Protocols or principles? Reimagining suicide risk assessment as an embedded, principle-based ongoing conversation in youth work practice

ABSTRACT

Given that suicide is a leading cause of death for young people worldwide, it is likely that youth workers will encounter adolescents who are contemplating ending their lives. Drawing on a larger grounded theory investigation into suicide interventions, in this article the practice of appraising a young person's risk is critically examined using textual analysis of assessment tools and agency policies in conjunction with 19 semi-structured interviews in Western Canada. Analysis revealed that youth workers use a series of predetermined questions with the purpose of identifying the youth's risk level (i.e., high, medium, low) leading to a particular action, which suggests that suicide is predictable and risk is static. This process renders workers blind to the fluidity and uncertainty of suicidality and posit suicide intervention may be reimagined as an embedded, ongoing conversation based on youth work principles.

KEYWORDS:

• grounded theory
• suicide intervention
• youth work