How to set up suicide precautions
Other platforms explain it with text and video. In VMS you practice it on the patient.
Suicide in health care settings is a Joint Commission patient safety goal. Clear precautions keep an at-risk patient safe until treatment starts working.
Step by step
Screen every patient
Use a validated screening tool, and ask directly about suicidal thoughts. Asking does not increase risk. [1]
Assign close observation
For high risk, keep the patient in direct sight at all times, per the order and policy. [1]
Make the room safe
Remove cords, belts, sharp items, plastic bags and anything that can be used to hang or cut. [1]
Check belongings
Search belongings and visitor items per policy. Give meals with safe utensils. [2]
Talk with the patient
Explain the precautions calmly and with respect. Listen and offer support. [3]
Hand off carefully
Never leave the patient alone during shift change. Give a clear verbal handoff of the risk level. [1]
Document the care
Record the risk level, observations and any changes in mood or behavior. [4]
Common errors
- Leaving the patient alone in the bathroom.
- Missing cords or belts in the room.
- Avoiding asking directly about suicide.
Practice it in VMS
In VMS you do this on the patient, not on paper: every step goes on the checklist with a score, and in Teach mode Blocky tells you what comes next.
VMS cases that train this skill
Sources
- The Joint Commission, National Patient Safety Goals
- Open RN, Nursing Fundamentals 2e (CC BY 4.0)
- AHRQ Health Literacy Universal Precautions Toolkit (Teach-Back)
- NCSBN 2026 NCLEX-RN Test Plan
Facts and steps follow The Joint Commission, National Patient Safety Goals. VMS is not affiliated with these organizations. Updated: 2026-10-11.