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Brief Treatment and Crisis Intervention 2:241-246 (2002)
© 2002 Oxford University Press

The Effects of the Use of "No-Suicide Contracts" in Community Crisis Situations: The Experience of Clinicians and Consumers

   Tony L. Farrow, MHSc(Hons), RCpN
   Alexander I. F. Simpson, BMedSc, MBCHB, FRANCP
   Helen B. Warren, MA(Hons), RCpN

From the School of Nursing, Christchurch Polytechnic Institute of Technology, Christchurch, New Zealand (Farrow), Regional Forensic Psychiatric Services, Waitemata Health, Auckland, New Zealand and the Division of Psychiatry, University of Auckland, Auckland, New Zealand (Simpson), and the Division of Applied Behavioural Science, University of Auckland, Auckland, New Zealand (Warren).

Contact author: Tony L. Farrow, School of Nursing, Christchurch Polytechnic Institute of Technology, PO Box 540, Christchurch 8032, New Zealand. E-mail: farrowt{at}cpit.ac.nz.

"No-suicide contracts" (NSCs) are commonly used in community crisis situations. Eight patients and nine nurses were interviewed to explore both how NSCs affect clinical outcomes and how suicidal persons experience their usage. The results suggest that suicide management decisions may be negatively affected and that some patients find the use of the tool to be unhelpful. While further research is needed, the results of this study suggest that careful consideration be given before NSCs are used in community crisis situations.

KEY WORDS: no-suicide contracts, suicide assessment, suicide management, crisis intervention




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