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It evaluates three components—current suicidal thoughts, intent to act, and presence of planning—and provides structured action steps for each box, including documentation and resource referral decisions, with adaptation for study protocols.",{"@graph":14,"@context":72},[15,34,55],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/suicide-risk-flowchart-example1-risk-assessment-flowchart-and-brief-user-guide/163217/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/suicide-risk-flowchart-example1-risk-assessment-flowchart-and-brief-user-guide/163217.png","ImageObject",442,249,{"name":42,"@type":43},"Mia  ","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/vnd.openxmlformats-officedocument.wordprocessingml.document","2026-10-02","2026-08-31",true,{"@type":52,"interactionType":53,"userInteractionCount":33},"InteractionCounter",{"@type":54},"ViewAction",{"@type":56,"mainEntity":57},"FAQPage",[58,64,68],{"name":59,"@type":60,"acceptedAnswer":61},"What three components does the flowchart evaluate for suicide risk?","Question",{"text":62,"@type":63},"It evaluates current suicidal thoughts, intent to act on those thoughts, and development of a plan to act on them.","Answer",{"name":65,"@type":60,"acceptedAnswer":66},"What should researchers do if a participant does not endorse current suicidal thoughts?",{"text":67,"@type":63},"Researchers should classify as No Current Risk, typically provide no formal documentation, and generally do not provide a resource brochure or risk resources at that time.",{"name":69,"@type":60,"acceptedAnswer":70},"When should researchers proceed from Box 2 to Box 3?",{"text":71,"@type":63},"Researchers should move to Box 3 when the participant has current suicidal thoughts and some current intent to act, so that planning can be assessed.","https://schema.org",{"og:url":32,"og:type":74,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":76,"canonical":32},"index,follow",{"doc_id":78,"site_id":7},163217,1790004949,{"code":4,"msg":81,"data":82},"success",[83,88,93,98,103,108,112,117,122],{"id":84,"doc_module":22,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},11,"Presentations",90,"presentations",{"id":89,"doc_module":22,"doc_module_name":25,"category_name":90,"show_sort_weight":91,"slug":92},12,"Resumes",80,"resumes",{"id":94,"doc_module":22,"doc_module_name":25,"category_name":95,"show_sort_weight":96,"slug":97},14,"Invoices",70,"invoices",{"id":99,"doc_module":22,"doc_module_name":25,"category_name":100,"show_sort_weight":101,"slug":102},15,"Posters",60,"posters",{"id":104,"doc_module":22,"doc_module_name":25,"category_name":105,"show_sort_weight":106,"slug":107},16,"Social Media",50,"social-media",{"id":109,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":110,"slug":111},17,40,"forms",{"id":113,"doc_module":22,"doc_module_name":25,"category_name":114,"show_sort_weight":115,"slug":116},18,"Letters",30,"letters",{"id":118,"doc_module":22,"doc_module_name":25,"category_name":119,"show_sort_weight":120,"slug":121},21,"Paper Templates",5,"papers-templates",{"id":123,"doc_module":22,"doc_module_name":25,"category_name":124,"show_sort_weight":4,"slug":125},158,"General","general-158",{"code":4,"msg":81,"data":127},{"doc_id":78,"user_id":128,"nickname":42,"user_avatar":129,"doc_module":22,"category_id":109,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":33,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":33,"language":135,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":12,"update_tm":139,"read_time":26},687207024478,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","Determining Human Subject Suicide Risk: Risk Assessment Flowchart and Brief User Guide\nThe following flowchart was designed to help research personnel make thoughtful decisions regarding the level of a research participant’s suicidal risk. This flowchart can be used to help the research personnel 1) organize their process of asking questions and making decisions regarding risk level, 2) communicate effectively with clinical supervisors and research participants regarding safety concerns and next steps, and 3) determine and initiate appropriate action steps based on risk level to ensure participant safety.\nThe flowchart is designed to evaluate three main components of suicide risk: 1) current suicidal thoughts, 2) intent to act on suicidal thoughts, and 3) development of a plan to act on suicidal thoughts.\nThis flowchart is designed as a guide and may be adapted for individual research studies based on the study population and specific risk identification protocols. Please be sure to refer to your study protocols for additional details and action steps. It is also highly recommended that you collaborate with your facility Suicide Prevention Coordinator to determine the most appropriate risk assessment procedures.\n1) Initial endorsement of suicidal thoughts (Box 1): During a participant interaction, actively listen for indicators of increased risk for suicide. The participant may state suicidal thoughts explicitly (e.g., “I’m thinking of killing myself”), but more often, statements about suicidal thoughts will be mentioned implicitly (e.g., “I’m such a failure, I don’t think I want to try anymore”). It is important for the research personnel to determine if the thoughts are current and/or chronic (days, weeks – as determined by your protocol). In this specific flowchart example, Box 1 indicates an observation of suicidal thoughts (what the participant says or how they behave). Depending on the study design, you may also decide to put a specific measure item in this box that would trigger a suicide risk assessment (e.g., participant endorses item #__ on our suicide assessment questionnaire).\nIndicators of risk may include (but are not limited to):\nEndorsement of thoughts of suicide\nPassive thoughts (e.g. “I wish I could go to sleep and not wake up”, “Sometimes I just wish I wasn’t here anymore”), or\nActive thoughts (e.g. “I want to die”, “I can’t do this anymore”, “I want to make the pain stop”)\nEndorsement of intent to end their life, with or without a plan\nEndorsement of increase in risk factors for suicide\nTalking about wanting to die, great guilt or shame, being a burden to others\nFeeling empty, hopeless, trapped, or having no reason to live\nFeeling extremely sad, anxious, agitated, or full of rage\nExperiencing unbearable emotional or physical pain\nResearching ways to die\nIncrease in substance use or dangerous behaviors\nWithdrawing from friends, saying goodbye, giving away important items, or making a will\nNote: Identification of suicide risk triggers may be challenging for research personnel, even those with a clinical background. It is highly recommended that research personnel practice role plays with other study personnel to help them practice their active listening skills and ability to identify both explicit and implicit indicators of suicidal thoughts.\nAction Steps for Box 1:\nIf the participant DOES NOT endorse any current suicidal thoughts - No Current Risk\nNo formal documentation (risk assessment note) is typically necessary.\nThere is no need to provide a resource brochure or risk resources to the participant at this time.\nIf the participant DOES endorse current suicidal thoughts, research personnel must move to Box 2 to determine intention to act.\n2) Determination of suicidal intent (Box 2): If the participant endorses suicidal thoughts, the next step is to determine whether the participant has any intention to act on their suicidal thoughts. Some participants will have ongoing thoughts of wanting to die but will ha","cbCaii7yeuiXaHF7","https://ap.wps.com/l/cbCaii7yeuiXaHF7","docx",135480,"English","# Risk Assessment Flowchart and Brief User Guide\n## Purpose and scope\n## Core suicide risk components\n## Box 1: Initial endorsement of suicidal thoughts\n## Box 1 indicators of risk\n## Box 1 action steps\n## Box 2: Determination of suicidal intent\n## Box 2 intent-to-act considerations\n## Box 2 action steps\n## Box 3: Determination of suicidal planning","[{\"question\":\"What three components does the flowchart evaluate for suicide risk?\",\"answer\":\"It evaluates current suicidal thoughts, intent to act on those thoughts, and development of a plan to act on them.\"},{\"question\":\"What should researchers do if a participant does not endorse current suicidal thoughts?\",\"answer\":\"Researchers should classify as No Current Risk, typically provide no formal documentation, and generally do not provide a resource brochure or risk resources at that time.\"},{\"question\":\"When should researchers proceed from Box 2 to Box 3?\",\"answer\":\"Researchers should move to Box 3 when the participant has current suicidal thoughts and some current intent to act, so that planning can be assessed.\"}]","Suicide-Risk-Flowchart-Example1 - Risk Assessment Flowchart and Brief User Guide | DOCX",1788139656]