Desire
Known as a feeling or state of despair; No expectation of success.
What is Hopelessness
When a caller has already taken action to harm themselves either right before or during the call
What is an Attempt in progress
The term used when a caller presents to the Lifeline after indulging in illicit substances
What is Intoxication
Known as the state of having mixed feelings or uncertainty about something
What is Ambivalence
Another term for thoughts of suicide, wishing one was dead or would not wake up, or thinking about ending one's own life.
What is Suicidal Ideation
The identified method in which a person intends to harm themselves
What is a Plan
True or False: Having a history of a suicide attempt increases the caller's risk level
TRUE --> History of attempts are an essential element of assessment that should be included in call log documentation when applicable
When a caller has readily available family, friends, professional supports, or resources on hand to help deescalate a situation or increase safety quickly
What are Immediate Supports
Also known as mental or emotional distress. Examples include depression, anxiety, grief, regret, loss, etc...
What is Psychological Pain
For example: Writing a will, giving away belongings, rehearsal of the plan, ensuring personal affairs are in order, etc...
What are Preparatory Behaviors
The term for when a caller is crying, yelling, hyperventilating, over reactive etc...
What is Dysregulation
For example: family/children, career goals, life aspirations, "bucket list", etc...
What are Reasons for Living
Two or more situational factors of DESIRE that can increase call risk when present?
What are:
*Perceived Burden
* Feeling Trapped
*Self-Hate
* Psychological Pain
* Feeling Alone
What are a caller's verbal cues called, like "I won't be here for long", "people won't need to worry about me much longer", etc...
What is Expressed intent to die
Two or more situational factors of CAPABILITY that increase risk when present
What are:
*SUD/Mental Illness
*Exposure to another's suicide
*Difficulties Sleeping
*Increased Anxiety
*History of violent behavior
Two or more situational factors of BUFFERS that can increase risk when present
What are:
* Sense of Purpose
* Future Orientation
* Engaging with the Helper
* Social Supports
* Strong Core Beliefs/ Values
Two essential elements of suicidal DESIRE that should be included in call log documentation
What are:
*Suicidal Ideation
*Hopelessness
True or False: Situational factors like future orientation and engaging with the helper should be considered when assessing INTENT
What is False --> Future orientation and Engagement with the helper are BUFFERS that impact risk but do not wholly inform INTENT
Five essential elements of CAPABILITY that should be included in call log documentation
What are:
*History of Attempts
*History of NSSI
*Available Means
*Dysregulation
*Intoxication
Three essential elements of BUFFERS that should be included in call log documentation
What are:
* Immediate Supports
* Reasons for Living
*Ambivalence