I. Understanding Suicide and You Tip 1: Reflect on Your Biases about Suicide Tip 2: Take Stock of Your Experiences with Suicide (or Lack Thereof) Tip 3: Confront "Suicide Anxiety" Tip 4: Be Alert to Negative Feelings Toward the Suicidal Person Tip 5: Reject the Savior Role Tip 6: Maintain Hope II. Overcoming the Taboo Tip 7: Face Your Fears Tip 8: Directly Ask about Suicidal Thoughts Tip 9: Turn to Techniques for Eliciting Sensitive Information Tip 10: Embrace a Narrative Approach: "Suicidal Storytelling" Tip 11: Ask about Suicidal Imagery, Too Tip 12: Uncover Fears of Hospitalization and Other Obstacles to Disclosure III. Joining with the Suicidal Person Tip 13: Recognize that, for Some People, You are an Enemy Tip 14: Avoid Coercion and Control Whenever Possible Tip 15: Resist the Urge to Persuade or Offer Advice Tip 16: Understand the Person's Reasons for Dying Tip 17: Validate the Wish to Die Tip 18: Acknowledge that Suicide is an Option IV. Assessing Danger Tip 19: Gather Remaining Essentials about Suicidal Thoughts and Behavior Tip 20: Learn About Prior Suicidal Crises: The CASE Approach Tip 21: Cautiously Use Standardized Questionnaires Tip 22: Privilege Warning Signs Over Risk Factors Tip 23: Screen for Access to Firearms Tip 24: Inquire about Internet Use Tip 25: Probe for Homicidal Ideation Tip 26: Collect Information from Family, Professionals, and Others V. Assessing Protective & Cultural Factors Tip 27: Examine Reasons for Living Tip 28: Identify Other Protective Factors Tip 29: Pay Attention to Culture Tip 30: Investigate Religious and Spiritual Views of Suicide VI. Putting It All Together: Estimating Risk Tip 31: Solicit the Person's Own Assessment of Suicide Risk Tip 32: Estimate Acute Risk for Suicide Tip 33: Estimate Chronic Risk for Suicide Tip 34: Document Generously VII. Attending to Immediate Safety Tip 35: Know When and Why to Pursue Hospitalization Tip 36: Know When and Why Not to Pursue Hospitalization Tip 37: Do Not Use a No-Suicide Contract Tip 38: Collaboratively Develop a Safety Plan Tip 39: Encourage Delay Tip 40: Problem-Solve around Access to Firearms Tip 41: Discuss Access to Other Means for Suicide, Too Tip 42: In Case of Terminal Illness, Proceed Differently (Perhaps) Tip 43: Seek Consultation VIII. Planning for Treatment Tip 44: Make Suicidality the Focus Tip 45: As Needed, Increase Frequency of Contact Tip 46: Treat Chronic Suicidality Differently Tip 47: Involve Loved Ones Tip 48: Suggest a Physical Exam Tip 49: Recommend an Evaluation for Medication Tip 50: Continue to Monitor Suicidal Ideation IX. Alleviating Psychological Pain Tip 51: After Safety, Address Suffering Tip 52: Look for Unmet Needs Tip 53: Target Social Isolation Tip 54: Use Grounding Exercises X. Exploring Motivations and Misgivings Tip 55: Assume Nothing: Does the Person Want to Give Up Suicide? Tip 56: Tap Into Ambivalence Tip 57: Compare Reasons for Living and Dying Tip 58: Invite the Person to Look for the "Catch" Tip 59: Search for Exceptions XI. Inspiring Hope Tip 60: Frame Suicide as a Problem-Solving Behavior Tip 61: Help Brainstorm an "Options List" Tip 62: Teach the Problem-Solving Method Tip 63: Nourish Future Plans and Goals Tip 64: Incorporate a Hope Kit Tip 65: Highlight Strengths XII. Drawing from Cognitive Behavior Strategies Tip 66: Connect Suicidal Thoughts to Other Thinking Tip 67: Educate about Cognitive Distortions Tip 68: Help Challenge Negative Thoughts Tip 69: Elicit Coping Statements Tip 70: Rescript Suicidal Imagery Tip 71: Discourage Thought Suppression Tip 72: Foster Acceptance of Suicidal Thoughts XIII. Improving Quality of Life Tip 73: Enhance Coping Skills Tip 74: Cultivate Mindfulness Tip 75: "Broaden and Build" Positive Emotions Tip 76: Pair Behavioral Activation with Values XIV. Moving Forward After a Suicide Attempt Tip 77: Differentiate Between Suicidal and Non-Suicidal Self-Injury Tip 78: Determine the Person's Reaction to Having Survived Tip 79: Conduct a Chain Analysis Tip 80: Evaluate Where the Safety Plan Fell Short Tip 81: Take Advantage of the "Teachable Moment" Tip 82: Attend to the Therapeutic Relationship Tip 83: Address the Trauma of the Suicide Attempt Tip 84: Explore Shame and Stigma XV. Building Resilience Tip 85: Warn about the Possibility of Relapse Tip 86: Review Lessons Learned Tip 87: Complete a Relapse Prevention Protocol Tip 88: Propose a Letter to the Suicidal Self Tip 89: Follow Up