Ligatures and/or Suicide Risk Reduction - Monitoring High-Risk Patients

What is the monitoring requirement for patients at high risk for suicide? 

Any examples are for illustrative purposes only.

In units/areas that contain ligature and/or other safety risks, patients determined to be at high-risk for suicide must be under continuous observation with the ability to immediately intervene through the use of 1:1 observation - 1 qualified staff member to 1 high risk patient. A qualified staff member is one that has been trained and has demonstrated competence in working with suicidal patients and performing 1:1 observation. 

In inpatient psychiatric units/designated psychiatric areas that are ligature resistant and free from other safety risks, it is up to the organization to determine monitoring requirements for patients determined to be at high-risk for suicide and define such in their policy. 

Additional Resources: 
Suicide Prevention Portal 
Last updated on March 19, 2020
Manual: Hospital and Hospital Clinics
Chapter: National Patient Safety Goals NPSG

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