Outpatient Behavioral Health Care Clinical Pathway for Assessment and
Care Planning for Children and Adolescents at Risk for Suicide
- Related Pathway
- Behavioral Health Issues, ED
- Depression, Outpatient
Negative Suicide Screen
- Screen for Suicide Risk at subsequent patient care encounters.
- Engage and/or continue treatment plan on primary presenting symptoms and problems.
Positive Suicide Screen/New Patient Evaluation
Use the Columbia Suicide Severity Rating Scale to complete Suicide Risk Assessment
Assess for chronic and current Risk and Protective Factors
Assess for chronic and current Risk and Protective Factors
Negative Suicide Risk Assessment
- Complete Risk Formulation.
- Engage and/or continue treatment plan on primary presenting symptoms and problems.
- Screen for Suicide Risk at subsequent patient care encounters.
Low Acuity
- Suicidal Ideation
- At least 1 of the following:
- Within the past 1 month:
- More than 1 month ago:
- Within past 3 months:
- And
- Suicidal Behavior
- No History of Suicidal Behavior
Intermediate Acuity
- Suicidal Ideation
- At least 1 of the following:
- Within the past 1 month:
- More than 1 month ago:
- And/or
- Suicidal Behavior
- More than 3 months ago:
- Suicidal Behavior
High Acuity
- Suicidal Ideation
- At least 1 of the following:
- Within the past 1 month:
- And/or
- Suicidal Behavior
- Within the past 3 months:
- Suicidal Behavior
Standard
Enhanced
Standard
Enhanced
Standard
Enhanced
- Immediate Intervention
- Psychoeducational Tools
- Long Term
- Active Monitoring
- Outpatient mental
- Health therapy
- Immediate Intervention
- Safety Planning
- Psychoeducational Tools
- Long Term
- Outpatient mental health therapy
- Medication management of co-occurring psychiatric conditions
- Immediate Intervention
- Safety Planning
- Psychoeducational Tools
- Long Term
- Outpatient mental health therapy with Suicide-focused Strategies
- Medication management of co-occurring psychiatric conditions
- Intensive Outpatient Program (IOP)
- IOP and Partial Hospitalization Program List
- Partial Hospitalization
- Immediate Intervention
- Evaluation at an Emergency Department or local psychiatric crisis center to determine appropriateness of psychiatric hospitalization to maintain safety
Initiate Care, Maintain Engagement and Screen for Suicide Risk at Subsequent Patient Care Encounters.
Evidence
- Assessment and Management of Suicide Risk in Children and Adolescents
- Safety Planning Intervention: A Brief Intervention to Mitigate Suicide Risk
- The Columbia–Suicide Severity Rating Scale: Initial Validity and Internal Consistency Findings From Three Multisite Studies With Adolescents and Adults
CHOP Programs
- Child and Adolescent Psychiatry and Behavioral Sciences
- Youth Suicide Prevention, Intervention and Research Center