Comprehensive Suicide Assessment

Risk Factors

SAFE-T 1

Acute / Current

Chronic / Historical

History of attempt History of self-injury Chronic / recurrent SI Psychiatric history Substance use disorder Trauma / adversity Family history Medical / pain factors Isolation / limited support

Protective Factors

SAFE-T 2

Internal

Reasons for living Future orientation / goals Coping skills Desire to live Willingness to seek help Spiritual / cultural beliefs

External

Supportive relationships Engagement in treatment Responsibility to others Safe / supervised environment Restricted access to means Stability / structure Established safety plan

Suicide Inquiry

SAFE-T 3

Record the findings you assessed. Detailed prompts and your own wording are both available.

Thoughts

Thoughts / timeframe

Detailed thought prompts

Frequency

Duration

Controllability

Easily controlled Some effort Difficult to control Unable to control Unclear

Deterrents

Clearly prevent action Probably prevent action Uncertain Unlikely to prevent action No identified deterrents

Reasons for ideation

End / escape pain Communicate distress / influence Mixed reasons Unclear

Plan, access & preparation

Plan / access / preparation

Detailed plan and access prompts

Access to means

Denied / none identified Possible access Confirmed access

Preparation

None Possible / unclear Active preparation

Additional context

Behavior & history

Behavior / history

Detailed behavior prompts

Preparatory behavior Aborted attempt Interrupted attempt Actual attempt Non-suicidal self-injury

Most recent behavior

Additional context

Intent

Denied Unclear Present Not assessed

Intent / ambivalence

Risk Level & Next Steps

SAFE-T 4

Clinical Risk Formulation

Current (Acute) Risk

Current risk in the immediate clinical context.

Not selected

Baseline (Chronic) Risk

Long-term baseline risk based on enduring and historical factors.

Not selected

Interventions

Recommended Level of Care

Continue outpatient care Urgent consultation Crisis evaluation Emergency department Hospitalization

Generated Documentation

SAFE-T 5

Output style

Framework labels show where each section corresponds to SAFE-T and C-SSRS concepts. This is not an official C-SSRS form or a substitute for training, policy, or clinical judgment.