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SVP06 0153
SVP06 0153
You cannot predict death by suicide, but you Take seriously all suicide threats and
can identify people who are at increased risk all suicide attempts. A past history
for suicidal behavior, take precautions, and of suicide attempts is one of the
refer them for effective treatment. strongest risk factors for death by
suicide.
• Ask the person directly if he or she
There is no evidence that “no-
(1) is having suicidal thoughts/ideas, (2)
has a plan to do so, and (3) has access to suicide contracts” prevent suicide. In
lethal means: fact, they may give counselors a false
sense of reassurance.
n “Are you thinking about killing • Listen and look for red flags for suicidal
yourself?” behavior, indicated by the mnemonic:
n “Have you ever tried to hurt yourself
before?” IS PATH WARM?
n “Do you think you might try to hurt Ideation—Threatened or communicated
yourself today?” Substance abuse—Excessive or increased
n “Have you thought of ways that you Purposeless—No reasons for living
might hurt yourself?” Anxiety—Agitation/Insomnia
n “Do you have pills/weapons in the Trapped—Feeling there is no way out
house?” Hopelessness
This won’t increase the person’s Withdrawing—From friends, family, society
suicidal thoughts. It will give you Anger (uncontrolled)—Rage, seeking revenge
information that indicates how Recklessness—Risky acts, unthinking
strongly the person has thought
Mood changes (dramatic)
about killing him- or herself.
• Act.
n If you think the person might harm
him- or herself, do not leave the person
alone.
Say, “I’m going to get you some help.”
Assessing Suicide Risk:
Initial Tips for Counselors
n
CMHS-SVP-0153