1  If Depression is suspected:  Pay particular attention to risk: Suicide Risk Assessment

2  Suicide in children is rare  Gently inquire with child if: › Family history of suicide › Parent/child reports of self harm behaviors › Parent/child reports of substantial depressive symptoms › Inquire in age appropriate manner Assessing Suicide Risk

3  Ask Questions  Understand what the child means by ‘dead’ Assessing Suicide Risk

4  Unrecognized/untreated mental illness is strong risk factor  Suicide increases with several factors: Suicide Risk Assessment ID:

5  Assess at baseline & throughout treatment  Get Immediate psychiatric assessment High risk for suicide is a MEDICAL EMERGENCY!

6 KADS-6

7 TASR-A

8 HOPELESSNESS INCREASES RISK remember not everyone who has a diagnosis of anxiety or depression feels hopeless. ALWAYS ask about a suicide plan If there is suicide ideation or hopelessness Suicide Ideation

Safety & Contingency Planning

10  Emergency Contact Cards “wallet card”  Rapid Health Provider Availability  Help Phone/Crisis Hot Line  No Suicide Contract

11 Safety Card Safety Card- Emergency Contact Number Dr. (xxxxxxxx) number and xxx-xxxx Emergency room 604-xxx-xxxx Vancouver Child and Youth Mental Health Referral Line: Helpline for children: Toll-Free in BC (no area code needed) Crisis Intervention and Suicide Prevention Centre of BC Lower Mainland Toll Free SAFER (Suicide Attempt Counselling Service) Vancouver Island Crisis Line Safety Card- Emergency Contact Number Dr. (xxxxxxxx) number and xxx-xxxx Emergency room 604-xxx-xxxx Vancouver Child and Youth Mental Health Referral Line: Helpline for children: Toll-Free in BC (no area code needed) Crisis Intervention and Suicide Prevention Centre of BC Lower Mainland Toll Free SAFER (Suicide Attempt Counselling Service) Vancouver Island Crisis Line

12  Have you used the TASR-A with any children or youth before?  How would you use it?  How can you involve the family and others for support? Table Discussion: Suicide Risk Assessment