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Pearl · 03 of 04

Make the first contact after a suicidal crisis count

Use the first contact after a suicidal crisis for a written safety plan and means restriction, not only a check-in.

The period after a crisis presentation or discharge carries the highest risk, and contact in that window is established good practice. What happens at that first meeting matters: a collaborative safety plan, restriction of access to means, and a named person and number to call.

Write the safety plan with the patient, in their words, and give them a copy. Ask about pesticides, stored medicines and other means at home, and involve family where the patient agrees.

  • Arrange follow-up contact within days of a crisis presentation or discharge
  • Write a safety plan with the patient and give them a copy
  • Ask specifically about access to pesticides, stored medicines and other means
  • Name a contact person and number the patient can reach
  • Involve a trusted family member where the patient consents

Why it matters

The engagement at first contact may be doing more of the work than any message sent afterwards.

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