Box 1: Suicide Risk Assessment Interview
Now assess perceived burdensomeness and belongingness : 9. People sometimes think things like: ‘My friends or family would be better off without me.’ Do you ever have thoughts like that? 10. Are you connected to others? Does anyone live with you? 11. When you feel badly, is there someone you can call? Who are they? Is there anyone you feel close to? 12. How hopeless do you feel? Is there more you can say about it? Now assess important factors (other significant findings) : 13. Have you ever harmed yourself by cutting, burning, or causing other injury without the intention of dying (NSSI)? 14. Is there something stressful happening or currently going on? Has there been something stressful recently? 15. What do you do when you feel bad? People sometimes do impulsive things to help themselves feel better like self-harming, drinking alcohol, binge eating, having sex, or destroying things. What do you do to try to feel better? 16. Interviewer should assess for the presence of psychopathology. 17. Interviewer should assess for agitation, social withdrawal, rage, insomnia, guilt, nightmares, impulsivity, and marked irritability. Note . Adapted from “Routinized Assessment of Suicide Risk in Clinical Practice: An Empirically Informed Update,” by C. Chu, K. M. Klein, J. M. Buchman-Schmitt, M. A. Hom, C. R. Hagan, & T. E. Joiner, 2015. Journal of Clinical Psychology, 71 (12), pp. 1186-1200. Figure 1: Suicide Assessment Decision Tree
Note : Adapted from “Routinized Assessment of Suicide Risk in Clinical Practice: An Empirically Informed Update,” by C. Chu, K. M. Klein, J. M. Buchman-Schmitt, M. A. Horn, C. R. Hagan, and T. E. Joiner, 2015, Journal of Clinical Psychology, 71 (12), pp. 1186-1200.
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