Suicide Risk Assessment Guide - Ontario Hospital Association

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Disclaimer The Suicide Risk Assessment Guide: A Resource for Health Care Organizations, was prepared by the Ontario Hospital Association (OHA) in partnership with the Canadian Patient Safety Institute (CPSI) as a general guide to help health care organizations with understanding and standardizing the practice of highquality suicide risk assessment. The research findings, tools and other materials in this resource guide are for general information only and should be utilized by each health care organization in a manner that is tailored to its circumstances. This resource reflects the interpretations and recommendations regarded as valid at the time of publication based on available research, and is not intended as, nor should it be construed as, clinical or professional advice or opinion. Health care organizations and individuals concerned about the applicability of the materials are advised to seek legal or professional counsel. Neither the OHA nor CPSI will be held responsible or liable for any harm, damage, or other losses resulting from reliance on, or the use or misuse of the general information contained in this resource guide. ISBN # 978-0-88621-335-0 Publication Number: #332
Suicide Risk Assessment Guide: A Resource for Health Care Organizations Sponsored By: The Ontario Hospital Association & The Canadian Patient Safety Institute Prepared By: Christopher Perlman, Ph.D. Research Project Lead Homewood Research Institute & Michael G. DeGroote School of Medicine, McMaster University, Waterloo Regional Campus Eva Neufeld, M.A. (Ph.D. Candidate) Research Associate Homewood Research Institute & the Department of Health Studies and Gerontology, University of Waterloo Lynn Martin, Ph.D. Associate Professor Department of Health Sciences, Lakehead University Mary Goy, BScN (MScN Candidate) Nurse Clinician Homewood Research Institute & Homewood Health Centre John P. Hirdes, Ph.D. Professor Department of Health Studies and Gerentology, University of Waterloo Suggested Citation: Perlman CM, Neufeld E, Martin L, Goy M, & Hirdes JP (2011). Suicide Risk Assessment Inventory: A Resource Guide for Canadian Health care Organizations. Toronto, ON: Ontario Hospital Association and Canadian Patient Safety Institute.
Page 1: Suicide Risk Assessment Guide A Res
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 and 12: The environmental scan and intervie
Page 13 and 14: Section I: Overview of Suicide Risk
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
Page 27 and 28: While efforts to include informal s
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
Page 37 and 38: Emergency settings Assessment of th
Page 39 and 40: Long-term care settings Suicide in
Page 41 and 42: CONSIDERATIONS RELATED TO LIFESPAN
Page 43 and 44: Again, these guidelines emphasize t
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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Beck Scale for Suicide Ideation (BS
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Geriatric Suicide Ideation Scale Wh
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atings of risk where the SOS scores
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Modified Scale for Suicide Ideation
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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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