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The Zero Suicide Toolkit offers many resources and tools to support the implementation of Zero Suicide.
Additional Suicide Related Risk Assessments
- Substance Misuse
- Alcohol Use Disorders Identification Test: Self-Report Version – Adapted from the World Health Organization’s Alcohol Use Disorders Identification Test.
- Short Michigan Alcohol Screening Test-Geriatric Version – This screen was developed because older adults may show signs of drinking problems that are different than other age ranges.
- Mental Health Disorders
- Generalized Anxiety Disorder – 7 Item Scale – Seven question screen focusing on anxiety.
Articles and Reports
- Suicide Care in Systems Framework – Report from the Action Alliance for Suicide Prevention: Clinical Care and Intervention Task Force on the importance of systemic changes and how to replicate existing models.
- The Way Forward: Pathways to Hope, Recovery and Wellness With Insights From Lived Experience – Including the lived experience of survivors and attempt survivors is essential to the Zero Suicide Framework. This report was prepared by the Suicide Attempt Survivors Task Force of the National Action Alliance for Suicide Prevention in 2014.
- Article: “Compliance Standards Pave the Way for Reducing Suicide in Health Care Systems”, Julie Goldstein Grumet, Michael F. Hogan, Adam Chu, David W. Covington, Karen E. Johnson – Journal of Health Care Compliance, January-February 2019
- Article: Suicide prevention: An Emerging Priority for Health Care, Michael F. Hogan and Julie Goldstein Grumet, Health Affairs 35, no.6 (2016): 1084-1090
- Resources for Clinicians who have Lost a Patient and/or Family Member to Suicide – American Association of Suicidology
- Emergency Room: Is Your Patient Suicidal? Signs of Suicide Risk
- Caring for Adult Patients with Suicide Risk: A Consensus Guide for Emergency Departments (ED suicide prevention guide)
- How Emergency Departments Can Help Prevent Suicide among At-Risk Patients: Five Brief Interventions (brief video)
- Suicide Prevention in an Emergency Department Population: The ED-SAFE Study (JAMA article)
- INPATIENT Organizational Self-study – SPRC has announced a NEW – INPATIENT Organizational Self-study (OSS) designed for organizations with a primary focus on inpatient health and behavioral health care settings. These may include more intensive levels of care such as partial hospitalization or intensive outpatient programs if those are managed under an inpatient organizational structure. This new tool was developed in partnership with UHS (Universal Health Services).
- Best Practices in Care Transitions for Individuals with Suicide Risk: Inpatient Care to Outpatient Care. – The transition from inpatient to outpatient behavioral health care is a critical time for patients with a history of suicide risk. These best practices have been developed to help health systems and providers close these gaps in care.
Lethal Means Restriction
- CALM: Counseling on Access to Lethal Means – Safety planning around lethal means is an imperative step. This two hour online webinar provides basic training in talking to clients and their families.
- WGBH story – “What Happens if You Try to Prevent Every Single Suicide?”:
- Henry Ford Health System – “An effort that began in Detroit in 2001 to treat the most common cause of suicide — depression — is offering hope. With a relentless focus on finding and treating people with depression, the initiative has cut the suicide rate among the people in its insurance plan dramatically.
- Primary Care Provider Curriculum: This five-part curriculum is designed to inform primary care professionals working in public mental health settings about the unique aspects of behavioral health settings, the people they serve, as well as the opportunities and roles that primary care professionals play in helping to improve the whole health of individuals with serious mental illnesses.
- Suicide Prevention Toolkit for Primary Care: www.sprc.org/settings/primary-care/toolkit
- Clinicians as Survivors: After a Suicide Loss: Resources for Clinicians who have Lost a Patient and/or Family Member to Suicide – This site provides resources and information for therapists as survivors of suicide
Safety Planning Resources
- Safety Plan Template – Barbara Stanley, Ph.D. and Gregory K. Brown, Ph.D., developed the Safety Planning Intervention, and provide this template for clinicians.
- VA Safety Plan Quick Guide for Clinicians – This safety planning quick guide was created by the Department of Veterans Affairs and offers a small brochure outlining the steps.
Screening and Assessment Resources
These research-proven tools are strongly recommended in the Zero Suicide Framework for screening all patients and clients. The best practice is universal screening of every patient at every visit.
- Patient Health Questionnaire 2 – The standard, well-known two question form that can be completed in a waiting room to determine if further conversation about depression and/or suicide needs to happen.
- Patient Health Questionnaire 9 – The “next step” screen if the PHQ-2 indicates further conversation is advisable, with nine questions.
- Columbia Suicide Severity Rating Scale: Lifetime – Highly-regarded evidence-based tool for suicide assessment for the first time discussing the issue with a patient/client.
- Columbia Suicide Severity Rating Scale: Since Last Visit – This version of the C-SSRS takes into consideration the need for repeated screening for individuals with ongoing suicidality.
- Collaborative Assessment and Management of Suicidality (CAMS)
- Collaborative Assessment and Management of Suicidality in an Inpatient Setting: Results of a Pilot Study
- Workplace Wellness Toolkit: An Employer’s Guide to Policy Approaches to Address Alcohol, Drugs, Tobacco, Mental Health, Suicide, and Chronic Disease – Wyoming Department of Health