Suicide Prevention

Suicide Prevention Toolkit for Rural Primary Care Practices:
This web-based toolkit is useful for primary care providers and medical practice managers in rural and non-rural settings. It includes tools to assess your patient’s risk of suicide, plan interventions, create safety plans and develop partnerships with others in the community.
Quick Links:
Tool Kit
Safety Planning – A Quick Guide for Clinicians (PDF)

Recognizing and Responding to Suicide Risk: Essential Skills in Primary Care – Training:
A one-hour training program developed by the American Association of Suicidology that provides physicians, nurses, nurse practitioners, and physicians’ assistants knowledge to integrate suicide risk assessments into routine office visits, to formulate relative risk, and to work collaboratively with patients to create treatment plans.

San Diego County Suicide Prevention Action Plan:
This document proposes suicide prevention strategies for San Diego County that enhance efforts to increase understanding and awareness of suicide and decrease stigma associated with suicide, with the goal of reducing the number of suicides in San Diego County.
Quick Links:
Full Report (PDF)
Executive Summary (PDF)

Primary Care Pocket Guide (PDF): 
The Pocket Guide for Primary Care Professionals provides a summary of important risk and protective factors for suicide; questions you can use to ask patients about their suicidal thoughts, plans, and intent; and a decision tree for managing the patient at risk for a suicide attempt. The card is designed to be printed on both sides and folded in quarters to fit easily into a pocket.

Office Protocol Development Guide for Suicidal Patients (PDF):
The Office Protocol is a template document to be completed with the staff in each primary care office to define roles, responsibilities, and procedures that will be followed when a patient is identified as being at elevated risk for suicide. Once completed, this protocol becomes an important patient management tool. This document is part of the Suicide Prevention Toolkit for Rural Primary Care Practices.

Crisis Support Plan (PDF):
The Crisis Support Plan is used by the patient and the clinician to enlist social support from a trusted friend or relative should a suicide crisis recur. It explains roles that supportive individuals can take to help protect the person at risk for suicide and serves as an informal contract that the designated support person will fulfill these roles. Active support of a friend or loved one is among the strongest factors that protect against suicide. This document is part of the Suicide Prevention Toolkit for Rural Primary Care Practices.

Poster: Is Your Patient Suicidal? (PDF):
A four-color poster that provides emergency department staff with information on recognizing and responding to acute suicide risk. It is designed to be hung in staff-only areas. The poster features the most common and noticeable warning signs of acute risk for suicide as well as simple questions clinical staff can ask to uncover suicide risk when warning signs are noticed or suspected. The poster can be ordered from the Emergency Nurses Association through the ENA Marketplace.
Quick Links:
Suicide Risk: A Guide for Evaluation and Triage (PDF)
Using the “Is your patient suicidal?” Poster and Triage Guide (PDF)
Emergency Nurses Association marketplace

Zero Suicide in Health and Behavioral Health Care
The Zero Suicide Initiative is a commitment to suicide prevention in health and behavioral health care systems. The site includes a toolkit, information on the training academy, and ways to get involved.

MY3 Safety Planning App
A free app in Spanish and English for patients who have felt suicidal. The app allows them to create a safety plan in partnership with their provider. Available for iPhone and Android. On the website, find information, cards and fliers that can be downloaded as well as a brief video. Created in California, operated by the National Suicide Prevention Lifeline.