C-SSRS
When is the initial C-SSRS screener due?
At admission OR within 24 hours of admission
If indicated, when is the C-SSRS Lifetime due?
Within in 30 days of admission
When is an initial safety sweep due?
At admission (based on risk factors, clinical need, and leadership feedback) OR within 72 hours of admission
Where can you find the most updated version of the Safety Plan Flowchart?
GuideTree
Why does YV recommend doing a booster on suicide prevention during the first quarter?
Because statistics show us death by suicide increases in the Spring
If a youth scores Moderate Risk on a C-SSRS screener, how often are you required to complete a C-SSRS Screener Since Last Contact?
Every time you see the youth for at least the next 30 days
If a youth scores High Risk on a C-SSRS screener, how often are you required to complete a C-SSRS Screener Since Last Contact?
Every single time you see the youth until the risk is mitigated as determined by the treatment team (Safety policy recommendation is for at least the next 90 days).
When are sequences and initial safety plans due for suicidal behaviors?
-Immediately if needed, but no later than 21 days from admission
-Then they need to be reviewed and updated at minimum once a month
What four behavioral categories are we required to complete sequences and safety plans on IF the behavior occurred within the past 3 years?
-Suicidal behavior or suicidal intent
-Homicidal behavior or homicidal intent
-Fire setting behavior
-Sexual offending behavior
If a youth is actively suicidal, can we admit MST?
No - The youth would need to be stabilized first before MST can admit
When do we ask Questions 3, 4, and 5 on any screener?
If the youth answers Yes to Question 2
If a youth answers Yes to questions 1 and / or 2, what do we consider the risk level?
Low Acute Risk
Is a High-Risk C-SSRS Screener considered a critical?
-It can be (Per state / contract guidelines)
-But a high-risk screener notification MUST be sent (To everyone you would send a critical incident notification to)
Name 5 of the 9 behavioral categories we are required to safety plan around IF they occurred within the past year?
-Inappropriate sexual behaviors
-Non-suicidal self-injury
-Physical aggression
-Runaway
-Substance use
-Victim of abuse or neglect
-Street group / Gang involvement
-Psychosis
-Unprotected sexual activity
What MST assessment tool must we use before finalizing any safety plan AND why?
Sequences: Because these show us the antecedents and triggers that we are safety planning around
From the screener results, how do we determine if it is a moderate risk screener?
Yes to Question 3 and / or Yes to Question 6 (But not within the past three months)
From the screener results, how do we determine if it is a high-risk screener?
Yes to Questions 4, 5, and / or 6 (Within the past three months).
What specific safety step must be completed during EVERY telehealth session?
Complete a C-SSRS Screener Since Last Contact in EVERY telehealth session
Name 3 of the 6 additional safety risks identified on the safety planning flowchart that we may safety plan around if clinically indicated
-Supervision needs
-Intimate partner violence
-Community safety
-Caregiver concerns
-School safety risks
-Medically complex
Name one common behavior we work with in MST that we would complete sequences and safety plans that is NOT specifically listed on the YV Safety Planning Flowchart
-Gun possession / gun behaviors
-Armed robberies
-Auto thefts
-Threats of harm to a school
What are the three questions you will always ask on the Initial C-SSRS Screener?
1. In the past month, have you wished you were dead or wished you could go to sleep and not wake up?
2. In the past month, have you actually had any thoughts of killing yourself?
3. Have you ever done anything, started to do anything, or prepared to do anything to end your life?
If a youth scores High Risk on ANY screener, what are the steps you are REQUIRED to take in that session and immediately after that session?
-Do not leave the youth alone and confirm immediate safety;
-Notify your supervisor DURING the session and BEFORE you leave the session;
-Assess if emergency services or mobile crisis needs to be involved;
-Understand the sequence and triggers to the suicidal behavior;
-Develop a crisis response plan (if not already developed) or review the crisis response plan and action steps for the family;
-Send critical incident alert to leadership to notify of the high risk screener and report action taken during session to keep the youth safe
If a youth is hospitalized for suicidal behaviors, how often do we need to see the youth once the youth is discharged and comes home from the hospital?
For three consecutive days following discharge from the hospital
Where do we document safety plans related to intimate partner violence AND why?
-Under the Intimate Partner Violence Safety Plan section in Service Entry
-To protect the youth and family from a potential abuser accessing those records
What is the MST timeframe for when initial sequences and safety plans for suicidal behaviors are due?
There is not a specific timeframe BECAUSE If there is a high risk safety need, we should be addressing it from admission and completing safety as clinically needed to keep the youth and others safe