AISRAP PROTOCOL Suicide Risk Assessment

RISK FACTORS (S Section) Question(s) Item

AISRAP
Specify Have you thought about ending your life? Frequency: Severity: Ambivalence: Duration:

PROTOCOL
Low-Moderate Risk No Apparent Risk High Risk
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Critical questioning: these questions should be asked rst in an acute situation

SUICIDAL THOUGHTS

ACCESS TO METHOD

Have you got a gun / drugs / knife etc at home?

Ease of access: Determination to access the means: Change of means:

PREVIOUS ATTEMPT

Have you ever tried to end your life before?

Number of occasions: Lethality of method used: Strength of the suicide attempt:

PLANS / INTENT

Have you thought about how you would end your life? Have you ever made a plan in the past?

Lethality of method: Level of detail: Knowledge of method usage: Potential for rescue: Prior rehearsal:

PSYCHIATRIC CARE / HELP

Have you received Inpatient service mental health treatment in the past? GP / Counselling Accident and emergency only No help sought

Included with permission. AISRAP, Grifth University 84

AISRAP PROTOCOL Suicide Risk Assessment

RISK FACTORS Question(s) Item

AISRAP
Specify How are things at home? Home environment: Family conict / abuse: Homelessness: How is your health? Chronic physical illness (most risk cancer, MS, epilepsy) Changes in academic achievement: Truancy / Delinquency: Are you working at the moment? Unemployment from retrenchment: Long-term unemployment

PROTOCOL
Low-Moderate Risk No Apparent Risk High Risk
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Enquiry may start here with less intrusive questioning in cases where risk is not imminent.

HOME

HEALTH

EDUCATION / EMPLOYMENT

How is school? (if appropriate)

ACTIVITIES / AMBITIONS

What do you like to Connectedness do in your spare time? with others: Isolation:

AFFECT

How are you feeling?

Sudden happiness or detachment from emotions: View to positive future: Persuasiveness of the future:

LOSS OF HOPE

How do you see your future?

DRUGS/ALCOHOL

Do you use drugs and alcohol?

Frequency: Reliance on drugs / alcohol: Multiple treatment failures:

Included with permission. AISRAP, Grifth University

AISRAP PROTOCOL Suicide Risk Assessment

PROTECTIVE FACTORS Question(s) Items

AISRAP
Specify Have you told people close to you how you feel? Do you have anyone close to you who knows what youre going through? Extent of social network: Closeness of relationships: Availability of other people: Self-recognised qualities: Self image: Condence: How do you feel about yourself? Can you list 3 positive qualities about yourself?

PROTOCOL
Apparent

SOCIAL SUPPORT

SELF-ESTEEM

NORMS AND VALUES

What do you value in life? What are your core beliefs/morals? Values on self, and life:

COPING / PROBLEMSOLVING ABILITY

How do you usually cope when you do not feel yourself? (i.e., feeling depressed, Coping mechanisms: anxious, angry). How do you solve difcult stressors?

RELIGION

Do you have a religious faith that you follow? What is your cultural background? Do you feel that the community supports your cultural identity?

Religious faith: Church attendance:

CULTURAL IDENTITY

Country of origin: Support from community (culture embraced vs. cultural discrimination / exclusion; connected vs. isolated):

Included with permission. AISRAP, Grifth University

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