How do I use SAFE-T for suicide risk assessment?

The Suicide Assessment Five-Step Evaluation and Triage (SAFE-T) is a structured framework that supports suicide risk assessment, clinical decision-making, intervention, planning, and follow-up.

The five steps of SAFE-T

SAFE-T includes five steps:

  1. Identify Risk Factors
  2. Identify Protective Factors
  3. Conduct Suicide Inquiry
  4. Determine Risk Level & Intervention
  5. Document & Follow-Up

When can SAFE-T be used?

SAFE-T may be used:

  • At intake
  • During ongoing suicide risk assessment
  • When changes in a client's presentation indicate a need for reassessment

SAFE-T is a structured framework to support clinical decision-making and does not replace clinical judgment.

Additional resource

For additional guidance, see SAMHSA's SAFE-T: Suicide Assessment Five Step Evaluation and Triage

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