What have we gained from today

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What have we gained from today?
High Secure Services
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• Suicide (and serious suicide attempts) have an
  impact on staff
• Staff have to be cared for too
• Is suicide preventable ?
• Risk of suicide can be managed but we have to be
  realistic risk cannot be eliminated
• Talk of prevention implies inadequate practice
• Risk management starts at the beginning of care
  its integral to good care

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• Improve your understanding of suicide in clients
  of mental health services
• Work on your risk assessment and management
  knowledge and skills
• Read up-to-date articles (CPD), attend training,
  use supervision
• Evaluate the quality of your work against
  national standards and guidelines
• Promote a culture of positive risk management

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• Good practice is driven by formulations not ticks
  in boxes
• Think about the evidence before you
• Think about the implications of labels like high,
  medium or low risk
• Make your assessments count - communicate your
  findings to appropriate others
• Examine your own attitudes to suicide
• You can make a difference

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• Communication and information-sharing is
  essential
• Dont keep your good practice to yourself
• Multiagency involvement enables enhanced ECC
• Listen to those who are the experts in the
  service user carers
• Disregard at your peril

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• Know the relevant policies
• And adhere to them
• We need to do more
• To keep your paperwork down
• To offer guidelines on good practice (which
  doesnt involve more forms) and multiagency
  working
• To make the recommendations of Inquiries more
  easily available

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• Your decisions are likely to be regarded as
  acceptable if you can demonstrate that
• You conformed to the relevant Trust/locality
  policies and procedures and national guidelines
• You used the best information available, you
  tried to obtain the information you did not
  possess
• You used empirically-based methods of evaluating
  the information you had
• You can account for your decisions and chosen
  courses of action, and you documented your
  decision-making appropriately
• You informed the most appropriate people
• You took all reasonable steps to try to manage
  risk