MIRECC / CoE
VA Suicide Risk Management Consultation Program
How It Works
To get started, please send us an email at firstname.lastname@example.org. Administrative staff will set you up with the consultant who can best answer your question. Consultation can take place by phone or email, at your convenience. In some cases, we might send you a form to gather additional information about your question.
If we consult with you over the phone, you will provide information about the clinical circumstances prompting consultation and let us know what we can be most helpful with. We will collaboratively conceptualize the issues and offer recommendations/answers. Any question related suicide prevention and Veterans is fair game.
Common consultation topics include:
- Risk Assessment
- Conceptualization of Suicide Risk
- Lethal Means Safety Counseling
- Strategies for how to Engage Veterans at High Risk
- Best Practices for Documentation
- Provider Support after a Suicide Loss (Postvention)
Who can request a consult? Any VA or community provider who works with Veterans with suicidal thoughts and/or behaviors.
- Mental health professionals
- Primary care clinicians
- Care Coordinators
- Other providers caring for Veterans
"The entire consultation was helpful. They gave me feedback/ideas on therapy, documentation, and self-care. They were supportive and encouraging. It was also so helpful they sent articles for me to read. I left the consultation feeling much better about the work I am doing, how to document and how to maintain self-care. I would highly recommend this service."
Our Guiding Model
The Suicide Risk Consultation Program is rooted within the framework of the Therapeutic Risk Management of the Suicidal Patient Model. With this as a guide, provider/consultant will work together to:
- Conduct and document clinical risk assessment
- Augment clinical risk assessment with structured instruments
- Stratify Risk in terms of both severity and temporality
- Develop and document a Safety Plan
The TRM model seeks to balance sometimes competing ethical concerns, allay an overly defensive mindset, and create a healthy space to provide the best overall patient care.
Please visit our Therapeutic Risk Management page for more information and other tools.
Notice for Non-VA Providers
The VA Suicide Risk Management Consultation Program for Community Providers offers education, training, information, and consultation regarding suicide risk assessment and management to non-VA healthcare professionals who care for Veterans outside of the VA sys-tem. These services are provided consistent with evidence-based/informed practices for suicide risk management and VA consensus statements such as the VA/DoD Clinical Practice Guideline for Assessment and Management of Patients at Risk for Suicide. Our goal is to enhance the care available to all Veterans at risk for suicide, whether they are receiving treatment within the VA system of care or elsewhere. We offer expert guidance on subjects that come up frequently in the course of caring for Veterans at risk for suicide. We cannot, however, provide direct guidance or consultation regarding the care of a specific Veteran, nor assume clinical responsibility for patients not under our care; any potential liability would be only in accordance with the Federal Tort Claims Act.
"The consultant was kind and encouraging. She gave me the space to talk about a very difficult client. I didn’t feel rushed and I felt like she really cared. This consultation gave me more confidence in my work with the Veteran. I’m very grateful we have these services available. It makes me feel that I’m not by myself when handling difficult cases."
VA Eastern Colorado Health Care System
1055 Clermont ST
Denver, CO 80220
Salt Lake City
VA Salt Lake City Health Care System
500 Foothill DR
Salt Lake City, UT 84148