Skip to main content

Table 1 Recommended components of Suicide Safer Care for SBIT

From: Commentary on substance use disorders and risk of suicide in a general US population: a case control study by Lynch et al.

Identification
 Patient Health Questionnaire (PHQ-9): Evidence-based screening tool for depression that can be modified for different populations. Question #9 specifically  addresses suicide risk by asking about “thoughts that you would be better off or hurting yourself in some way”
 PHQ-9 Overview [8]
Assessment
 Columbia Suicide Severity Rating Scale (C-SSRS): Evidence-based tool that can be used to identify whether a patient has thought about suicide, taken action or  plans to take action, or whether they have attempted suicide or plan to attempt suicide
 C-SSRS Resource [9]
 Ask Suicide Questions (ASQ): The ASQ is a brief questionnaire containing 4 items and can be utilized in all populations and practice settings (ED, inpatient medical,  primary care settings) to identify youth at risk of suicide
 ASQ Toolkit [10]
Intervention
 Safety Planning: Created in conjunction with patient and provider (and sometimes family members) to identify triggers and warning signs, specific activities that can  steer the patient from suicidal thoughts, contacts to be used during times of distress (community, professional, and emergency), etc., in order to alleviate a suicidal crisis
 Suicide Safety Planning Guide [11]
 Counseling on Access to Lethal Means (CALM): Anyone who is identified with any level of suicide risk, from mild to severe, should be asked about access to lethal  means. CALM is a workshop that helps providers identify patients who would benefit from lethal means counseling strategies, ask about access to lethal mans, and work with  patients and their family to reduce access
 CALM Resource [12]