Page 116 - 2022 Ranger Medic Handbook

Leader’s Suicide Risk Assessment Tool (L-SRAT) (cont.)
LEADER'S SUICIDE RISK ASSESSMENT TOOL (L-SRAT)
Ranger: Leader/Unit/Contact Info: Date:
Identified suicide risk factor Present? Initial unit action to mitigate suicide risk Completed? Date Notes (Optional)
1) Discipline/Legal Problems: Is a) Ensure adequate contact between the Ranger
the Ranger currently under military and support assets (IG, JAG/TDS, Chaplain).
or civilian investigation for any b) Ensure the Ranger receives written criteria, unit
suspected violations or pending plan of support, and minimum of weekly feedback for
UCMJ/Article 15 action, how to meet requirements/standards until the Ranger
administrative separation/ achieves the requirements/standards identified.
elimination, or bar to reenlistment?
c) If applicable, ensure the Ranger has full awareness
of Command's intention to initiate administrative
separation/elimination.
SECTION 3 2) Occupational Problems: Is d) If pending separation/elimination, provide the
Ranger with full access to transition services.
a) Ensure the Ranger receives written criteria, unit
the Ranger pending any adverse
plan of support, and minimum of weekly feedback for
action (e.g., flag, reduction in
rank, removal from position of how to meet requirements/standards until the Ranger
achieves the requirements/standards identified.
responsibility, poor performance
review, or non-selection for b) Ensure contact between the Ranger and a unit
promotion or attendance to mentor familiar with the Ranger’s individual situation
schools, etc.) or receiving until the Ranger achieves the benchmarks set up by
repeated corrective counseling the mentor.
statements without alterations in
problematic behavior?
3) Firearms: Does the Ranger a) Continue to support privately owned firearm safety
have a privately owned firearm? training and measures such as gun locks, safes,
storing ammunition separately from firearm, etc.
b) Offer storage location outside the home for
privately owned firearm.
4) Relationship Problems: Is the a) Ensure contact between the Ranger and a unit
Ranger pending and/or planning a mentor who has been through similar relationship
divorce/break-up or experiencing problems until the Ranger achieves the benchmarks
other relationship problems (e.g., set up by the mentor.
frequent arguments with b) Ensure the Ranger has adequate opportunity
spouse/partner, isolation from to attend behavioral health appointments,
family, or loss of child custody, couples therapy, or meet with the Chaplain.
etc.)?
5) Financial Problems: Does the a) Ensure contact between the Ranger and a unit
Ranger have significant difficulties mentor familiar with the Ranger’s individual situation
paying bills or demonstrate obvious until the Ranger achieves the benchmarks set up by
signs of poorly considered the mentor.
purchase(s) (e.g., car, home, etc.) b) Ensure the Ranger has adequate opportunity to
well outside known estimated attend financial guidance appointments at the Armed
income? Forces Community Services (AFCS).
c) Refer the Ranger to the servicing Legal Assistance
Office for assistance with potential financial relief and
stay of court proceedings under the Servicemember's
Civil Relief Act.
6) Substance Misuse: Does the a) Refer the Ranger to Substance Use Disorder
Ranger have a history of alcohol or Clinical Care (SUDCC; formerly ASAP) at time of
drug related incidents and/or testing incident and collaborate with SUDCC Providers on
positive on a urinalysis? the treatment plan.
b) Contact SUDCC Providers about
recommendations for further evaluation, care, or
specialty referrals if there are indicators of ongoing
substance misuse or rehabilitation failure.
7) Suicidal Thoughts/Actions: Has a) Contact the Embedded Behavioral Health (EBH)
the Ranger expressed suicidal Team Leader, BH Officer, or assigned Battalion BH
thoughts, attempted suicide, or been Provider about recommendations for evaluation, care,
hospitalized on a psychiatric ward or specialty referrals.
within the past 2 years, or has the b) Ensure the Ranger has adequate opportunity to
Ranger attempted suicide or been attend behavioral health treatment appointments.
hospitalized on a psychiatric ward c) Follow current Safety Precautions recommended
multiple times in his/her life? by Behavioral Health Providers.
ATTENTION: This tool does not in any way replace the importance of involving a professional who is credentialed to assess for suicide risk, rather it can assist in the risk
assessment process. If you have immediate safety concerns about a Ranger, escort him/her to Embedded Behavioral Health during business hours or the Emergency
Department after business hours.
Version: 20160925
102 SECTION 3 TACTICAL MEDICAL EMERGENCY PROTOCOLS (TMEPs) & SICK CALL