Safety planning is a key element of suicide intervention. Crisis intervention teams should engage in safety planning for youth identified at risk.

Safety Planning Models

Collaborative Assessment & Management of Suicide (Jobes)

  • Assessment of Suicide Drivers
  • Identification of Supports
  • Focus on Restricting Access to Lethal Means
  • Use of Suicide Status form
    • Psychological pain
    • Stress
    • Agitation
    • Hopelessness
    • Self-hate
    • Overall risk

Crisis Response Plan (Rudd, Joiner, Rajab, 2001)

Elements of Safety Plan

  • Triggers for Crisis
  • Distress Tolerance Skills
  • Emotion Regulation Skills
  • Connections to supports/emergency care

Interventions

  • Remove access to means
  • Self-monitoring of feelings, thoughts, and behavior
  • Targeting hopelessness and sense of isolation
  • Reinforce commitment to treatment
  • Solidify helping relationship

Safety Planning Intervention (Stanley & Brown, 2012)

    • Focus on prioritized coping
    • Identify sources of support

Components of Safety Plan

  1. Identify warning signs
  2. Utilize internal strategies
  3. Utilize social contacts and settings as distraction
  4. Utilize family and friends to resolve crisis
  5. Use mental health provider to resolve crisis
  6. Restrict access to lethal means

Risk Formulation-Informed Safety Planning:

  • Interventions match current risk state and status
  • Menu of interventions
  • Focuses on Coping
  • Provides Justification for intervention and referral
  • Community referral