Acute | Chronic | |
---|---|---|
High | • SI with intent to die by suicide • Inability to maintain safety independent of external support/help | • Chronic SI, which may become acutely suicidal upon unpredictable situations (e.g., job or relationship loss) • Limited coping skills and limited ability to identify reasons for living • Increase or change in baseline mood, behavior and talk about suicide or dying |
Intermediate | • SI to die by suicide • Ability to maintain safety, independent of external support/help | • Similar to high chronic risk but have a relatively balanced protective factors, coping skills, reasons for living and psychosocial stability |
Low | • No current suicidal intent, and • No specific and current suicidal plan, and • No preparatory behaviors, and • Collective high confidence (including patient, care provider, family member) in the ability of the patient to independently maintain safety | • Little or no mental health, or • Significant mental illness but have abundance of coping strengths and resources • Have history of managing stressors without resorting to SI • Absence of history of self-directed violence; chronic SI; tendency toward highly impulsive, risky behavior; severe, persistent mental illness; marginal psychosocial functioning. |