompt you CDS to ask/explore?
Ask what the voices are saying, whether they feel they need to obey, intent, access to means, and whether anyone is currently at risk.
A caller refuses resources and says nothing will help. How could your CDS use motivational interviewing?
Reflect their frustration, explore what matters to them, respect autonomy, and collaboratively identify a next step.
A call is transferred to emergency services. What documentation is important?
Record the reason, risk information, time, agency, handoff details, follow-up communication, and final disposition under policy.
What additional areas should be explored when someone reports suicidal thoughts?
Intent, plan, access to means, timeframe, history, protective factors, and immediate safety.
A 911 caller requests help but refuses to give their location. How do you proceed?
Maintain engagement, explore safety and location collaboratively, use available verified information,inform PSAP.
The caller says they have a knife and are going to confront someone. What is your next step?
Clarify location, target, immediacy, intent, and whether the knife is accessible; prioritize safety and emergency response.
What belongs in the Plan section of a PIP note?
Agreed next steps, referrals, safety actions, follow-up, and disposition as appropriate.
The caller refuses the recommended intervention. What belongs in the note?
Document risk assessment, options explained, refusal, efforts to collaborate, consultation or escalation, and final outcome.
A caller reports a current suicide plan, intent, and access to lethal means. What would you prompt you CDS to ask/explore?
Prioritize immediate safety, follow emergency escalation protocols, and coordinate the appropriate response.
A caller initially agrees to a safety plan but later says they cannot stay safe. What now?
Reassess risk and escalate according to current safety needs. Possible transfer to 911.
The caller reports they have already threatened a specific person and are driving to their home. What would you prompt you CDS to ask/explore?
Determine current location, destination, weapon access, immediacy, and threat details; initiate emergency escalation and required protective procedures.
A caller declines services. What should be documented?
Relevant assessment, options offered, caller's response, safety considerations, and final disposition.
A caller reports a suicide plan but denies intent. What must the note include?
Document the plan, access to means, stated intent, timeframe, protective factors, actions taken, and clinical rationale.