MIRECC / CoE
Rocky Mountain MIRECC for Suicide Prevention

Updated: 13 February 2019
Therapeutic Risk Management of the Suicidal Patient
About TRM
The Rocky Mountain MIRECC model of Therapeutic Risk Management of the Suicidal Patient is a clinically and medicolegally informed model for the assessment and management of suicide risk. It involves three main components:
- Augmentation of clinical risk assessment with structured instruments
- Risk stratification with respect to both severity and temporality
- Collaborative development of a safety plan
The model and its components are fully described in a series of four articles published in the Journal of Psychiatric Practice (see below under resources).
Presentations
Presentation by Bridget Matarazzo, PsyD on 24 September 2015 - Download the presentation PDF here
Watch the 2015 DCoE Webinar: Therapeutic Risk Management of the Suicidal Patient.
Risk Stratification Tool

The Risk Stratification Table is a tool designed to:
- help providers make determinations regarding suicide risk levels with respect to severity and temporality and to
- aid in suicide risk management clinical decision making.
A copy can be downloaded here.
Order multiple laminated copies on our Educational Products page.
VA Suicide Risk Management Consultation Program
Providing care for Veterans at risk of suicide may feel like a daunting responsibility. Why worry alone? The Rocky Mountain MIRECC offers free, one-on-one consultation for any provider (community as well as VA) who works with Veterans.
Tools + Support + Evidence-based Knowledge = Better Outcomes
Ask for an SRM consult by emailing srmconsult@va.gov
Visit the VA Suicide Risk Management Consultation Program website
Resources
Links to articles about TRM:- A Model for Therapeutic Risk Management of the Suicidal Patient
- Therapeutic Risk Management of the Suicidal Patient: Augmenting Clinical Suicide Risk Assessment with Structured Instruments
- Therapeutic Risk Management of the Suicidal Patient: Stratifying Risk in Terms of Severity and Temporality
- Therapeutic Risk Management of the Suicidal Patient: Safety Planning
Also, Dr. Greg Brown’s Review of Suicide Assessment Measures for Intervention Research with Adults and Older Adults
Links to safety planning resources:
Join the TRM Mailing List
You can sign-up for the TRM mailing list and receive notices such as the soon-to-be-released laminated Risk Stratification Tool!
