---
asset_id: C3.05
title: Scenario Card: The After-Hold Silence
tier: Yellow
status: Shell awaiting clinical validation
owner: Clinical owner
audience: Facilitators
generated_at: 2026-06-19
source_refs:
  - apps/sim-ariasos-com/nexus-pediatric-5min-sim-enterprise-plan.md
  - apps/sim-ariasos-com/nexus-pediatric-5min-sim-enterprise-plan.pdf
  - generated-local/nexus-pediatric-safety-studio-assets/aria-microphase-asset-buildout-20260619.md
  - generated-local/aria-research-substrate/nexus-5min-sim-budget-20260619/manifest.json
  - https://sim.ariasos.com
  - https://www.crisisprevention.com/en-GB/blog/general/cpi-crisis-development-model/
  - https://www.crisisprevention.com/blog/behavioral-health/risk-behaviors/
  - https://www.crisisprevention.com/en-AU/blog/general/understanding-the-importance-of-integrated-experience/
claim_boundary: "Executive and clinical review artifact. Not clinical policy. Not approved for rollout until Nexus/CPI/addendum/risk/legal validation."
---

# Scenario Card 05: The After-Hold Silence

Internal only. Do not use until signed by the clinical owner.

## Child Context

Draft child context: 13-year-old, twenty minutes after a serious self-harm intervention.

Validation: <<CLINICAL: awaiting Nexus/CPI validation>>

## Moment

Draft moment: Quiet in room during a required safety check.

Validation: <<CLINICAL: awaiting Nexus/CPI validation>>

## Missed Step

Draft missed step: Staff treats the event as over because the child is quiet.

Validation: <<CLINICAL: awaiting Nexus/CPI validation>>

## Right Response

<<CLINICAL: awaiting Nexus/CPI validation>>

Approved facilitator language:

____________________________________________________________

## Provisional CPI Alignment

Best-guess alignment: Tension Reduction / recovery phase.

Validation: <<CLINICAL: awaiting Nexus/CPI validation>>

## Provisional Safety Threshold

Best-guess threshold: Therapeutic rapport, repair offer, debrief opportunity, and documentation follow-up.

Validation: <<CLINICAL: awaiting Nexus/CPI validation>>

## Safety Threshold

<<CLINICAL: awaiting Nexus/CPI validation>>

Validated threshold for when to stay verbal/environmental, call team support, or move to immediate safety intervention:

____________________________________________________________

## Repair / Debrief

<<CLINICAL: awaiting Nexus/CPI validation>>

Approved repair prompt:

____________________________________________________________

## Documentation / Escalation Reminder

<<CLINICAL: awaiting Nexus/CPI validation>>

Approved documentation reminder:

____________________________________________________________

## Draft Takeaway

The relationship repair is part of the safety intervention.

Validation: <<CLINICAL: awaiting Nexus/CPI validation>>