What is the first step to keeping a subject safe during a suicidal crisis?

The first step to keeping a subject safe during a suicidal crisis involves conducting a continuing threat assessment. This approach is crucial because it allows the responding officer or mental health professional to evaluate the immediate risks associated with the individual's behavior, environment, and mental state. By assessing these elements, individuals can identify potential dangers that could lead to self-harm or harm to others.

Conducting a continuing threat assessment is foundational in crisis intervention as it not only helps in making informed decisions about the safest approaches to take but also guides subsequent actions, such as engaging in conversation or showing empathy. The safety of the subject is paramount, and understanding their mindset and circumstances facilitates the development of an appropriate response plan.

In contrast, while getting the person to talk, showing empathy, and negotiating solutions are all important in addressing the needs of someone in crisis, these strategies typically follow the initial assessment. If the immediate threats are not properly understood, any attempts to engage with the individual could unintentionally exacerbate the situation or compromise their safety. Therefore, a thorough and continuing assessment is the essential first step in effectively managing a suicidal crisis.