Safety Assessment
Lifeline requires these questions to be asked within the first 5 minutes of a chat/text interaction.
What is Lifeline Question 1 (LQ1) and Lifeline Question 2 (LQ2)?
There are ____ phases of safety planning.
What is 6?
Emergency Interventions are a last resort, but sometimes necessary when a person in crisis is unable to (1) deescalate from suicidal crisis and (2) find a way to remain safe. In the event EI is needed, chat specialists will use this tool to determine where to reach out to secure support for their chatter.
What is PSAP?
What was the original National Suicide Prevention Lifeline number?
What is 1-800-273-8255?
Specific populations have experienced suffering from wars, genocide, slavery and persecution for centuries. These emotional and behavioral reactions could ripple through the generations of families and is referred to as ______.
What is intergenerational trauma?
After the 2023 Lifeline changes, these two questions are still considered part of the safety assessment but are not required to assess immediate safety.
What is the "length of thoughts" and "past attempts"?
Ideally we’d like to confirm ________ with the chatter as a gateway to transition into safety planning.
What is a "buffer"?
“I’m grateful that you’re willing to work with me tonight and I want to commend you on the strength it took to reach out. Can you confirm your _________ and ______ for me?“
What is address and phone number?
The 988 Lifeline's network of over 200 crisis centers has been in operation since the year ______.
What is 2005?
Because of the effects of historical trauma and current injustices, the suicide rate is 2.5 times higher than any other demographic groups. Death by suicide is the second leading cause of death among youth between the ages of 10 - 24 years old for this demographic group.
What are Native Americans?
After a chatter confirms having a plan to suicide, this should be explored next to ascertain their level of risk.
What is timeline and/or access to means?
“Who have you spoken to about how you've been feeling?’ and “Were you able to reach out to a shelter?” are only 2 examples of this error often seen during story time.
Daily Double!!!! (2x points)
What is premature problem solving?
A chatter makes the following statement after completing the safety assessment: “I am going to kill myself and take my wife with me so that she isn’t alone.”
The next step is for the specialist to conduct a _______ assessment.
What is a violence assessment?
The National Suicide Prevenention Lifeline received 46k calls in its first year. In 2023, after 988 was launched, how many calls, chats and texts were received?
What is 5 million?
An individual with ______ may have a difficult time being able to identify and name their emotions in a crisis chat. It can be challenging for them in a crisis to verbalize or express what they are intending to say to a Specialist. An example in conversation could include a contact saying they “feel bad” without being able to name an emotion such as sadness.
What is Intellectual or Developmental Disabilities (IDDs)?
__________ means (such as firearms), in which the individual is likely to die if they attempt to suicide, are significantly important to limit access to during a crisis as soon as possible.
What is "Highly lethal" means?
The Specialist statement of “I can definitely work with you to figure out some ways to deal with these thoughts and feelings. You have told me about some of the supports you have available, can we work together to create a plan that can help keep you safe?” takes a _______ approach to introducing safety planning.
What is a collaborative approach?
Emergency Intervention would be called for a substantive threat or a transient threat?
Daily Double!!!! (2x points)
What is a substantive threat?
Daily Double Answers:
Transient threat: Non-genuine expression or intended as a joke or figure of speech. No intent to harm such as temporary anger that is (or can be) resolve
Substantive threat: Specific, plausible details such as a specific victim, time, place, and method. Individual has not only mentally planned the threat but reports undertaking preparatory steps such as purchasing a weapon. Individual reports they have recruited accomplices or have planned for an “audience”
Lifeline 988 is funded by ___________ and administered by __________.
What is Substance Abuse and Mental Health Services Administration (SAMHSA) and Vibrant Emotional Health (Vibrant)?
The ______ model integrates the biological, psychological, and social factors in understanding the complexity and multifaceted nature of eating disorders during crisis chats or calls.
What is the biopsychosocial model?
While some individuals may discuss a plan and means directly, others may not answer so clearly. Chat Specialists should be aware of ________ that may indicate access to means, including readily available means.
What are "context clues"?
Per our contracts, this is required to explore during safety planning if the chatter confirms having a plan and/or access to lethal means.
What is "keeping the environment safe"?
Although some suicide attempts have been long thought out and planned, many are not. An individual might think about suicide for only a few hours--or even minutes--before attempting suicide. This type of behavior is known as __________.
What is impulsive suicide behavior?
The 4 other specialized Chat/Text services offered by 988 are _______.
What is Spanish, LGBTQI+, Veterans and Deaf/Hard of Hearing services?
35.1% of Hispanic/Latinx/e adults with mental illness receive treatment each year compared to the U.S. average of 46.2%. What are their 3 major barriers to health care?
What is Poverty/lack of insurance, language barriers, and the availability of culturally competent providers?