1 If Depression is suspected: Pay particular attention to risk: Suicide Risk Assessment.

1

If Depression is suspected:

Pay particular attention to risk:

Suicide Risk Assessment

2

Suicide in children is rare

Gently inquire with child if:

› Family history of suicide

› Parent/child reports of self harm behaviors

› Parent/child reports of substantial depressive symptoms

› Inquire in age appropriate manner

Assessing Suicide Risk

3

Ask Questions

Understand what the child means by ‘dead’

Assessing Suicide Risk

4

Unrecognized/untreated mental illness is strong risk factor

Suicide increases with several factors:

Suicide Risk Assessment

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5

Assess at baseline & throughout treatment

Get Immediate psychiatric assessment

High risk for suicide is a MEDICAL EMERGENCY!

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KADS-6

7

TASR-A

8

HOPELESSNESS INCREASES RISK remember not everyone who has a diagnosis of

anxiety or depression feels hopeless.

ALWAYS ask about a suicide planIf there is suicide ideation or hopelessness

Suicide Ideation

Safety & Contingency Planning

10

Safety & Contingency Planning

Emergency Contact Cards “wallet card”

Rapid Health Provider Availability

Help Phone/Crisis Hot Line

No Suicide Contract

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Safety CardSafety Card- Emergency Contact Number

• Dr. (xxxxxxxx) number and email: 604-xxx-xxxx [email protected]

• Emergency room 604-xxx-xxxx

• Vancouver Child and Youth Mental Health Referral Line: 604-675-3895

• Helpline for children: Toll-Free in BC (no area code needed) 310.1234

• Crisis Intervention and Suicide Prevention Centre of BC

Lower Mainland 604.872.3311

Toll Free 1.866.661.3311

• SAFER (Suicide Attempt Counselling Service) 604-675-3985

• Vancouver Island Crisis Line 1-888-494-3888

Safety Card- Emergency Contact Number

• Dr. (xxxxxxxx) number and email: 604-xxx-xxxx [email protected]

• Emergency room 604-xxx-xxxx

• Vancouver Child and Youth Mental Health Referral Line: 604-675-3895

• Helpline for children: Toll-Free in BC (no area code needed) 310.1234

• Crisis Intervention and Suicide Prevention Centre of BC

Lower Mainland 604.872.3311

Toll Free 1.866.661.3311

• SAFER (Suicide Attempt Counselling Service) 604-675-3985

• Vancouver Island Crisis Line 1-888-494-3888

12

Have you used the TASR-A with any children or youth before?

How would you use it?

How can you involve the family and others for support?

Table Discussion: Suicide Risk Assessment