It is important to follow-up within an appropriate period of time for the situation. However, this step is often overlooked and often, people with ID or ASD do not wish to re-discuss a MAAS episode once it is over.
The follow-up should be performed byt the clinical team providing usual care to the person.
|The Suicide Prevention Plan – Follow-up (SPP-F) aims to support the professional when conducting a post-suicidal episode follow-up.|
Follow-up objectives as part of suicidal episode management
- Verify that the MAAS episode has run its course and that it is not a transient fluctuation.
- Enrich the understanding of the consequences of a MAAS episode and its progress over time.
- Adjust the plan according to the person’s evolution
- Verify the effectiveness of interventions performed during the management of the suicidal episode.
- Show the person that what happened is taken into account and is important.
Observe: Sources of information and follow-up indicators
The Suicide Prevention Plan – Follow-up (SPP-F) helps collect the relevant information at this point. It is usually done a few hours to a few days after the initial intervention (e.g., implementation of the Suicide Prevention Plan – Episode (SPP-E). See Act: intervening to manage the suicidal episode):
- Changes in the suicide-related manifestations (MAAS)
- Changes in trigger events
- Changes in current risk and protective factors
Decide: Decision made from analysis
The central questions at the follow-up are:
- Are there any changes in the person’s short-term danger? Yes/no
- Are adaptations to the intervention (SPP-E) necessary? Yes/no
Act: Adapting the suicidal episode management
Changes observed at follow-up allow to identify necessary adaptations of the intervention (SPP-E). The adaptations are meant to increase or reduce the close monitoring, adjust interventions and the intensity of the implemented measures.
|It may be necessary to change the Suicide Prevention Plan – Episode (SPP-E) following the post-suicidal episode follow-up. The SPP-E is used during the third phase of suicidal episode management (Act).|
For more details, refer to the document Post-Suicidal Episode Follow-Up.
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