What is a no-suicide contract?

A no-suicide contract is primarily an understanding between a patient and a clinician that emphasizes a commitment from the patient to refrain from self-harm. This agreement often serves to enhance accountability, as it encourages the patient to actively engage in their safety and express their willingness to seek help if they feel suicidal. The essence of a no-suicide contract is to create a supportive framework that facilitates communication about suicidal thoughts and feelings, while also providing a guiding principle for both the clinician and the patient in times of crisis.

This type of contract is not merely about the intent not to harm oneself; it also tends to include discussions about coping strategies, crisis intervention resources, and triggers that might lead to suicidal thoughts, thereby fostering a greater understanding of the patient's circumstances. It is important to note that while such contracts are helpful tools in clinical settings, they are not seen as a guarantee of safety but rather a step within a broader treatment plan.