PROTECT: Relational safety based suicide prevention training frameworks

Abstract

Preventing suicide is a global priority, and staff training is a core prevention strategy. However, frontline pressures make translating training into better care and better outcomes difficult. The aim of the paper was to highlight challenges in suicide risk assessment and management and introduce training frameworks to assist with mindful practice so professionals can strike a balance between risk and recovery. We combined the scientific literature with contemporary practice from two successful initiatives from Cambridgeshire, UK: 333a recoveryoriented model of inpatient/community crisis care and PROMISEa programme to reduce coercion in care by enhancing patient experience. The resulting PROTECT (PROactive deTECTion) frameworks operationalize ongoing practice of relational safety in these programmes. PROTECT is a combination of novel concepts and adaptations of well-established therapeutic approaches. It has four training frameworks: AWARE for reflection on clinical decisions; DESPAIR for assessment; ASPIRE for management; and NOTES for documentation. PROTECT aims to improve self-awareness of mental shortcuts and risk-taking thresholds and increase rigour through time-efficient cross-checks. The training frameworks should support a relational approach

Life in 90 words: opportunities for person-centred care amidst COVID-19

“…For this, staff had to move from ‘top to tap,’ 1 a shift in thinking from a deficit-oriented directive approach of ‘what’s the matter with you’ that I will fix to an assets-based approach of ‘what matters to you’ that I can support in partnership with you. 2 The act of summarising a life into 90 words and consequent discussions highlighted that what matters to people living with mental health challenges is no different to those without. We all want a safe and meaningful life, productive livelihood, supportive relationships and contributions to society.…”

Meanings of suicidal behavior from the perspective of primary care professionals

“…Both verbalization of suicidal ideation and multiple suicide attempts were considered to be signals for a lower suicide risk. These beliefs may prejudice the careful assessment of suicide risk and also the care planning based on scientific evidence because the comprehensive assessment of suicidal ideation is one of the actions required in the care (Kar Ray et al., 2020) and the suicide attempt is the main predictor of suicide death in subsequent attempts. Individuals attempting suicide are estimated to have 100‐fold higher risk of suicide than the general population (Owens et al., 2002).…”

Suicide Attempts Assisted By Firefighters According to Traumatic Brain Injury

“…Other countries have also developed this type of approach. In the United Kingdom, for example, patients undergo a recovery-oriented program that builds on strengths of the person in distress and their natural circle of support (Kar Ray et al, 2020 ). Besides providing operational assistance, CBPMESP has a training group that works permanently to give lectures on suicide prevention and action in case of a suicide crisis, aimed at emergency and health professionals, universities, and congresses, with the main mission of standardizing emergency care for suicide attempts throughout Brazil.…”