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Low Suicide Risk

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Examples of low risk, passive suicidal ideation
  • Thoughts of death, no plan, intent or behaviour
  • Able to contract for safety, i.e. patient reports that they are agree to tell someone else if suicidal ideation worsens
  • Strong protective factors such as
    • Ability to cope with stress
    • Religious beliefs
    • Frustration tolerance
    • Absence of psychosis
    • Responsibility to family such as children, pets, partners
    • Positive therapeutic relationships
    • Social supports


Recommendations:

Give the patient a list of local/national emergency information such as: 
  • Local emergency departments
  • Local crisis lines
  • Local mental health walk-in clinics
  • Find your local crisis resources anywhere in Canada
  • The Canada Suicide Prevention Service


Provide handout on coping with suicidal thoughts
  • Coping with Suicidal Thoughts (Blisker, 2007)
  • Coping with Suicidal Thoughts (Vivyan, 2011)


In Ottawa, consider:
  • Mental Health Crisis Line for Adults, 613-722-6914 (within Ottawa), 1-866-996-0991 (Champlain LHIN)
  • In Ottawa, if you are with the Ottawa Hospital / Bruyere Academic Health Team, consider a referral to the Shared Mental Health Team


Reference: Suicide Assessment Five-step Evaluation and Triage (SAFE-T)


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