Suicide Risk Assessment: Tools & Tips - Veterans Affairs
Suicide Risk Assessment:
Tools & Tips
Boulder MH Suicide Prevention Training
May 05, 2011
Bridget Bulman, Psy.D.
VISN 19 Mental Illness Research,
Education and Clinical Center,
Denver VAMC
Suicide Risk Assessment
? Refers to the establishment of a
¨C clinical judgment of risk in the near future,
¨C based on the weighing of a very large amount of
available clinical detail.
? Risk assessment carried out in a systematic,
disciplined way is more than a guess or
intuition
¨C it is a reasoned, inductive process
Jacobs 2003
Is a common language necessary to
facilitate suicide risk assessment?
Do we have a common
language?
The Language of Self-Directed Violence
Identification of the Problem
?
?
?
?
?
?
?
?
Suicidal ideation
Death wish
Suicidal threat
Cry for help
Self-mutilation
Parasuicidal gesture
Suicidal gesture
Risk-taking behavior
?
?
?
?
?
?
?
?
?
?
?
Self-harm
Self-injury
Suicide attempt
Aborted suicide attempt
Accidental death
Unintentional suicide
Successful attempt
Completed suicide
Life-threatening behavior
Suicide-related behavior
Suicide
Self-Directed Violence
Classification System
Lisa A. Brenner, Ph.D.
Morton M. Silverman, M.D.
Lisa M. Betthauser, M.B.A.
Ryan E. Breshears, Ph.D.
Katherine K. Bellon, Ph.D.
Herbert. T. Nagamoto, M.D.
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