'No suicide contracts' in community crisis situations: a conceptual analysis

J Psychiatr Ment Health Nurs. 2003 Apr;10(2):199-202. doi: 10.1046/j.1365-2850.2003.00540.x.

Abstract

'No suicide contracts' are commonly used in community crisis situations with suicidal people in New Zealand. These take the form of a 'guarantee of safety', along with a 'promise' to call specified persons if the suicidal ideation becomes unmanageable. This article describes the use of 'no suicide contracts' in community crisis situations, analyses the use of the tool within this context, and, in particular, argues that the theoretical base (transactional analysis) of the 'no suicide contract' is likely to be deleterious in the community crisis situation.

MeSH terms

  • Contracts*
  • Crisis Intervention / methods*
  • Humans
  • New Zealand
  • Psychiatric Nursing
  • Psychological Theory
  • Suicide / psychology*
  • Suicide Prevention*
  • Transactional Analysis / methods*