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Table 1 Risk classification system for youth suicidal behavior

From: Bridging juvenile justice and behavioral health systems: development of a clinical pathways approach to connect youth at risk for suicidal behavior to care

Class I: Crisis, Imminent Risk
• Suicide attempt in the past 4 weeks OR
• Suicidal ideation (in the past week) AND
o a suicidal plan (in the past 4 weeks) OR
o a suicidal attempt (prior to the past 4 weeks)
Class II: Crisis, Non-Imminent Risk
• Suicidal attempt (in the past year) AND
o high internalizing disorder symptoms (in the past year) OR
o moderate internalizing disorder symptoms (in the past year) AND high substance use disorder symptoms (in the past year) OR
o suicidal ideation (in the past month) OR
• Suicidal ideation (in the past month) AND
o high internalizing disorder symptoms (in the past year) OR
• Suicidal plan (in the past month) OR
• Suicidal ideation (in the past week) OR
• Non-suicidal self-injury (in the past 3 months)
Class III: Non-crisis, in need of Behavioral Health services
• Suicidal attempt (in the past year or in lifetime) OR
• Suicidal ideation (in the past month)
a
• High internalizing disorder symptoms (in the past year) OR
• Moderate internalizing disorder symptoms (in the past year) and high substance use disorder symptoms (in the past year) OR
• High substance use disorder symptoms (in the past year) OR
• Suicidal plan (in the past year) AND
o high internalizing disorder symptoms (in the past year) OR
o moderate internalizing disorder symptoms (in the past year) AND high substance use disorder symptoms (in the past year) OR
o suicidal ideation (in the past year)