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What is Ligature?

Ligature can be distinguished from hanging by the strangling force of something other than the person’s full body weight. This type of strangulation cuts off blood flow to the brain and can be done in many ways besides vertical hanging. In most cases, this results in permanent brain damage, and sometimes death.

The term “Ligature” may not be familiar to some healthcare professionals. Ligature is not always a patient trying to harm themselves through the method of hanging. Ligature is usually performed by tying something around the neck, and applying pressure from a “tie off” point. In the past, this was often a showerhead, which has now been addressed by most facilities.

Traditionally, a “tie off” point has been considered as being above a patient’s head. However, a patient may tie off to something lower, even near floor level, and then lean away from the ligature point to achieve the suffocation or the loss of blood flow to the brain. The Joint Commission refers to these events as “sentinel events”.

Behavioral Safety Products was conceived to design and produce hospital components that are ligature resistant. We offer a broad line of products, which will dramatically reduce the occurrence of such events in your facility. Our line of products appears in both psychiatric/behavioral facilities as well as general, medical-surgical facilities. We have visited hundreds of psychiatric/behavioral and medical-surgical facilities over our 44 years of field experience, and believe our first hand experience and technical expertise is what makes our products so successful in keeping patients safe.

Want to learn more about how our products can help you avoid ligature in your facility? View our website at:

Our Recent Testimonials

  • David Bean CHFM, FMP

    Assistant Director Corporate Facilities, Behavioral Hospital Division
    Behavioral Safety Products “BSP” is one of the preferred vendors for UHS ligature resistant products. I have worked with David DeLoache and his team over the past 13 years, utilizing many of their products within our facilities. They are continuously evaluating the challenging needs of the behavioral environment and creating new products to meet our hospital needs.

    Amber Siegfried, LPC, CBIS

    Assistant Director
    Tulsa Center for Behavioral Health
    Oklahoma Department of Mental Health and Substance Abuse Services
    I am pleased to share with you and your team that we have had a highly positive experience with BSP. Your team has been very patient and responsive to our questions, our mistakes and our needs. Many of the products involved very specific details and the team at BSP went above and beyond to explain each specification and double check my work. We greatly appreciate all you have done for us and I’m sure will continue to do!
  • Jason Terranova

    I greatly appreciate the assistance the team at BSP has provided us throughout the course of design and into construction. You have been very patient with what may have seemed like never-ending questions. I find it invaluable to have vendors, such as BSP, who are patient, thorough, and take the time to understand our project needs. Vendors like you keep owners and architects happy and ultimately help make the project a success.

    Chief Executive Officer

    Banner Health
    The team at Behavioral Safety Products has been a terrific partner in our efforts to update our older behavioral health inpatient units. Many of the units have dated spaces that have odd fixtures and required retrofitting to be installed. They have helped us on multiple projects and even worked with their distributor to speed up delivery time in order for us to meet internal deadlines. BSP has been a pleasure to work with and a great resource for our facilities team.

BSP’s Product Highlight Sheet

BSP is a single source of suicide prevention safety products for the behavioral-psychiatric industry, offering the highest degree of safety, functionality, and aesthetically pleasing environments for patients.

Image Credit: ALPA construction


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The temperature in a room can have an immense impact on how a patient feels. Our fully patented TM260 Ligature Resistant Thermostat / Universal Wall Cover is designed to maintain secure conditions in behavioral hospital settings where ligature resistance is a concern.

Learn more about our thermostat cover today:
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