Framework for Asking About Suicide
1
© 2015 Unified Community Solutions. All Rights Reserved. Updated 06/05/2015. Permission granted for non-commercial use: UCS logo and copyright must be included. Download free at bit.ly/suicideask. Contact UCS at bit.ly/homeucs. * Adapted from: Joiner, T. (2005). Why people die by suicide. Cambridge, MA: Harvard University Press. Joiner, T., Kalafat, J., Draper, J., Stokes, H., Knudson, M., Berman, A.L., & McKeon, R. (2007). Establishing standards for the assessment of suicide risk among callers to the National Suicide Prevention Lifeline. Suicide and Life-Threatening Behavior 37(3), 353–365. Ramsay, R.F., Tanney, B.L., Lang, W.A., & Kinzel, T. (2004). Suicide inter- vention handbook (10th ed.). Calgary, AB, Canada: LivingWorks Education. Rudd, M.D., Berman, A.L., Joiner, T.E., Nock, M.K., Silverman, M. ... Witte, T. (2006). Warning signs for suicide: Theory, research, and clinical applications. Suicide and Life-Threatening Behavior, 36(3), 255–262. Shneidman, E.S. (1996). The suicidal mind. New York: Oxford University Press. Shneidman, E.S. (1998). Further reflections on suicide and psychache. Suicide and Life- Threatening Behavior, 28: 245–250. FRAMEWORK FOR ASKING ABOUT SUICIDE RISK SUICIDAL DESIRE IDEATION YES/NO: Are you thinking about killing yourself? [OR] Have you had thoughts of suicide? OPEN: What has been happening to cause you to think about suicide? DETAILS ON THOUGHTS: When did you last think about suicide? What specifically prompts you to think about it? Do you think about it often? How intense or troubling are your thoughts of suicide? How long do they last? SUICIDAL INTENT PLANS YES/NO: Do you have a suicide plan? [OR] Do you know how you would kill yourself? OPEN: What would you do to end your life? DETAILS ON PREPARATIONS Is the means available? When would you do it? Have you taken action to prepare? What has kept you from killing yourself? SUICIDAL CAPABILITY FAMILIARITY (FEARSOME EXPERIENCES) YES/NO: Have you ever attempted suicide? [OR] Have you tried to kill yourself before? OPEN: What was happening to bring that about? DETAILS ON PRIOR ATTEMPT How recently? More than one attempt? What means did you use? How badly did you want to die? What saved your life? Were you drinking or high? SUMMARY QUESTIONS EXPOSURE TO SUICIDE? Has anyone close to you died by suicide? DANGER? (Capability) On a scale of 1 to 10, how familiar are you with physical danger or risk? PSYCHACHE? (Desire) On a scale of 1 to 10, how severe is the pain, anguish, or misery your are feeling? SPOKEN INTENT? (Intent) On a scale of 1 to 10, how likely is it that you will take action to kill yourself?
-
Upload
franklin-cook -
Category
Health & Medicine
-
view
16 -
download
0
Transcript of Framework for Asking About Suicide
© 2015 Unified Community Solutions. All Rights Reserved. Updated 06/05/2015. Permission granted for non-commercial use: UCS logo and copyright must be included.
Download free at bit.ly/suicideask. Contact UCS at bit.ly/homeucs.
* Adapted from: Joiner, T. (2005). Why people die by suicide. Cambridge, MA: Harvard University Press. Joiner, T., Kalafat, J., Draper, J., Stokes, H., Knudson, M., Berman, A.L., & McKeon, R. (2007). Establishing standards for the assessment of suicide risk among callers to the National Suicide Prevention Lifeline. Suicide and Life-Threatening Behavior 37(3), 353–365. Ramsay, R.F., Tanney, B.L., Lang, W.A., & Kinzel, T. (2004). Suicide inter-vention handbook (10th ed.). Calgary, AB, Canada: LivingWorks Education. Rudd, M.D., Berman, A.L., Joiner, T.E., Nock, M.K., Silverman, M. ... Witte, T. (2006). Warning signs for suicide: Theory, research, and clinical applications. Suicide and Life-Threatening Behavior, 36(3), 255–262. Shneidman, E.S. (1996). The suicidal mind. New York: Oxford University Press. Shneidman, E.S. (1998). Further reflections on suicide and psychache. Suicide and Life-Threatening Behavior, 28: 245–250.
FRAMEWORK FOR ASKING ABOUT SUICIDE RISK
SUICIDAL DESIRE IDEATION YES/NO: Are you thinking about killing yourself?
[OR] Have you had thoughts of suicide? OPEN: What has been happening to cause you to think about suicide? DETAILS ON THOUGHTS: When did you last think about suicide? What specifically prompts you to think about it? Do you think about it often? How intense or troubling are your thoughts of suicide? How long do they last?
SUICIDAL INTENT PLANS YES/NO: Do you have a suicide plan?
[OR] Do you know how you would kill yourself? OPEN: What would you do to end your life? DETAILS ON PREPARATIONS Is the means available? When would you do it? Have you taken action to prepare? What has kept you from killing yourself?
SUICIDAL CAPABILITY FAMILIARITY (FEARSOME EXPERIENCES) YES/NO: Have you ever attempted suicide? [OR] Have you tried to kill yourself before? OPEN: What was happening to bring that about? DETAILS ON PRIOR ATTEMPT How recently? More than one attempt? What means did you use? How badly did you want to die? What saved your life? Were you drinking or high?
SUMMARY QUESTIONS EXPOSURE TO SUICIDE? Has anyone close to you died by suicide? DANGER? (Capability) On a scale of 1 to 10, how familiar are you with physical danger or risk? PSYCHACHE? (Desire) On a scale of 1 to 10, how severe is the pain, anguish, or misery your are feeling? SPOKEN INTENT? (Intent) On a scale of 1 to 10, how likely is it that you will take action to kill yourself?
