1. Immediate Safety Assessment

• Conduct a Risk Assessment: Determine the level of immediate danger by asking direct questions about suicidal thoughts, plans, and means.
  • "Are you thinking about hurting yourself or someone else?"
  • "Do you have a plan to commit suicide?"
  • "Do you have access to means (e.g., weapons, medications)?"
• Secure Immediate Safety: Remove any potential means of self-harm or harm to others (e.g., firearms, medications, sharp objects).

2. Contact Emergency Services (if necessary)

• Call 911 or local emergency services if the individual is in immediate danger.
• Take the individual to the nearest emergency room if they require urgent medical attention.

3. Engage Support Network

• Notify Family or Close Friends: Inform them of the situation and the importance of providing immediate support and supervision.
• Provide Emotional Support: Listen without judgment, validate feelings, and reassure the individual that help is available.

4. Develop an Immediate Crisis Plan

• Emergency Contacts List:
  • Local crisis hotline number.
  • Nearest emergency department.
  • Contact information for the individual's therapist or psychiatrist.
  • Trusted family members or friends.
• Immediate Steps to Take in Crisis:
  • Call a crisis hotline or mental health professional.
  • Go to the nearest emergency room.
  • Contact a trusted family member or friend for support.

5. Implement Immediate Interventions

• Use Grounding Techniques: Help reduce immediate distress with deep breathing exercises or mindfulness practices.
• Stay With the Individual: Ensure they are not left alone until they are in a safe environment or with a trusted person.

6. Follow-Up Care

• Schedule Urgent Appointments: Arrange an urgent visit with the individual's mental health provider (therapist, psychiatrist).
• Short-Term Safety Plan: Include regular check-ins with a mental health professional and adherence to treatment plans.
• Monitor Progress: Ensure the individual follows their treatment plan and attends scheduled appointments.

7. Long-Term Safety Planning