安全评估 Asking About Suicide and Safety Plans

By the end of this module you can…

• Hear indirect warnings such as 活着没意思 and 不想拖累家人, and ask about suicide directly.
• Ask about thoughts, method, intent, plan and past attempts, in order and calmly.
• Ask what keeps the patient going, and listen for the part of them that wants to live.
• Build a six-step safety plan together, including a safer home.
• Explain 988 and 911, and say honestly when safety comes before confidentiality.

Key vocabulary

Sixteen words from this module. Tap the speaker to hear each one.

Thoughts and risk

• 自杀念头zì shā niàn touSuicidal thoughts
• 计划jì huàPlan
• 打算dǎ suànIntention, to intend
• 准备zhǔn bèiPreparation, to prepare
• 自杀未遂zì shā wèi suìSuicide attempt
• 负担fù dānBurden
• 风险fēng xiǎnRisk
• 危机wēi jīCrisis

Safety and help

• 安全计划ān quán jì huàSafety plan
• 警示信号jǐng shì xìn hàoWarning signs
• 求助qiú zhùTo ask for help
• 热线rè xiànHotline, helpline
• 急诊室jí zhěn shìEmergency room
• 锁起来suǒ qi laiTo lock away
• 保管bǎo guǎnTo keep (something) safe for someone
• 活下去的理由huó xia qu de lǐ yóuReasons for living

Ten core phrases

The lines from this module’s take-home phrase sheet. In the course you can print them on one page for your pocket.

1. 您有没有想过自杀？Nín yǒu méi yǒu xiǎng guo zì shā?Have you had any thoughts of suicide?
2. 这些想法最近一次是什么时候？Zhè xiē xiǎng fǎ zuì jìn yí cì shì shén me shí hou?When was the last time?
3. 您有没有想过用什么方法？Nín yǒu méi yǒu xiǎng guo yòng shén me fāng fǎ?Have you thought about how you might do it?
4. 您有没有打算去做？有没有想好具体怎么做、什么时候做？Nín yǒu méi yǒu dǎ suàn qù zuò? Yǒu méi yǒu xiǎng hǎo jù tǐ zěn me zuò, shén me shí hou zuò?Do you intend to do it? Have you worked out how, or when?
5. 您以前有没有试过结束自己的生命？Nín yǐ qián yǒu méi yǒu shì guo jié shù zì jǐ de shēng mìng?Have you ever tried to end your life?
6. 是什么让您坚持到现在？Shì shén me ràng nín jiān chí dào xiàn zài?What has kept you going until now?
7. 我们今天一起做一个安全计划，好吗？Wǒ men jīn tiān yì qǐ zuò yí ge ān quán jì huà, hǎo ma?Shall we make a safety plan together today?
8. 家里有没有枪，或者很多药？Jiā lǐ yǒu méi yǒu qiāng, huò zhě hěn duō yào?Any guns, or a lot of medicine, at home?
9. 撑不住的时候，可以打电话或者发短信给988。Chēng bu zhù de shí hou, kě yǐ dǎ diàn huà huò zhě fā duǎn xìn gěi jiǔ bā bā.When you can’t hold on, call or text 988.
10. 如果我担心您有生命危险，我必须找人帮忙。Rú guǒ wǒ dān xīn nín yǒu shēng mìng wēi xiǎn, wǒ bì xū zhǎo rén bāng máng.If I’m worried for your life, I have to get help.

What’s in Module 6

1. Part 1 · Warm-UpWarm-Up: Hard Questions
2. Part 2 · The Words for SafetyReading the Pinyin · Saying 不想活了 vs. Charting 自杀意念 · Vocabulary · Flash Cards · Six Questions, in Order
3. Part 3 · Asking DirectlyThe Safety Script · Asking Without Flinching · Key Patterns · Thoughts, Plan, Intent · Past Attempts and Risk · Reasons for Living
4. Part 4 · Safety PlanningBuilding a Safety Plan · Making Home Safer · 988 and 911
5. Part 5 · Concerns & Next StepsWhat Patients Say · When Safety Comes First · Putting It Together
6. Part 6 · Role-PlayRound 1 · Guided Conversation · Round 2 · Controlled Practice · Rounds 3, 4 & 5 · Independent
7. Part 7 · Knowledge CheckModule 6 Knowledge Check
8. Part 8 · Wrap-UpModule 6 Homework · Take-Home Phrase Sheet · Module 6 Wrap-Up · 下次见