Page 115 - 2022 Ranger Medic Handbook

Leader’s Suicide Risk Assessment Tool (L-SRAT)
L-SRAT Instructions
The L-SRAT is not a formally researched test. When a Leader uses the L-SRAT out of concern about a specific Ranger, the
leader should consult with a behavioral health (BH) professional. The L-SRAT is not a substitute for direct input from a BH
professional regarding potential suicide risk concerns. The L-SRAT also is not a substitute for leader judgment in respond-
ing to crisis situations. Rather, it provides a structure to assist leaders to seek and communicate important information to
BH professionals about specific known suicide risk factors. The L-SRAT also provides specific recommendations to pursue
key suicide risk mitigation actions.
Leader should fill out an L-SRAT if a Ranger is:
1. Considered “High” risk but especially if he/she is experiencing occupational problems, discipline/legal problems,
financial problems, relationship problems, substance misuse, suicidal thoughts/actions and/or is in possession of
a firearm. SECTION 3
2. Admitted for inpatient behavioral health hospitalization (on or off post).
3. Involved in an incident reported on the blotter that is related to an L-SRAT risk factor.
4. Referred for administrative chapter that requires behavioral health review IAW Army Regulation.
5. Leader has concern about a Ranger’s suicide risk. If there are immediate safety concerns, escort the Ranger to
Embedded Behavioral Health or the Emergency Department.
The L-SRAT is not intended to be used like an “interview” based solely on how a Ranger responds. It should be filled
out based on a leader’s knowledge and information obtained from the Ranger, other members in the chain of com-
mand, and available support resources (e.g., Behavioral Health, Armed Forces Community Services, etc.). Caution
should be used to prevent unnecessary disclosure of the Ranger’s personal information gathered with the L-SRAT so
store completed L-SRAT forms in a secure manner such as in the Ranger’s personnel file.
How is the L-SRAT filled out?
1. Start with the “Identified suicide risk factors” column of the L-SRAT and review the first Risk Factor.
2. If the Risk Factor is PRESENT then record it and review the Mitigating Actions in the corresponding “Initial unit
action to mitigate suicide risk” column.
a. For each Mitigating Action, record “Completed” or “Not Completed”:
i. If the Mitigating Action has been completed then fill in the date of completion in the “Date” column.
ii. If the Mitigating Action has not been completed then fill in the no later than (NLT) target date for the Mitigating
Action to be completed.
iii. If the Mitigating Action is not applicable in the Ranger’s situation then leave the “Date” column blank.
b. When utilizing a mentor, use discretion and select an individual who is mature with a demonstrated ability to provide
effective mentorship in the particular area of concern. In addition, consider the input from the Ranger on selecting
the mentor to increase the Ranger’s investment in the mentoring relationship.
c. When referring a Ranger to Behavioral Health, give the BH professional a copy of the completed L-SRAT.
3. If the Risk Factor is ABSENT record “No” and enter “N/A” for the Mitigating Actions.
4. Repeat until responses are recorded for all Risk Factors and Mitigating Actions.
5. Once all of the Risk Factors and Mitigating Actions have been recorded, contact your Ranger Embedded Behavioral
Health Provider, Physician or PA. BH professionals should make final determinations about suicide risk. Sharing the
L-SRAT information with the BH professional will enhance the ability of the BH professional to make an appropriate
risk determination. However, regardless of the risk level estimate assessed at the time, the Ranger’s risk factors may
change at any point based on external stressors or intervening events.

2022 RANGER MEDIC HANDBOOK 101