Crisis Response
These people need to be notified when a youth is at moderate or high risk based on assessment
These should be noted near the start of an SO for SI. For instance, being more quiet than usual, having a bad day at school, and disengaging from athletics
Warning Signs
A youth indicates that being picked on in the school cafeteria is a trigger for SI. How might we address this in the SO?
- Changing lunch period
- Changing seating
- Having lunch with a support
A youth indicates in her CSSRS lifetime that her past SI has been tied to grief around the death of her Grandmother. How might we address this in the SO?
- Reminder of the anniversary date
- Indicate increased supervision at this time
- Increase either distractions or meaningful grieving activities at this time
How we clarify what is driving SI from a conceptual standpoint
Situational Analysis, Fishbone
A CSSRS that indicates Moderate or High risk should be entered in evolv as well as...
Sent with notification to leadership
This assessment should be thoroughly completed to guide the details of the Safety Objective
Situational Analysis
A youth indicates that arguments in the family home are a primary trigger for her SI. What might we include in the SO to manage this?
- Exit and Wait for whole family
- Address common sources of arguments
- Supports to contact
A youth has indicated past plans to OD on his medication and has been caught before stashing it in his room. How might we address this in the SO?
- More detailed indications regarding sweeps
- Medication secured
- Mouth checks after administration
From ongoing assessment it seems clear that a youth is only making suicidal statements in response to transitioning to activities they do not enjoy. All CSSRS Screeners come back No To All. How might we address this in the treatment plan?
Social Skills Driver
Objective around practicing healthier ways to clarify and communicate needs in these situations
Action steps on the RF grid with higher risk of suicidal behavior should be addressed and updated...
Daily
It may be helpful in some situations to have one of these to initiate the enactment of the safety plan
Code Phrase
A youth indicates that their SI is often triggered by loneliness. What might we include in their SO?
- Scheduled positive activities with family
- Supervised peer activities
A youth indicates past plan of jumping off of a building or bridge, but continuing to work is indicated as a protective factor. How might we address this in the SO?
- Consistent supervision
- Walk or ride with someone places
- Plan route that avoids these
- ROI for employer, consistent communication when he arrives and leaves
Assessment indicates that SI seems to be pretty consistent regardless of triggers and circumstances. How might we address this in the treatment plan?
MH Diagnosis Driver - Objective on Psych/Med assessment and f/u
DRE/Stress & Poor Coping Driver - Objective on building schedule of daily coping skills
When risk of suicide is high, we should always reassess for access to...
Firearms
These strategies should be tied back to triggers identified in the assessment
Coping Skills
A youth indicates thoughts of wanting to end his life by hanging or strangulation. How might we specifically address this in the safety plan
- Regular sweeps and removal of higher risk items
- Increased focus on eyes-on supervision
Youth engaging in discussion of suicide with peers on social media, but also indicates isolation from peers as a trigger. How might we address this in the SO
- Increase supervised face to face time with peers
- Monitored apps for phone
- Restrict apps but increase supervised phone time
Assessment indicates struggles with school work as a primary trigger for SI. How might we address this in the Treatment Plan?
Poor School Perf. Driver
Objective around meeting with school staff to clarify concerns and collaborate on support plan
These actions should be taken for a youth who is indicated at high or moderate risk
Add to RF Grid
Increase frequency of safety sweeps
Complete further SA ASAP
Review and update Safety Objective
Make sure no gaps in supervision plan
Especially in cases indicating higher risk, an SO for SI should always include in depth detail around this aspect of the plan
Supervision
Youth indicates that taking walks helps them alleviate their SI. How might we include this in the SO?
Youth has been indicated at Moderate risk level on the CSSRS but caregivers are unwilling to remove firearms from the premises. How might we address this in the SO?
- Indicate specific use of trigger locks, how guns are secured
- Note any recommendations that have been refused
Assessment indicates SI due to recent breakup. How might we address this in the treatment plan?
Social Isolation Driver
Objective around increasing prosocial peer activities