Child and adolescent suicide and self-harm assessment — OSCE communication station

Station objectives

1. Ask directly and kindly about suicidal ideation, plan, intent and means access. ^{[2] [1]}
2. Stratify risk using the C-SSRS dimensions and weigh against protective factors. ^{[1] [4]}
3. Co-build a written safety plan and deliver means restriction counselling to a carer. ^{[6] [5]}
4. Recognise imminent risk and act — constant observation, remove means, crisis pathway, do not discharge alone. ^[3]