SB 243 Compliance Resource
Suicidal ideation & self harm detection in conversational AI
A compliance and implementation guide
Build AI that detects crisis and responds with care
As conversational AI becomes embedded in daily life, the stakes for detecting suicidal ideation have never been higher.
This 45-page white paper cuts through the noise with evidence-based methods that bridge clinical psychology and AI safety. Whether you're navigating new regulations or simply committed to building responsible AI, you'll find practical frameworks you can implement today.
What's inside
- Clinical frameworks grounded in research for detecting suicidal ideation in text-based conversations
- 4-level risk assessment system that maps risk indicators to appropriate responses
- Step-by-step compliance roadmap for SB 243 and similar regulations
- Technical implementation strategies for LLMs and conversational platforms
- Evaluation, maintenance, and documentation protocols
Who this is for
AI Trust & Safety teams, product leaders, compliance officers, and developers building conversational platforms that interact with vulnerable users.
Why it matters
Evidence-based detection isn't just a regulatory requirement—it's the difference between missing a cry for help and connecting your users with life-saving support.
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Written by leading experts in crisis psychology
Dr. Michelle L. Eisenberg
PhD in Psychology | Clinical Psychologist | Clinical Lead, ThroughLine
Dr. Michelle Eisenberg is a Clinical Psychologist who combines extensive experience in crisis intervention and suicide prevention with technical fluency in data analytics and AI systems. She helps Trust & Safety teams translate psychological research and clinical knowledge into practical, implementable safety solutions. As Clinical Lead at ThroughLine, she brings this expertise to building evidence-based, AI-powered crisis detection and intervention systems.
Dr. Fiona Pienaar
PhD in Behavioural Science, MEd in Counselling
Dr. Fiona Pienaar is a mental health professional and consultant specialising in crisis services, telehealth quality assurance, and suicide prevention. She has extensive experience in digital mental health delivery, primarily crisis text services, and has advised on quality frameworks, drawing on international best practice. Fiona holds memberships with BACP and ICF and provides clinical consultation for mental health organisations in both the United Kingdom and New Zealand.