2007
DOI: 10.1521/suli.2007.37.1.50
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No‐Harm Contracts: A Review of What We Know

Abstract: Few events in the practice of a mental health clinician can be as devastating as the suicide of a client. Although suicide is a rare occurrence, clinicians face assessment of clients' risk for harming themselves on a regular basis. One well-accepted and widely practiced intervention for suicidal ideation is the use of no-harm contracts (NHC), although opinions about NHCs range from enthusiasm to apathy. The existing research does not support the use of such contracts as a method for preventing suicide, nor for… Show more

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Cited by 39 publications
(21 citation statements)
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“…These plans are distinct from 'no-harm contracts,' which are not empirically supported. [47][48][49][50] No studies with this intervention were screened during the initial stages of the review. The primary purpose of these safety planning contracts is to problem-solve with the patient and create a plan they will utilize during times of suicidal crisis.…”
Section: Discussionmentioning
confidence: 99%
“…These plans are distinct from 'no-harm contracts,' which are not empirically supported. [47][48][49][50] No studies with this intervention were screened during the initial stages of the review. The primary purpose of these safety planning contracts is to problem-solve with the patient and create a plan they will utilize during times of suicidal crisis.…”
Section: Discussionmentioning
confidence: 99%
“…Treatment can involve hospitalization, outreach to family and friend networks and the signing of a no-suicide contract [21]. Although there is no empirical evidence that no-suicide contracts are effective [54], they may be beneficial in that they provide clear instructions to the patient on steps to take when he or she feels overwhelmed [55].…”
Section: Emergency Interventionmentioning
confidence: 99%
“…[7][8][9][10] There is little published evidence to support the effectiveness of NSAs in achieving their goal of reducing suicide risk. 8,10 Currently, Canadian clinical practice guidelines for psychiatrists and psychologists are silent on the role of NSAs in the management of the suicidal patient. 11,12 Background Previous research into the use of NSAs by clinicians with adult patient populations is scant.…”
mentioning
confidence: 99%