Janet source rebuild

Suicide Ideation Branching Scenario

Rebuild of Janet's choose-your-own-adventure scenario for presenter facilitation and accessible web branching.

Source: choose your own adventure suicidal Ideation.pptx

Scenario opening

Sarah approaches the nursing station

"I can't do this anymore. I do not feel safe going back to my room. I keep thinking about ending my life."

Branch 1

First response

AInvite Sarah to a quiet interview room, offer water, sit with her, and state that you are listening. BSend her back to her room while you get organized. CImmediately call Code White and prepare seclusion.

Branch 2

Risk assessment language

1Change the subject and offer PRN medication first. 2Ask directly about suicide, intent, plan, access to means, and immediate safety. 3Ask only, "Are you safe?" and accept "I guess" as enough.

Branch 3

Active thoughts, no immediate intent or active plan

XCollaborate on coping strategies, supports, means safety, observation level rationale, and transition-team documentation. YOrder constant observation for 72 hours without evaluation or consultation. ZLeave Sarah alone with a self-help book.

Documentation branch

Write what another nurse can safely act on

Weak note

"Patient upset. Support given. Remained safe."

Stronger note

Use exact quote, observed behaviour, plan/intent/access, SRA completion, observation level, environmental scan, coping plan, notifications, and monitoring plan.

Source visuals

Suicide teaching visuals as optional references

Extracted visual from Janet suicide ideation deck Extracted visual from Janet suicide ideation deck Extracted visual from Janet suicide ideation deck

The branching deck itself had no extracted media. These visuals are from the related suicide ideation deck and require review.

Web adaptation

Convert choices into a branching safety-plan lab

  • Dialogue checkpoints: engage, assess, plan, document.
  • Immediate feedback after each choice.
  • Safety-plan builder in the patient's own words.
  • Canada/US 9-8-8 crisis-support context and emergency language.
The web version should never gamify death or imply a single score can predict safety. It should coach direct inquiry and escalation.