Suicide Risk Assessment and Care Planning Clinical Pathway – Outpatient

Outpatient Clinical Pathway for Assessment and Care Planning
for Children and Adolescents at Risk for Suicide

Goals and Metrics
Patient Education
Provider Resources
Patient with Possible Suicide Risk
Definitions
Suicidal Ideation, Behavior, Non-Suicidal Injury
 
 
Screen for Suicide Risk
 
 
  • Negative Suicide Screen
    • Screen for Suicide Risk at subsequent patient care encounters
    • Engage or continue treatment plan on primary presenting symptoms and problems
 
 
Positive Suicide Screen/Behavioral Health
New Patient Evaluation
 
 

Use the Columbia Suicide Severity Rating Scale to complete Suicide Risk Assessment

Assess for chronic and current Risk and Protective Factors
 
 
  • Negative Suicide Risk Assessment
 
 
 
 
 
 
Low Acuity
Intermediate Acuity
High Acuity
 
 
 
 
 
 

Complete Risk Formulation integrating

Risk and Protective Factors and Red Flags
Case Examples

Complete Risk Formulation integrating

Risk and Protective Factors and Red Flags
Case Examples

Complete Risk Formulation integrating

Risk and Protective Factors and Red Flags
Case Examples
 
 
Standard
 
 
Enhanced
 
 
Standard
 
 
Enhanced
 
 
Standard
 
 
Enhanced
Care Plan Considerations
Care Plan Considerations
Care Plan Considerations
Care Plan Considerations
  • Immediate Intervention
    • Evaluation at an Emergency Department or local psychiatric crisis center to determine appropriateness of psychiatric hospitalization to maintain safety