Suicide Intervention Practices: What Is Being Used by Mental Health Clinicians and Mental Health Allies?

Rozek, David C.; Tyler, Hannah; Fina, Brooke A; Baker, Shelby N.; Moring, John C.; Smith, Noelle B.; Baker, Justin C.; Bryan, AnnaBelle O.; Bryan, Craig J.; Dondanville, Katherine A.

doi:10.1080/13811118.2022.2106923

Cited by 6 publications

(3 citation statements)

References 23 publications

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“…Interestingly, almost 50% of suicide-concealing patients in this sample noted that they would otherwise be more forthright about their suicidal thoughts if the threat of hospitalization was somehow reduced . This finding is intriguing in that Rozek et al (2023) have found that over 70% of surveyed clinicians favored the use of inpatient hospitalization with patients who are suicidal. Given mutual fear and avoidance about identifying and addressing suicide within psychotherapy and contradictory data about the value of hospitalization, one must ask the following question: How can suicidal suffering be therapeutically reduced within clinical care to help save lives from suicide?…”

Section: Avoidance Of Suicidal Risk Within Clinical Carementioning

confidence: 99%

Evidence-based care for suicidality as an ethical and professional imperative: How to decrease suicidal suffering and save lives.

Jobes,

Barnett

2024

American Psychologist

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Section: Avoidance Of Suicidal Risk Within Clinical Carementioning

confidence: 99%

Evidence-based care for suicidality as an ethical and professional imperative: How to decrease suicidal suffering and save lives.

Jobes,

Barnett

2024

American Psychologist

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“…Discharge planning for youth with SI who are determined not to require inpatient levels of care can be challenging. One practice that is no longer recommended is the “no suicide contract” (also known as a “no harm contract” or “safety contract”) 41,75–78 . A “no suicide contract” is an agreement in which the patient pledges not to self‐harm or attempt suicide, with a contingency plan if a situation develops where they feel that they would not be able to honor this contract.…”

Section: Discharge Planningmentioning

confidence: 99%

“…One practice that is no longer recommended is the “no suicide contract” (also known as a “no harm contract” or “safety contract”). 41 , 75 , 76 , 77 , 78 A “no suicide contract” is an agreement in which the patient pledges not to self‐harm or attempt suicide, with a contingency plan if a situation develops where they feel that they would not be able to honor this contract. Previously, patient willingness to engage in a contract was felt to be one method of risk assessment.…”

Section: Discharge Planningmentioning

confidence: 99%

Management of youth with suicidal ideation: Challenges and best practices for emergency departments

Santillanes,

Foster,

Ishimine

et al. 2024

JACEP Open

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Suicide is a leading cause of death among youth, and emergency departments (EDs) play an important role in caring for youth with suicidality. Shortages in outpatient and inpatient mental and behavioral health capacity combined with a surge in ED visits for youth with suicidal ideation (SI) and self‐harm challenge many EDs in the United States. This review highlights currently identified best practices that all EDs can implement in suicide screening, assessment of youth with self‐harm and SI, care for patients awaiting inpatient psychiatric care, and discharge planning for youth determined not to require inpatient treatment. We will also highlight several controversies and challenges in implementation of these best practices in the ED. An enhanced continuum of care model recommended for youth with mental and behavioral health crises utilizes crisis lines, mobile crisis units, crisis receiving and stabilization units, and also maximizes interventions in home‐ and community‐based settings. However, while local systems work to enhance continuum capacity, EDs remain a critical part of crisis care. Currently, EDs face barriers to providing optimal treatment for youth in crisis due to inadequate resources including the ability to obtain emergent mental health consultations via on‐site professionals, telepsychiatry, and ED transfer agreements. To reduce ED utilization and better facilitate safe dispositions from EDs, the expansion of community‐ and home‐based services, pediatric‐receiving crisis stabilization units, inpatient psychiatric services, among other innovative solutions, is necessary.

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Mobile Crisis Services: A Clinician Survey of Current Suicide Prevention Practices and Barriers to Care Delivery

Becker-Haimes,

Schaechter,

Green

et al. 2023

Community Ment Health J

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Suicide Intervention Practices: What Is Being Used by Mental Health Clinicians and Mental Health Allies?

Cited by 6 publications

References 23 publications

Evidence-based care for suicidality as an ethical and professional imperative: How to decrease suicidal suffering and save lives.

Evidence-based care for suicidality as an ethical and professional imperative: How to decrease suicidal suffering and save lives.

Management of youth with suicidal ideation: Challenges and best practices for emergency departments

Mobile Crisis Services: A Clinician Survey of Current Suicide Prevention Practices and Barriers to Care Delivery

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