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:

1. Augmentation of clinical risk assessment with structured instruments
2. Risk stratification with respect to both severity and temporality
3. 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).

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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.

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Risk Stratification Tool

The Risk Stratification Table is a tool designed to:

1. help providers make determinations regarding suicide risk levels with respect to severity and temporality and to
2. aid in suicide risk management clinical decision making.

A copy can be downloaded here.

Order multiple laminated copies on our Educational Products page.

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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

1. A Model for Therapeutic Risk Management of the Suicidal Patient
2. Therapeutic Risk Management of the Suicidal Patient: Augmenting Clinical Suicide Risk Assessment with Structured Instruments
3. Therapeutic Risk Management of the Suicidal Patient: Stratifying Risk in Terms of Severity and Temporality
4. 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:

• Safety Plan Treatment Manual to Reduce Suicide Risk
• Safety Plan Quick Guide for Clinicians

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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!

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