What is the first step in responding to a positive SI screen?

Responding to a positive suicide ideation (SI) screen begins with the step of assessing, referring, and following up because it is essential to evaluate the severity and immediacy of the individual’s situation. This process involves conducting a comprehensive assessment to understand the individual’s mental state, potential risks, and the context of their feelings.

By prioritizing assessment, the practitioner can identify whether there is an imminent risk of harm to the individual or if there are protective factors in place. Following the assessment, referral to appropriate mental health services may be necessary to ensure that the individual receives the support and treatment they need. Finally, following up is critical to ensure that the individual is progressing and to provide continued support.

While documenting the response, contacting emergency services, and discussing available resources are important components of the overall response to a positive SI screen, they should come after the initial assessment and evaluation of the individual’s needs. The priority must be to understand the situation fully before taking further action, ensuring that responses are appropriate and effective for the individual's specific circumstances.