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Suicidal Assessment

Using SLAP assessment what is the current level of risk?
- From the solution focused perspective: what 3 questions should be asked and why?
- What questions might you use from the Suicide Resilience Inventory by Rutter, et, al.?
- What does the research say about suicide contracts and safety plans?

Case:
Lupita is a 16 year old female who feels no one cares about her. She used to be a good student and getting A's but her parents never notice her. Her father is at work all the time and the weekends he spends sleeping. She feels her mother does not understand her and always criticizes how she dresses. Lupita is also going through many changes and feels unattractive added to the fact that boys at school make fun of her. She has threatened her parents to end her life and her mother thought that she needed help.

Solution Preview

Suicidal Client Assessment
Using SLAP assessment what is the current level of risk?

SLAP is an acronym for a method developed by Dr.Kenneth Morris to assess the risk of suicide. The assessment scale is indicated below (not the exact items on the scale, but similar) to evaluate suicide ideation.

(a) S: Specificity of plan -- does the person have social support? Someone with little or no social support is at higher risk; (b) L: Lethality -- If the person has a plan, how lethal is the method? A gun is more lethal than a pill overdose, (c) A: Availability of means -- this is availability of method to inquire about the availability of method to carry out the plan. Does the person have the pills or would they have to get them? Do they have the bullets on hand, or have to get them? and (d) P: Proximity to others-How isolated is the client? Are there others around to interfere with the plan [e.g., hide guns or pills] (taken from the SLAP Assessment Scale, http://ssw.umich.edu).
Relative to the case study, to determine the level of suicide risk for Lupita, a counselor/practitioner would have to interview her to determine whether she has a specific plan to end her life. Her threats to kill herself could indicate the need for more positive attention, or a cry for help. Based on the SLAP Assessment scale, if she reveals a specific plan, and an available method by which she has chosen to take her life, it would indicate that she is at high risk for suicide.

(2) From the solution focused perspective: what 3 questions should be asked and why?

The assessment process in Solution-focused therapy centers around five focus-based questions including: (a) goals, (b) scaling, (c) miracle questions, and (d) exception. The goal-directed question focuses on what will be ...

Solution Summary

This solution explains the SLAP assessment inventory to assess the leve of risk for suicide.

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