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    Your guide to understanding the Zero Suicide mission and framework, as well as a road map toward implementation.

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    The Zero Suicide Toolkit is a detailed guide to Zero Suicide implementation and strategy.

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  • Readings
    Suicide Risk Assessment and Risk Formulation Part II: Suicide Risk Formulation and the Determination of Levels of Risk

    Berman, A. L., & Silverman, M. M. (2014). Suicide risk assessment and risk formulation part II: Suicide risk formulation and the determination of levels of risk. Suicide and Life-Threatening Behavior, 44(4), 432–443.

  • Readings
    Suicide Risk Assessment and Risk Formulation Part I: A Focus on Suicide Ideation in Assessing Suicide Risk

    Silverman, M. M., & Berman, A. L. (2014). Suicide risk assessment and risk formulation part I: A focus on suicide ideation in assessing suicide risk. Suicide and Life-Threatening Behavior, 44(4), 420–431.

  • Tools
    VA/DoD Clinical Practice Guideline for Assessment and Management of Patients at Risk for Suicide Pocket Guide

    This pocket guide summarizes VA/DoD clinical practice guidelines for structured assessment of adults suspected to be at risk of suicide and the immediate and long-term management and treatment that should follow if an individual is found to be at risk.

  • Readings
    A Resource Guide for Implementing the Joint Commission 2007 Patient Safety Goals on Suicide

    This document serves as a resource guide, using the SAFE-T protocol as a centerpiece, to facilitate implementation of the Joint Commission patient safety goal on suicide.

  • Tools
    SAFE-T Suicide Assessment Five-Step Evaluation and Triage for Clinicians

    This card assists clinicians in conducting a suicide assessment using a five-step evaluation and triage plan to identify risk factors and protective factors, conduct a suicide inquiry, determine risk level and potential interventions, and document a treatment plan.

  • Readings
    Suicide Risk Factors and Risk Assessment Tools: A Systematic Review

    This report reviews evidence about suicide risk factors and suicide risk assessment tools to inform practice guidelines for clinicians serving veterans and military populations. However, much of the information is also applicable to the general adult population.

  • Tools
    Patient Safety Plan Template

    A fill-in-the-blank template for developing a safety plan with a patient who is at increased risk for a suicide attempt.

  • Tools
    Assessment of Suicidal Risk Using the Columbia Suicide Severity Rating Scale

    This free, online training from the New York State Office of Mental Health and Columbia University provides an overview of the instrument and teaches how and when to administer it in real-world settings.

  • Tools
    Columbia Suicide Severity Rating Scale (C-SSRS)

    Three versions of the Columbia Suicide Severity Rating Scale are available for use in clinical practice. The Lifetime/Recent version allows practitioners to gather lifetime history of suicidality as well as any recent suicidal ideation and/or behavior.

  • Tools
    Patient Health Questionnaire 9 (PHQ-9) Depression Scale

    The PHQ-9 is used to diagnose and monitor the severity of depression. Question 9 screens for the presence and duration of suicide ideation.

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Action AllianceUHSZSISPRC logoSAMHSA

Education Development Center, the Suicide Prevention Resource Center, and the National Action Alliance for Suicide Prevention are able to make this web site available thanks to support from Universal Health Services (UHS), the Zero Suicide Institute at EDC, and the Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services (DHHS) (grant 1 U79 SM0559945).

No official endorsement by SAMHSA, DHHS, or UHS for the information on this website is intended or should be inferred.

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If you or someone you know are in emotional distress, questioning if life is worth it, or in crisis, assistance is available 24/7 by calling or texting 988 or by chat at 988lifeline.org.