Tools and Training - MIRECC / CoE
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Tools and Training

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If you are a Veteran, patient or concerned family/friend in need of suicide prevention assistance, please call:

Veterans Crisis Line 1-800-273-8255 Press #1

The Suicide Risk Management Consultation Program (SRM) provides free education and resources that promote therapeutic best practices for community or VA providers working with Veterans at risk for suicide.

On this page, you will find useful resources in the following categories:

At any point in time, you are also welcome to schedule a free consultation with SRM experts to learn about these tools and how you can use them in your practice.

Clinical Tools

SRM provides clinical tools to assist providers in delivering therapeutic risk assessment and management. These resources are often discussed during consultation calls where we help apply them to a specific case or clinical question.

VA/DoD Suicide Clinical Practice Guidelines (CPGs)

The guideline describes the critical decision points in the management of suicidal self-directed violence and provides clear and comprehensive evidence-based recommendations incorporating current information and practices for practitioners throughout the DoD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients with SRB.

Risk Stratification

Feel confident when evaluating and documenting a Veteran's level of risk of suicide. As a best practice, we recommend documenting both acute and chronic levels of risk. Learn more and download the Risk Stratification tool.

Download examples of how to document your risk stratification.

Risk-Benefit Analysis

SRM consultants commonly talk to providers who feel confident about their clinical decision making but are unsure of the best way to document it in the medical record. We recommend documenting a risk-benefit analysis. Accurate medical record documentation increases communication between a patient's caregivers and leads to more informed decision making.

For best practices and documentation strategies, download Risk-Benefit Analysis documentation examples.


Suicide risk assessment completed via clinical interview can be augmented with objective measures. Thorough assessment of protective factors, including reasons for living, is an important area to explore. SRM recommends using the reasons for living (RFL) inventory, a self-report questionnaire that measures clients' expectancies about the consequences of living versus suicide and assesses the importance of various reasons for living. Access the RFL Inventory.

Safety Planning During COVID-19

The current outbreak of COVID-19 may impact Veterans’ ability to engage in previously identified coping strategies on a Safety Plan. Learn more about ways to modify Safety Plans to be most effect in the context of COVID-19.

SRM Lecture Series

SRM Lecture Series is a free, live webinar offered on the 2nd Wednesday of every month from 2-3pm EST. The lectures cover a range of topics related to suicide risk management and best practices for providers working with Veterans at risk for suicide.

Providers Working in Suicide Prevention: Personal Perspectives on Self-Care, Sustainability and Post-Traumatic Growth

September 9, 2020 2:00 ET

Monireh Moghadam, LCSW and TJay Wiechman, RN

This month's SRM lecture will focus on the importance of self-care and sustainability for providers and healthcare teams who work with individuals who are at higher risk for suicide. Listen as one presenter reflects on the experience of post-traumatic growth, recovery, and healing in the wake of a colleague's death by suicide.

Monireh Moghadam, LCSW and TJay Wiechman, RN
Recorded Lecture Coming Soon

Suicide Postvention

August 12, 2020 2:00 ET

Dr. Sarra Nazem

This month's SRM lecture is presented by Dr. Sarra Nazem who will discuss suicide postvention, the organized response that occurs after a suicide loss and is an essential element of a comprehensive suicide prevention approach. By providing immediate and ongoing support to those impacted by a suicide loss, suicide postvention policies and practices serve an important function in reducing risk and promoting healing after suicide. Despite its importance, many providers report a lack of suicide postvention education and awareness.

Dr. Sarra Nazem
Access the Recording in TMS  TRAIN Recorded Lecture Coming Soon

A Patient-Centered Approach to Lethal Means Safety with Veterans

July 8th, 2020 2:00 ET

Dr. Ryan Holliday & Dr. Lindsey Monteith

This month's SRM lecture is presented by Dr. Ryan Holliday and Dr. Lindsey Monteith who will discuss Lethal Means Safety (LMS) — a strategy for preventing suicidal self-directed violence by reducing access to lethal means (e.g., excess medication, firearms) when suicide risk is elevated. The training will provide guidance on how to apply a patient-centered approach to assess lethal means access, particularly with Veterans.

Dr. Ryan Holliday and Dr. Lindsey Monteith

Using Chain Analysis to Assess and Intervene on Suicidal Ideation and Behavior

June 10th, 2020 2:00 EST

Dr. Sean Barnes & Dr. Lauren Borges

This month's SRM lecture is presented by Dr. Sean Barnes and Dr. Lauren Borges who will discuss using chain analysis as a critical strategy for therapeutic risk management of suicidal ideation and behavior. The focus will be on the purpose of chain analysis and discovering new strategies for intervening on suicidal ideation and behavior, the impact of positive and negative reinforcement, and how to apply the components of the chain as an intervention strategy.

Dr. Sean Barnes and Dr. Lauren Borges

Safety Planning — Basics and Beyond

May 13th, 2020 2:00 EST

Dr. Megan Harvey & Dr. Suzanne McGarity

This month's SRM Lecture is presented by Drs. Harvey and McGarity who will discuss the important role of safety planning as an essential tool in suicide prevention efforts. The focus will be on the basics and reasons for safety planning, the concept of the suicide risk curve, and how best to meet the needs of Veterans in unique circumstances.

Dr. McGarity

Why Suicide Risk Assessment Matters

April 8th, 2020 2:00 EST

Dr. Bridget Matarazzo & Dr. Hal Wortzel

The inaugural SRM Lecture is presented by Drs. Matarazzo and Wortzel who will discuss the necessary role of suicide risk assessment in mental health practice. The focus will be on therapeutic risk management, a patient-centered model, that will ensure optimal care for Veterans.

Drs. Matarazzo and Wortzel


These trainings offer basic and advanced information relevant to Veteran suicide prevention.

SAVE Training through PsychArmor

Developed in collaboration with the United States Department of Veterans Affairs (VA), this SAVE training strives to empower providers to play a vital role in suicide prevention. Training objectives include a greater understanding of suicide in the United States and how to identify and engage a Veteran at risk of suicide.

Learn about SAVE

Therapeutic Risk Management (TRM) of the Suicidal Patient

TRM is a clinically and medicolegally informed model for the assessment and management of suicide risk. SRM is founded in the principles of TRM.

Learn about TRM

Lethal Means Safety Counseling

Facilitating lethal means safety counseling is a key component to suicide prevention; these trainings offer information about lethal means that can be used to engage patients in a meaningful discussion about this important topic. CEU's are available for both VA and non-VA providers.

Learn about Lethal Means Safety Counseling

Health Services Research & Development (HSR&D) Cyberseminar Series

HSR&D Cyberseminar Series offers state-of-the-art training and special interest sessions, such as the Spotlight on Suicide Prevention series (search "Suicide Prevention" to find this series). CEU's are available if you register before the upcoming webinars.

Find upcoming and archived presentations