What should the NHS 111 approach be if a caller reports feeling suicidal or at high risk of self-harm?

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Multiple Choice

What should the NHS 111 approach be if a caller reports feeling suicidal or at high risk of self-harm?

When someone reports feeling suicidal or at high risk of self-harm, the priority is safety. The NHS 111 responder should first carry out a mental health risk assessment to gauge how immediate the danger is, whether there is a concrete plan, and what level of support is needed. Based on this assessment, a safety plan should be developed with the caller—this includes steps to reduce risk, identifying someone who can provide immediate support, and arranging appropriate help. If the risk is high or there are signs of imminent danger, escalate to urgent mental health crisis services promptly. In true emergencies, involve emergency services. It is not appropriate to dismiss the concern, document without action, or direct the caller to self-help resources without an assessment, as that would miss critical risk and safeguarding needs.

When someone reports feeling suicidal or at high risk of self-harm, the priority is safety. The NHS 111 responder should first carry out a mental health risk assessment to gauge how immediate the danger is, whether there is a concrete plan, and what level of support is needed. Based on this assessment, a safety plan should be developed with the caller—this includes steps to reduce risk, identifying someone who can provide immediate support, and arranging appropriate help. If the risk is high or there are signs of imminent danger, escalate to urgent mental health crisis services promptly. In true emergencies, involve emergency services. It is not appropriate to dismiss the concern, document without action, or direct the caller to self-help resources without an assessment, as that would miss critical risk and safeguarding needs.

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