. Dr. Sommers-Flanagan’s suicide risk assessment identifies where Tommi is curre

. Dr. Sommers-Flanagan’s suicide risk assessment identifies where Tommi is currently: cognitively, physically, and socially because a negative affective impacts these three main areas of an individual’s life. After the cognitive triad, physical, and social relationships assessment; Dr. Sommers-Flanagan begin to ask more direct questions about Tommi’s thoughts on suicide. He mentioned in the review that he wished he assessed for frequency, duration, and intensity (Sommers-Flanagan, J., & Sommers-Flanagan, R., 2014) . However, I believe he did somewhat touch on these points. He asked Tommi how often did she think about suicide: “most of the day, part of the day etc..”; he asked her if her suicidal thoughts were active (here’s how I think I might kill myself) or less active (I kinda wish i was dead) (Sommers-Flanagan, J., & Sommers-Flanagan, R., 2014). I believe that this type of assessment is very thorough and important to gather necessary information.
For Tommi’s safety plan, for the first week, I would ask her to start with creating a regular workout routine. She expressed interest in working out and I believe that is something that is within her control and at her leisure, thus it could be done at anytime, whereas calling her sister might not be effective if her sister is unavailable. Also, I would give her a mood log, to record when she is feeling some type of way because maybe there is a pattern or unidentified triggers.
The risk assessment I would use is the World Health Organization Disability Assessment Schedule 2.0, this would be effective because this assessment examines six domains: understanding/communicating, getting around, self- care, getting along with people, life activities, and participation in society (American Psychiatric Association, 2013). Tommi being active in these area will reduce her risk of suicide, thus using this assessment throughout the treatment will be a great tool to keep up with Tommi’s progression. The article indicates this measure can be used overtime (American Psychiatric Association, 2013).
Considering Tommi’s cultural background, I would adjust the social aspect of pushing her to talk about her bouts of depression with her friends, just because of the strong stigma around mental disorders in many minority communities. It would be best to allow Tommi to decide when and who she is ready to disclose information.
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