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

2. 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. 3  Ask Questions  Understand what the child means by ‘dead’ Assessing Suicide Risk

4. 4  Unrecognized/untreated mental illness is strong risk factor  Suicide increases with several factors: Suicide Risk Assessment www.Dreamstime.comwww.Dreamstime.com ID:1195260

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

6. 6 KADS-6

7. 7 TASR-A

8. 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

9. Safety & Contingency Planning

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

11. 11 Safety Card Safety Card- Emergency Contact Number Dr. (xxxxxxxx) number and email: 604-xxx-xxxx xxxxxxx@xxxxxxx.caxxxxxxx@xxxxxxx.ca Emergency room 604-xxx-xxxx Vancouver Child and Youth Mental Health Referral Line: 604-675-3895 Helpline for children: Toll-Free in BC (no area code needed) 310.1234 Crisis Intervention and Suicide Prevention Centre of BC Lower Mainland 604.872.3311 Toll Free 1.866.661.3311 SAFER (Suicide Attempt Counselling Service) 604-675-3985 Vancouver Island Crisis Line 1-888-494-3888 Safety Card- Emergency Contact Number Dr. (xxxxxxxx) number and email: 604-xxx-xxxx xxxxxxx@xxxxxxx.caxxxxxxx@xxxxxxx.ca Emergency room 604-xxx-xxxx Vancouver Child and Youth Mental Health Referral Line: 604-675-3895 Helpline for children: Toll-Free in BC (no area code needed) 310.1234 Crisis Intervention and Suicide Prevention Centre of BC Lower Mainland 604.872.3311 Toll Free 1.866.661.3311 SAFER (Suicide Attempt Counselling Service) 604-675-3985 Vancouver Island Crisis Line 1-888-494-3888

12. 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