Suicide Assessment
Memorial's four levels of suicide risk.
What are Low, Moderate-low, Moderate high, and High?
Immediately complete an environmental sweep of potentially dangerous items is initiated.
What is Moderate to High-Risk Interventions?
Purpose of the behavior has a least some intent to die, could kill someone, and was so highly lethal that no other inference could be made.
What is Suicidal Behaviors?
1:1 observation by staff member, documentation every 15 minutes.
What is high-risk interventions?
Family cannot be utilized for this role.
What is a sitter or observer?
What is Non-suicidal, Self-injurious behavior?
Notify the provider, provide patient with National Suicide Prevention Lifeline number, and initiate referrals, consults, and out-patient resources as necessary.
What is low-risk suicide precations?
This is initiated when a patient presents as a danger to themselves or others, makes an overt attempt, verbalized intent to do harm to themselves, or screens Moderate-high or High risk.
What is suicide precautions?
What is moderate to low-risk interventions?
Suicide precautions can be initiated by an RN in this type of situation.
What is an emergent situation?
All patients are screened for suicide risk by asking the the BOLD and underlined questions of this screening tool. The questions answered YES determine the patient's risk for suicide.
What is the Columbia Suicide Severity Rating Scale (CSSRS)?
Provider may schedule patient to follow-up for counselling/outpatient treatment and high-risk suicide precautions must be discontinued.
What is interventions for discharge of patient?