Assess It
The first safety prompt question required by the 988 Suicide and Crisis Lifeline to ask each caller
"Have you had thoughts of suicide in the past few days, including today?"
When a caller is experiencing suicidal crisis, after a comprehensive risk assessment the crisis worker should collaborate with the PIC on developing
Safety Plan
When someone is determined to be at imminent risk, crisis counselors are required to promote the person's participation in securing this
Their safety
In what platform do crisis workers find case reports and statuses of previous mobile crisis requests?
VCC/BHL
In the U.S. this three digit number connects people to crisis support
988
The second safety prompt question required by the 988 Suicide and Crisis Lifeline to ask each caller
"Have you taken any action to harm yourself today?"
These are thoughts, feelings, behaviors or situations that may signal a crisis is developing.
Warning Signs
When working with someone at imminent risk, what should crisis workers explore first - before contacting emergency services.
The least invasive interventions
For Region 4 callers, if a private mobile crisis provider is not available what services does the CW offer
RBHA (Richmond Behavioral Health Authority)
Crisis Workers have how long to complete documentation once the call disconnects in Genesys
3 minutes
Protective factors that reduce a person's likelihood of acting on suicide ideations
Buffers
A safety plan is not appropriate to offer when a suicide attempt is in progress due to
Imminent risk of suicide
According to the Supplemental Guide, imminent risk may be determined when a person has both these two core elements and the capability to act on them.
Desire and Intent to die
If the caller is under 18, there is a REACH situation (ID/DD), active psychosis, current substance use/withdrawal or suicide ideation with access to method and or a firearm, the CW must submit a
Mobile Crisis Consult
The contact narrative in iCarol has to be the same as the contact narrative in
VCC/BHL
PIC discloses that they harmed themselves today. Crisis workers should then
Clarify if intent was to kill themselves or self-harm (NSSI)
What step of the safety plan focuses on reducing access to potentially lethal means
Step 6 - Making the Environment Safe
This type of intervention is only used as a last resort when a person at imminent risk remains unwilling or unable to secure their own safety despite collaborative efforts.
Involuntary emergency service intervention
Crisis workers should attempt to warm transfer a caller to a mobile crisis specialist for how long
60 seconds
For Regional calls (state of Virginia), the only platform to document follow up activities is
iCarol
What are the factors to explore for an individual's intent to die by suicide?
1 - Attempt in Progress
2 - Plan / Method Known
3 - Preparatory Behaviors
4 - Expressed Intent to Die
For safety plans to be effective to an individual, they should be customized to their needs and
Actionable
Imminent risk is not determined solely by suicidal thoughts. According to 988 Lifeline's definition, it may be determined when an individual has desire, intent, capability, and this type of connection between their risk and potential actions
What is a close temporal connection (very short time and specific time frame)
The region in the state of Virginia with the highest mobile crisis response requests
Region 4
This type of follow-up should be considered when the effectiveness of a safety plan depends on something else occurring (support person arriving, medication taking effect) and requires supervisor approval
Safety Support call