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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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Screening and Assessment

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  • Tools
    The Patient Safety Screener (PSS-3): A Brief Tool to Detect Suicide Risk in Acute Care Settings

    The Suicide Prevention Resource Center has created a seven-minute video about The Patient Safety Screener (PSS-3), a tool for identifying patients in the acute care setting who may be at risk of suicide.

  • Tools
    Ask Suicide-Screening Questions (ASQ) Toolkit

    The Ask Suicide-Screening Questions (ASQ) Toolkit is a free resource for medical settings (emergency department, inpatient medical/surgical units, outpatient clinics/primary care) that can help nurses or physicians successfully identify

  • Readings
    Prevention-Oriented Suicide Risk Assessment: Planning Not Prediction
    In this Suicide Prevention Resource Center Director's Corner, Anthony Pisani, PhD explains moving away from a prediction model of suicide risk to a prevention model.
  • Videos
    Lived Experiences
    Leah Harris discusses the importance of involving people with lived experiences in leadership roles.
  • Videos
    Screening Protocol at Centerstone

    Becky Stoll, Vice President for Crisis and Disaster Management at Centerstone, underscores the need to screen every patient for suicide risk.

  • Readings
    The Columbia-Suicide Severity Rating Scale (C-SSRS): Initial validity and internal consistency findings from three multi-site studies with adolescents and adults.

    Posner, K., Brown, G. K., Stanley, B., Brent, D. A., Yershova, K. V., Oquendo, M., . . . Mann, J. J. (2011). The Columbia-Suicide Severity Rating Scale (C-SSRS): Initial validity and internal consistency findings from three multi-site studies with adolescents and adults. American Journal of Psychiatry, 168(12): 1233–1234.

  • Readings
    Advances in the Assessment of Suicide Risk

    Bryan, C. J., & Rudd, M. D. (2006). Advances in the assessment of suicide risk. Journal of Clinical Psychology, 62(2), 185–200.

  • 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.

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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.