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The Door Switch Difference

Due to the rising trend of inpatient suicide, The Joint Commission is urging behavioral health facilities to protect their doors.

Goal 15

The organization identifies safety risks inherent in the population of the individuals it serves.

NPSG.15.01.01

Identify individuals at risk for suicide.

–Rationale for NPSG.15.01.01–

Suicide of an individual served while in a staffed, round-the-clock care setting is a frequently reported type of sentinel event. Identification of individuals at risk for suicide while under the care of or following discharge from a health care organization is an important step in protecting these at-risk individuals.

Elements of Performance for NPSG.15.01.01


  1. Conduct a risk assessment that identifies specific characteristics of the individual served and environmental features that may increase or decrease the risk for suicide.
  2. Address the immediate safety needs and most appropriate setting for treatment of the individual served.
  3. When an individual at risk for suicide leaves the care of the organization, provide suicide prevention information (such as a crisis hotline) to the individual and his or her family.

Please click on the below links to explore this rising concern.

Within inpatient psychiatric settings exists evidence of a significant risk of violent incidents and incidents of deliberate self-harm. One of the ...
In the article Designing for Behavioral Health Facilities authors Sine and Hunt explain the unique design requirements of behavioral health facili...
In the article Inpatient Suicides: Recommendations for Prevention published by the Joint Commission in 1998, we see the first mention of inpatient ...
In the article Safety Goals for Behavioral Health, The Joint Commission explains that patients risk for suicide is a concern and hospitals should ...
Suicide prevention in psychiatric facilities present a unique set of problems. While no facility can be entirely safe and risk free, the majority o...
In the article Reviving and Managing your Contingency Plan authors Hunt and Sine discuss the

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