Suicide Risk Assessment Guide - Ontario Hospital Association

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Section I Overview of Suicide Risk Assessment Principles, Processes, and Considerations
Section I: Overview of Suicide Risk Assessment Principles, Processes, and Considerations The goal of a suicide assessment is not to predict suicide, but rather to...appreciate the basis for suicidality, and to allow for a more informed intervention” - (Jacobs, Brewer, & Klein-Benheim, 1999, p. 6). In this section: 1. The Content of Suicide Risk Assessment • Identifying and evaluating warnings signs as well as risk and protective factors • Explaining why certain demographics like age and sex are excluded as risk factors • Discussing issues such as mental illness and chronic suicidality that compound risk assessment 2. The Principles that Guide the Assessment Process • The therapeutic relationship • Communication and collaboration • Documentation • Cultural awareness 3. Applying the Principles – Special Considerations in Given Care Settings and Populations • Primary care • Emergency settings • Mental health settings • Youth • Older adults • Aboriginal communities including First Nations, Inuit, and Métis • Lesbian, gay, bisexual, transgender, queer communities • Military personnel It is recommended that readers consult the cited works for a more in-depth overview of each of the concepts presented. A list of all references can be found in Appendix J. Suicide Risk Assesment Guide I 1
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Page 3 and 4: Suicide Risk Assessment Guide: A Re
Page 5 and 6: • Margaret Doma, Director of Risk
Page 7 and 8: Inventory of Risk Assessment Tools
Page 9 and 10: Executive Summary BACKGROUND Suicid
Page 11: The environmental scan and intervie
Page 15 and 16: THE DIFFERENCE BETWEEN SUICIDE AND
Page 17 and 18: • Unemployed or recent financial
Page 19 and 20: Appraisal of underlying factors of
Page 21 and 22: In contrast to persons with acute s
Page 23 and 24: The mere absence of warning signs a
Page 25 and 26: The clinician should: • Listen em
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Page 29 and 30: and protective factors) and plans f
Page 31 and 32: Box 3. Key aspects of documentation
Page 33 and 34: Section I: Overview of Suicide Risk
Page 35 and 36: 3. Applying the Principles - Specia
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Page 39 and 40: Long-term care settings Suicide in
Page 41 and 42: CONSIDERATIONS RELATED TO LIFESPAN
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Page 45 and 46: of identity confusion and discontin
Page 47 and 48: Section II Inventory of Suicide Ris
Page 49 and 50: Definition Psychometric properties
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Page 53 and 54: Beck Scale for Suicide Ideation (BS
Page 55 and 56: Geriatric Suicide Ideation Scale Wh
Page 57 and 58: atings of risk where the SOS scores
Page 59 and 60: Modified Scale for Suicide Ideation
Page 61 and 62: Reasons for Living Inventory What i
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Other considerations: While the SAD
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Suicidal Behaviors Questionnaire Wh
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1999). Other studies have found inc
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The existence of these different di
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table 2. Characteristics of Suicide
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Scale Main Author Contact Info Copy
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There is no consensus on which is
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64 I Suicide Risk Assesment Guide r
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Section III: A Framework for Suicid
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Below is a framework for suicide ri
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For persons not already in mental h
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protective factors. Tools that may
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3. Measuring the Quality of the Sui
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documentation of all 19 indicators
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provider (e.g., admitted to a hospi
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SUMMARY AND RECOMMENDATIONS This re
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Section IV References and Resources
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82 I Suicide Risk Assesment Guide A
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Appendix B: List of Interview Parti
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Appendix C: Illustration of the Acc
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Appendix H: Characteristics of Suic
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Appendix J: References Aboriginal H
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Bostwick, M. (2009). Editorial on
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Denneson, L. M., Basham, C., Dickin
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Hirdes, J. P., Marhaba, M, Smith, T
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Maltsberger, J. T. (1994). Calculat
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O’Carroll, P. W., & Mercy, J. A.
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Steed, L. (2001). Further validity
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