Precursors to Change
Treatment for Suicidality
Co-Occurring Disorders
Key Elements of Zero Suicide
ZS Framework for Engaging Clients
100

When an individual is engaged in supportive relationships that are dedicated to their well-being and improvement they have this. 

What is social support? 

100

A document written in the client’s own words, with involvement from family, that is left in the client’s possession to be followed at the onset of a crisis.

What is a safety plan?

100

A disorder based on physical, psychological and social impacts of using drugs, alcohol, or a combination of both.

What is a substance use disorder? 

100

A work environment that is safe and blame-free.

What is a "just culture?" 

100

A screening tool that is used to gather information about suicidal thoughts and behaviors in clients.

What is the C-SSRS?

200

An individual has this when they have a realistic expectation that the future will be positive and experienceable.

What is hope?

200

A treatment that is designed to help an individual change their thinking patterns and automatic thoughts, and can help teach emotion regulation. 

What is CBT? 

200

About 8.5 million American adults live with this.

What is a co-occurring disorder? 

200

People who have been personally impacted by suicide who assist in Zero Suicide implementation.

Who are people with lived experience?

200

A plan that is created with the client and family, often as part of a safety plan, that involves discussion about a client’s plan/method for suicide

What is restricting lethal means? 

300

This occurs when an individual knows that a problem exists and has a good sense of what they need to do to change it.

What is awareness of the problem?

300

A treatment that usually uses individual and group skill training, teaches mindfulness and acceptance, and teaches emotion regulation.

What is DBT? 

300

Only 7.5% of individuals with a dual diagnosis participate in this.

What is treatment? 

300

A deliberate plan to engage clients at risk of suicide at every encounter.

What is a suicide care management plan?

300

The most restrictive level of care and the absolute last resort when clients are at risk of suicide.

What is hospitalization?

400

This can be seen when an individual recognizes the importance and urgency of making a change.

What is a sense of necessity?

400

A treatment that emphasizes collaborative assessment and treatment planning, and is designed to increase client motivation and strengthen the therapeutic alliance.

What is CAMS? 

400

Acute alcohol intoxication is present in 30-40% of these.

What are suicide attempts? 

400

A webpage that can be accessed at any time to review important elements of Zero Suicide and learn how other agencies are working towards a goal of zero suicides.

What is the ZS toolkit?

400

A post-discharge follow-up with individuals with a high risk of suicide, including outreach such as phone calls or postcards.

What is a caring contact?

500

An individual shows this when they are able to acknowledge that it is uncomfortable to change and is willing to tolerate it anyway.

What is willingness/readiness to experience anxiety or difficulty?

500

A treatment that involves short-term suicide-specific work with an individual, usually involving some sort of screener with feedback and plans for change.

What is a brief intervention and follow-up? 

500

Rates of suicide are almost 4 times higher for this population, in part due instances of co-occuring disorders. 

Who are men? 

500

Your favorite group of coworkers who continually work on quality improvement and develop specific approaches to measure and report suicide deaths.

What is the ZS implementation team? 

500

The process of using interventions that are designed to work with individuals in out-patient treatment when at all possible.

What is implementing the least restrictive level of care?