Guidelines for risk-management
The American Psychiatric Association provides practice guidelines for the assessment and treatment of suicidal behaviours.
A Practice Parameter for the Assessment and Treatment of Children and Adolescents with Suicidal Behaviour provides a review of the literature pertaining to the epidemiology, causes, management and prevention of suicide and suicidal behavior in youth. It also includes guidelines for the assessment and management of youth with suicidal behaviour.
GLAD-PC (Guidelines for Adolescent Depression in Primary Care) provides much needed information, recommendations, educational resources and tools to aid health care providers in the management of adolescent depression in primary care.
Helping Children and Youth who are feeling suicidal – Information for parents and caregivers offers guidelines on how to take action when parents are faced with a child’s suicidal crisis.
General tools and resources
The HEADS-ED (Home, Education, Activities and peers, Drugs and alcohol, Suicidality, Emotions/behaviours/thought disturbance, Discharge resources) is a validated tool that enables physicians to take a psychosocial history to help in decisions regarding a patient. It’s intended to make it easy for physicians to identify children/youth with mental health issues and find local resources.
The Ministry of Children and Family Development (MCFD) in British Columbia provides a list of practical tools for conducting quality risk assessments, including the following:
- Policy and Practice Considerations: Clinical Assessment of Suicide Risk and Clinical Documentation is a guidebook for conducting risk assessments.
- Preventing Youth Suicide: A Guide for Practitioners includes a list of resources on effective approaches for assessing and treating suicidal individuals. It also provides considerations for judging the quality of a particular assessment framework, assessing level of risk, treatment planning and documentation.
The Problem Gambling Institute of Ontario’s website provides guidelines for a suicide and crisis assessment form.
The Suicide Risk Assessment Guide: A Resource for Health Care Organizations was developed by the Ontario Hospital Association (OHA), in partnership with the Canadian Patient Safety Institute (CPSI). This tool is meant to be a general guide to help health care organizations understand and standardize the practice of suicide risk assessment. It also includes an inventory of reviewed tools and guidelines for evaluating the quality of risk assessment tools.
TeenMentalHealth.org includes a host of clinically useful tools and resources on risk-management.