SHCMAQualityReport2020

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NIMH TOOLKIT Suicide Risk Screening Tool

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Ask Suicide-Screening

uestions

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l

Ask the patient:

1. In the past few weeks, have you wished you were dead?

m Yes

m No

2. In the past few weeks, have you felt that you or your family would be better off if you were dead?

m Yes

m No

3. In the past week, have you been having thoughts about killing yourself?

m Yes

m No

4. Have you ever tried to kill yourself? m No If yes, how? _______________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ When? ___________________________________________________________________ _________________________________________________________________________ m No If yes, please describe: ______________________________________________________ Next steps: • If patient answers “No” to all questions 1 through 4, screening is complete (not necessary to ask question #5). No intervention is necessary (*Note: Clinical judgment can always override a negative screen). • If patient answers “Yes” to any of questions 1 through 4, or refuses to answer, they are considered a positive screen. Ask question #5 to assess acuity: o “Yes” to question #5 = acute positive screen (imminent risk identified) • Patient requires a STAT safety/full mental health evaluation. Patient cannot leave until evaluated for safety. • Keep patient in sight. Remove all dangerous objects from room. Alert physician or clinician responsible for patient’s care. o “No” to question #5 = non-acute positive screen (potential risk identified) • Patient requires a brief suicide safety assessment to determine if a full mental health evaluation m Yes If the patient answers Yes to any of the above, ask the following acuity question: 5. Are you having thoughts of killing yourself right now? m Yes

Shriners Hospitals for Children has worked diligently since the beginning of 2018 in successfully implementing a suicide screening and evaluation tool to over 5500 patients ages 10 and older. This five question screeni g tool will allow the front line clinical staff to take any necessary steps needed for each patient to address their mental health needs and to provide individualized guidance and support. This screening tool will also be available for use on our Tonic platform. Our decision to join the small group of pediatric hospitals that have implemented u iversal suicide risk screening signals that a few hospitals are beginning to anticipate an inevitable and necessary change to the standards of care for suicide prevention. Suicide Risk Screening and Assessment

is needed. Patient cannot leave until evaluated for safety. • Alert physician or clinician responsible for patient’s care.

Provide resources to all patients • 24/7 National Suicide Prevention Lifeline 1-800-273-TALK (8255) En Español: 1-888-628-9454 • 24/7 Crisis Text Line: Text “HOME” to 741-741

asQ Suicide Risk Screening Toolkit

NATIONAL INSTITUTE OF MENTAL HEALTH (NIMH)

6/13/2017

2019 OUTCOMES REPORT | 17