Crisis Intervention Strategies Flashcards

During a suicide risk assessment, which finding indicates the HIGHEST immediate risk?

Answer: A specific plan, access to lethal means, and a chosen time

A specific plan with available means and intended timing shows high lethality and calls for immediate action.

Current best practice says which of the following should NOT be relied on to manage suicide risk?

Answer: No-suicide contracts

No-suicide contracts lack evidence of effectiveness and may create false reassurance, so collaborative safety plans are preferred.

Which is the FIRST step of the Stanley-Brown Safety Planning Intervention?

Answer: Recognizing personal warning signs of an approaching crisis

The safety plan starts with the client identifying their own warning signs so they know when to use the plan.

A client with suicidal thoughts keeps a handgun at home. Which intervention is MOST supported by evidence?

Answer: Lethal means counseling to store the firearm off-site or locked away from the client

Reducing access to lethal means, especially firearms, is one of the most effective suicide prevention strategies.

What is the national three-digit number for the Suicide and Crisis Lifeline in the United States?

Answer: 988

Since July 2022, 988 connects callers to the Suicide and Crisis Lifeline by call, text, or chat.

A worker asks a client directly, 'Are you thinking about killing yourself?' What does research show about asking this question?

Answer: It does not raise risk and may lower distress

Research shows that asking directly about suicide does not plant the idea and can make the person feel relief.

Which tool is a widely used, evidence-based screening and severity scale for suicidal ideation and behavior?

Answer: Columbia Suicide Severity Rating Scale (C-SSRS)

The C-SSRS assesses the severity of suicidal ideation and behavior and is used in many settings.