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Suicide Assessment and Prevention in Early Psychos ...
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This document provides an overview of suicide assessment and prevention in early psychosis. The author, Dr. Tara Niendam, discusses the importance of assessing suicide risk and identifies risk and protective factors related to suicidal ideation and behaviors. She also introduces the concept of a Safety Planning Intervention (SPI), which is a clinical intervention that helps individuals develop a one-page document to use when a suicidal crisis is emerging.<br /><br />The document emphasizes the need for proactive and reactive risk management strategies. Proactive strategies include integrating suicide risk assessment as a standard part of care, implementing evidence-based risk reduction strategies, and utilizing specialized therapies for suicide prevention. The reactive strategies involve responding to individuals with acute risk by providing appropriate interventions and, if necessary, hospitalization or crisis treatment.<br /><br />The Suicide Risk Assessment section highlights the use of the Columbia-Suicide Severity Rating Scale (C-SSRS), which is considered the "gold standard" for assessing suicidal thoughts and behavior. The C-SSRS helps clinicians assess the frequency, intensity, controllability, and duration of suicidal ideation, as well as any associated thoughts of methods, intention, plan, and actual attempts.<br /><br />The document also provides information on the importance of monitoring suicide risk over time, as it fluctuates, and emphasizes the significance of collaboration and communication with the individual at risk. Various resources, training programs, and hotlines are recommended for further support and assistance.<br /><br />Overall, this document serves as a comprehensive guide to understanding and addressing suicide risk in individuals with early psychosis, with a focus on assessment, prevention, and intervention strategies.
Keywords
suicide assessment
prevention
early psychosis
Dr. Tara Niendam
suicide risk
protective factors
Safety Planning Intervention
proactive strategies
reactive strategies
Columbia-Suicide Severity Rating Scale
Funding for SMI Adviser was made possible by Grant No. SM080818 from SAMHSA of the U.S. Department of Health and Human Services (HHS). The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by, SAMHSA/HHS or the U.S. Government.
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