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Suicide Prevention SOP
COMPLETE SECTIONS A TO I AND SEND
THIS FORM TO LN PUBLIC PROTECTION
UNIT BEFORE BOOKING OFF DUTY
[email protected]
Are you required to complete this form?
Complete this form for every reported “determined attempt at suicide” and for every
incident where you believe a person is at serious risk of completing or attempting
suicide on the railway in future. For other suicide-related incidents, you are not required
to complete this form but you must complete a FIS report before booking off duty.
Suicide Prevention Plan
this form was previously known as a PIER Management Plan
FOR PPU USE ONLY:
PLT LEAD
PPU LEAD
A Incident
DATE
TIME
LOCATION
BTP NSPIS
NUMBER
FIS REPORT
NUMBER
You must complete a FIS report for this incident. For FIS password
resets, call RTI at any time via FCRL on 020 7752 4131.
Explain what happened during the incident.
B Action taken by police
PERSON TAKEN TO MENTAL
HEALTH HOSPITAL OR UNIT
OTHER
PERSON TAKEN TO ACCIDENT
AND EMERGENCY DEPARTMENT
PERSON TAKEN TO POLICE
CUSTODY SUITE
UNKNOWN ACTION TAKEN BY
LOCAL POLICE/AMBULANCE
DETAILS
PLACE OF SAFETY
PERSON TAKEN TO
CARE OF PERSON
ACCEPTED BY
TYPE OF
ACTION
CONTACT
TELEPHONE
DETAINED UNDER MENTAL
HEALTH ACT 1983 S136
REMOVED UNDER MENTAL
CAPACITY ACT 2005
ARRESTED FOR
OFFENECE
TAKEN TO PLACE OF SAFETY VOLUNTARILY
(MUST NOT BE DONE WHEN S136 APPLIES)
C Person at risk of suicide
on this form this person is referred to as the subject
Please include as many details as possible. If you do not know and cannot ascertain the name of the person (for example because the person left the scene before police or
ambulance staff arrived), you are not required to complete this form.
GIVEN
NAMES
FAMILY
NAME
ADDRESS INC.
POSTCODE
If the person is already an in-patient at a hospital, give the hospital address.
MALE
FEMALE
ETHNIC
APPEARANCE
DATE OF
BIRTH
OCCUPATION
SELF-DEFINED
ETHNICITY
MOBILE PHONE
NUMBER
RELIGION
OTHER
CONTACTS
PREFERRED
LANGUAGE
PNC ID
NUMBER
CRO
NUMBER
STATE ANY RISKS THIS
PERSON POSES TO POLICE
D Risk factors
ask risk assessment questions as per Suicide Prevention Aide Memoire, give more details in Section F if necessary
DIAGNOSED WITH MENTAL
HEALTH CONDITION
DIAGNOSED WITH
PERSONALITY DISORDER
ON MEDICATION FOR
MENTAL HEALTH CONDITION
CHALLENGING OR
UN-COOPERATIVE BEHAVIOUR
PREVIOUS SUICIDE ATTEMPTS
(GIVE DETAILS IN SECTION F)
MADE PLANS FOR SUICIDE
(GIVE DETAILS IN SECTION F)
PREVIOUS NON-SUICIDAL
SELF HARM
FRIEND/RELATIVE
COMPLETED/ATTEMPTED SUICIDE
VISUAL/HEARING/SPEECH
IMPAIRMENT
OTHER PHYSICAL DISABILITY
LEARNING DIFFICULTIES
SOCIAL ISOLATION
SERIOUS FINANCIAL DIFFICULTIES
FAMILY OR RELATIONSHIP
DIFFICULTIES
VICTIM OF DOMESTIC ABUSE
VICTIM OF SEXUAL ABUSE
ABUSES DRUGS (LEGAL OR
ILLEGAL, INCLUDES ALCOHOL)
DRUNK OR UNDER INFLUENCE OF
DRUGS AT TIME OF INCIDENT
SUSPECT FOR SERIOUS CRIME
(GIVE DETAILS IN SECTION F)
OTHER RISK FACTOR
(GIVE DETAILS IN SECTION F)
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E Risk questions
1. Does this person appear to have mental
capacity?
Suicide Prevention SOP
answer every question in all cases—provide more details in Section F if necessary
YES DETAILS
NO
A person lacks mental capacity if they are unable to make a decision for themselves because of an impairment or disturbance in the functioning of the mind or brain. A person cannot
lack mental capacity solely because of their age of because of any condition or behaviour that might lead others to make unjustified assumptions about capacity.
2. Is there any reason to think that this person is
at risk of serious harm?
YES DETAILS
3. Is there any reason to think that this person is
not able to care for or protect themselves?
YES DETAILS
4. Is there any reason to think that this person is a
threat to others?
YES DETAILS
NO
NO
NO
F Other relevant information
Give any further information that appears relevant and explain any other concerns that you have about this person or this incident. Include a detailed description of the subject to
assist briefing.
G Relevant friends, relatives and carers
Give details of any individuals who can assist in reducing the person’s risk of suicide, including doctors, relatives and care workers.
1 NAME
CONTACT
TELEPHONE
SUPPORTIVE OF SUBJECT’S CARE?
ADDRESS INC.
POSTCODE
RELATIONSHIP TO
PERSON AT RISK
YES
AGENCY OR
ORGANISATION
2 NAME
SUPPORTIVE OF SUBJECT’S CARE?
YES
AGENCY OR
ORGANISATION
3 NAME
NO
NOT KNOWN
PREFERRED
LANGUAGE
CONTACT
TELEPHONE
SUPPORTIVE OF SUBJECT’S CARE?
ADDRESS INC.
POSTCODE
RELATIONSHIP TO
PERSON AT RISK
NOT KNOWN
CONTACT
TELEPHONE
ADDRESS INC.
POSTCODE
RELATIONSHIP TO
PERSON AT RISK
NO
PREFERRED
LANGUAGE
YES
AGENCY OR
ORGANISATION
NO
NOT KNOWN
PREFERRED
LANGUAGE
H Initial Action Plan
You MUST complete all actions in this section in every case. If you cannot complete all the actions before booking off duty, complete as many actions as possible and submit this
form to the PPU, then complete the remaining actions as soon as practicable and submit an amended version of this form. You remain responsible for completing these actions even
after you have submitted an incomplete form to the PPU. If you believe an action is not applicable in this case, justify this in the Comments column.
COMMENTS (IF YOU HAVE NOT COMPLETED AN ACTION, EXPLAIN WHY HERE)
ACTION
1. Contact the family. Ensure that they are happy with the
BTP plan for supporting the subject. Advise them of
0800 405040 number. Has this been done?
YES
NO
2. Ask railway staff if subject has been seen at location
before. If so, submit FIS report. Has this been done?
YES
3. Liaise with the mental health team responsible for the
subject. Has this been done?
YES
4. Would prosecuting the subject allow the courts to help
them?
YES
5. Does the subject consent to being contacted by
Samaritans (call 020 7734 2800 to arrange)
or Maytree (call 020 7263 7070 to arrange).
6. Could access to this location have been prevented (e.g.
with fencing)?
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NO
NO
NO
YES
NO
YES
NO
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Suicide Prevention SOP
I Officer completing report
RANK
POLICE
NUMBER
NAME
POLICE
STATION
TELEPHONE
NUMBER
SUPERVISOR
RANK AND NAME
the Public Protection Unit will complete the sections below this line
J Further Action Plan
COMMENTS (IF YOU HAVE NOT COMPLETED AN ACTION, EXPLAIN WHY HERE)
ACTION
7. Has the subject’s GP been notified of this incident?.
YES
NO
8. Have local BTP officers been briefed about the subject?
YES
NO
9. Has a photograph of the subject been disseminated to
local railway staff?
YES
10. Would an anti-social behaviour order be likely to
prevent the person committing further offences?
YES
NO
NO
K Further PPU actions and notes
Use this section to record any further actions taken by PPU staff that are not included in sections H or J. It is not routinely necessary to record additional details of actions that are
included in sections H or J.
L PPU review
DATE
PERSON
REVIEWING
REVIEW
DECISION
Explain the reason for the review decision.
M Area Champion review
DATE
not required if plan opened only for intelligence purposes
PERSON
REVIEWING
REVIEW
DECISION
Explain the reason for the review decision.
N Closure
for completion by PPU staff
ATTACH PLAN TO FIS REPORT
SEND COPY OF PLAN TO LOCAL POLICE
FOR AREA WHERE SUBJECT LIVES
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CREATE AND LINK MISCELLANEOUS REPORT
TO FIS REPORT SHOWING PLAN CLOSED
DATE
ADVISE OIC THAT PLAN HAS BEEN CLOSED
PERSON
COMPLETING
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