This just means naming what could make decisions less reliable right now. Examples: alcohol, drugs, withdrawal, mixing things, no sleep, feeling impulsive, or not thinking clearly.
Alcohol
Drugs
Withdrawal
No sleep
Mixing things
On-screen guide
No shame, and no details. We are making judgement safer.
IdeasEvidence basis
Alcohol and other substances can increase self-harm risk by changing judgement, sleep, inhibition, conflict, and access to unsafe situations. This is a safety-planning skill: reduce decisions, reduce access, and involve support.