Suicidality
Thoughts involving this is the difference between passive and active suicidal ideation.
What is specific or non-specific action related to self-inflicting death?
Clients with this level of risk would be appropriate for re-screening every 6 months, when the CANS or ANSA is completed.
What is no/low risk?
People experiencing this are 4-6 times more likely to be a victim of a violent crime than the general population.
What is psychosis?
This life-saving treatment can immediately reverse an opioid overdose when administered in time.
What is Narcan? (Naloxone)
This is when a therapist makes reasonable efforts to communicate a clear and immediate threat to the victor or victims and to a law enforcement agency.
What is duty to warn?
This term refers to the likelihood that a specific method or plan will result in death.
What is lethality?
Adequate screening for suicide risk includes at least this many direct questions.
What is 2?
Legal trouble, financial issues, and risk-taking behaviors are all potential consequences of this mood state.
What is mania?
Providing fentanyl test strips, encouraging clients to never use alone, and providing needle exchange resources are examples of this approach.
What is harm reduction?
Research has shown that individuals who have experienced this may actually be less likely to recognize safety risks and unsafe individuals.
What is trauma/ interpersonal violence?
This age group may be more at risk if they are threatening to harm themselves in order to influence others.
What are teens/ adolescents/ young adults?
A paraprofessional would immediately contact a supervisor or on-call clinician when screening reveals this.
What is acute suicidal ideation/ high risk?
DAILY DOUBLE
This document specifies a client's preferences for psychiatric treatment in the event they lose capacity to make decisions during a crisis.
When a client uses substances alongside suicidal ideation or self-harm, risk increases exponentially due to this effect.
What is disinhibition (or impaired judgement/ increased impulsivity)?
This period/ phase of a relationship carries the highest statistical risk for severe violence or escalation.
What is separation (leaving the relationship)?
DAILY DOUBLE
This specific type of safety planning tool/ format is considered the gold standard for evidence-based care and is what our safety plans are based on.
Both screening and comprehensive risk assessment will look for this, though a comprehensive risk assessment will also include further exploration of the client's history and recent mental health factors.
What is imminent risk?
These specific types of auditory hallucinations instruct a client to harm themselves or others and represent a major safety risk.
What are command hallucinations?
These types of substances can result in severe paranoia or hallucinations.
What are stimulants?
This specific type of violent act by an intimate partner is significantly risk factor for major assault, attempted or completed homicide.
What is strangulation?
An individual telling you they have a "tired heart" or they are "thinking too much" may be an example of this.
What is a cultural idiom of distress?
To minimize bias and maintain accuracy, risk documentation should focus on this rather than assumptions or labels.
What are specific behavioral observations and direct quotes?
The vast majority of suicides/ suicide attempts in clients with bipolar disorder occur during this specific mood phase.
What is a mixed state? (Transitioning out of deep depression)
The risk for respiratory arrest is greatly increased when pairing central nervous system depressants (like benzodiazepines or opioids) with this other substance.
What is alcohol?
Doing this when there is moderate to high risk issues supports quality care and addresses liability concerns.
What is consultation?