Lin Manuel is a 14 year old Latino male from Newark who is referred to you becau

Question

Lin Manuel is a 14 year old Latino male from Newark who is referred to you because he has been strugeling with suicidal ideations, His peers reported to his school counselor 2. that Lin was telling individuals he was recording tapes to send to people blaming them for the reason he was planning on committing suicide. His peers also reported that Lin was inspired by the show, 13 Reasons why, and said he wanted to “pull a Hannah Baker" where he would kill himself like the main character did. Additionally, Lin was heard saying that he planned on attending a school sponsored camping trip where he planned to kill himself and have his guidance counselor find his body in the woods. It was also reported that Lin was posting suicidal messages on snapchat and began giving away his possessions to his friends. How do you assess Lin Manuel for suicidality? What are the steps that need to be taken in order for you to complete a formal risk- assessment? What other steps should be taken to assess Lin for suicidality? Lastly, what should be done once the assessment is complete? 8

Explanation / Answer

Assessing Lin Manuel for suicidal assessment, we would require to conquer as much information as possible from his circle of friends & acquaintances. This would help in creating anecdotal evidences that support our findings regarding his suicideal ideations. Columbia-Suicide Severity Rating Scale (C-SSRS) is one of the significant tools to assess a person in this regard. The same can be undertaken to do a formal risk assessment in the case.The Columbia Suicide Severity Rating Scale, or C-SSRS, is a suicidal ideation rating scale created by researchers at Columbia University to evaluate suicidality in children ages 12 and up. It rates an individual's degree of suicidal ideation on a scale, ranging from "wish to be dead" to "active suicidal ideation with specific plan and intent." Questions are phrased for use in an interview format, but the C-SSRS may be completed as a self-report measure if necessary. The scale identifies behaviors which may be indicative of an individual's intent to complete suicide. An individual exhibiting even a single behavior identified by the scale was 8 to 10 times more likely to complete suicide.

Once the assessment is complete, the adolescent should be given counseling services in order to change his intention towards suicide. Also, parent & peer training to ensure his safety. This would incorporate decoding his thoughts, intentions, motivations towards his inner circle so that they can remain vigilant for any such attempts by the person.

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