Using a No Suicide Contract is considered to be the highest level of evidence based practice (EBP)…

➤ When is a no-suicide contract harmful or insufficient?
A contract is insufficient when a patient has active intent, a plan, access to lethal means, psychosis, severe intoxication, or poor insight. Relying on it can delay hospitalization or urgent intervention. In those situations, use immediate risk mitigation, safety planning, means restriction, or higher levels of care without delay.