"Sometimes people who feel very low think about harming themselves or ending it all, have you ever considered this?"
"What stopped you harming yourself more than this"
"Have you made any plans"
RFs
SAD PERSONS
mnemonic: Sex (male), Age (older), Depression/psychiatric,
Previous attempts, Ethanol abuse, Rational thinking loss, Social
support lacking, Occupation (farmer, pharmacist, unenployed), No
pastimes, Sickness (esp chronic painful)
Attempt
Reasons, problems, support, willing to accept help. Feelings/events
of day, what happened after, was this expected? Method (violent?)
High risk
: planning, precautions to avoid discovery, no
attempt to seek help, final act (will, suicide note), admission of
intent
Background
Months, relationships important at this time, bullying/stress
Family & personal hx
Tried/harmed before?
Intentions
Before and present. Represents: a wish to die, to send a message, to change present circumstances.