Routinized Assessment of Suicide Risk in Clinical Practice: An Empirically Informed Update.
OBJECTIVE
Empirically informed suicide risk assessment frameworks are useful in guiding the evaluation and treatment of individuals presenting with suicidal symptoms. Joiner et al. (1999) formulated one such framework, which has provided a concise heuristic for the assessment of suicide risk. The purpose of this review is to ensure compatibility of this suicide risk assessment framework with the growing literature on suicide-related behaviors.


METHODS
This review integrates recent literature on suicide risk factors and clinical applications into the existing model. Further, we present a review of risk factors not previously included in the Joiner et al. (1999) framework, such as the interpersonal theory of suicide variables of perceived burdensomeness, thwarted belongingness, and capability for suicide (Joiner, 2005; Van Orden et al., 2010) and acute symptoms of suicidality (i.e., agitation, irritability, weight loss, sleep disturbances, severe affective states, and social withdrawal).


RESULTS
These additional indicators of suicide risk further facilitate the classification of patients into standardized categories of suicide risk severity and the critical clinical decision making needed for the management of such risk.


CONCLUSIONS
To increase the accessibility of empirically informed risk assessment protocols for suicide prevention and treatment, an updated suicide risk assessment form and decision tree are provided.
Florida State University.
Carol
C
Chu
Florida State University.
Kelly M
KM
Klein
Florida State University.
Jennifer M
JM
Buchman-Schmitt
Florida State University.
Melanie A
MA
Hom
Florida State University.
Christopher R
CR
Hagan
Florida State University.
Thomas E
TE
Joiner
D006801:Humans; D018570:Risk Assessment / Q000379:methods*; D013405:Suicide
standardized care; suicidal behavior; suicidal ideation; suicide; suicide risk assessment