Assess self-harm and co-create a crisis safety plan — CASC communication station

Station brief

Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar in the emergency department. The patient is medically cleared. [1]

Candidate instructions. Establish rapport using non-stigmatising language. Assess the self-harm episode including intent continuum and functions. Explore current risk, supports, and means. Collaboratively create a safety plan including means restriction and crisis contacts. Agree follow-up. Do not use a no-suicide contract. Avoid graphic method coaching. Check understanding. The examiner plays the patient. [1][2]