1. Crisis resolution and home treatment. Fiona Winstanley

2. Case study Jamie - full time student Had previous counselling for anxiety Represented to counselling services with low mood and suicidal thoughts Had a couple of sessions with counselling service and was advised to see GP GP Referred to CRHT

3. CRHT opinion Having suicidal thoughts daily about jumping off a bridge, or hanging or drowning himself Minimal protective factors Some biological symptoms, some lack of motivation, less sleep but otherwise going to lectures and looking after himself, still in contact with family and friends and continued social activities No drugs alcohol, mum had depression, father unwell Admitted to service had 3 week admission

4. outcome Jamie commenced on antidepressant Alternate day contact to assess risk Education and anxiety management Decrease in suicidal thoughts Treatment commenced Approached tutor Engaging with counselling services and GP Discharged from CRHT after 3 weeks

5. Why CRHT - risk Having daily suicidal thoughts No protective factors Had started to test out suicidal plan – had stood at the bridge Willing to engage Hadn’t accessed services at early stages