Crisis Assessment
Comprehensive framework for assessing suicide risk, identifying protective factors, and determining appropriate response levels.
Risk Assessment Levels
Low Risk
No current suicidal ideation, strong protective factors
Response: Continue with AI support, provide coping strategies
Moderate Risk
Passive or occasional suicidal ideation, some protective factors
Response: Conduct detailed assessment, consider escalation
High Risk
Active suicidal ideation with specific plan and means
Response: IMMEDIATE ESCALATION to human counselor
Imminent Risk
Intent to attempt suicide now, in possession of means
Response: EMERGENCY ESCALATION - Contact 144
Suicide Risk Factors
Previous Suicide Attempts
Increases risk significantly
Specific Plan and Means
User has plan and access to means
Recent Loss or Stressor
Major life stressor or loss
Hopelessness and Despair
Feeling hopeless about future
Isolation and Lack of Support
Social isolation and loneliness
Substance Abuse
Active substance use disorder
Protective Factors
Strong Social Support
Family, friends, community connections
Reasons for Living
Children, family, goals, responsibilities
Meaningful Activities
Engagement in valued activities
Religious or Spiritual Beliefs
Faith, spirituality, moral beliefs
Access to Mental Health Treatment
Therapy, medication, counseling available
Coping Skills and Resilience
Ability to manage stress and adversity
Screening Questions (ASQ Framework)
Four-Question Suicide Screening
Quick assessment tool (20 seconds to administer)
Q1: Passive Ideation
"In the past few weeks, have you wished you were dead or wished you could go to sleep and not wake up?"
Q2: Active Ideation
"In the past few weeks, have you actually had any thoughts about killing yourself?"
Q3: Attempt History
"Have you ever tried to kill yourself?"
Q4: Current Acute Risk
"Right now, are you having thoughts about killing yourself?"