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Suicide risk assessment in primary care: what helps when checklists don’t

23rd October 2026 · Season 4 · Episode 22 · Available for over a year

This episode tackles one of the most difficult consultations we face in primary care: supporting someone who may be thinking about suicide. 

Nik and Lee explore how to ask clear, compassionate questions; understand thoughts, plans and intent without relying on tick-box risk scores; and respond with safety planning, appropriate referral and proactive follow-up. 

Using A Man Called Otto to illuminate the person behind the presentation, they also consider how risk and protective factors can change, the value of asking “How are you, really?”, and the emotional impact of suicide on clinicians. 

Press play for a practical conversation designed to help you feel more confident when your words, curiosity and willingness to listen really matter.

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Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.