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SELF-DIRECTED VIOLENCE SURVEILLANCE UNIFORM DEFINITIONS AND R E C O M M E N D E D DATA E L E M E N T S National Center for Injury Prevention and Control Division of Violence Prevention Self-directed
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How to fill out self directed violence surveillance

How to fill out self directed violence surveillance:
01
Begin by gathering all the necessary information and forms required for the surveillance. This may include demographic data, details about the individual's history of self-directed violence, and other relevant information.
02
Carefully review the instructions and guidelines provided for filling out the surveillance form. Ensure that you understand each section and the specific information that needs to be included.
03
Start by providing the individual's personal details, such as their name, age, gender, and contact information.
04
Proceed to document any relevant medical or psychological history that may be associated with self-directed violence. This could include any previous diagnoses, treatments, or medication regimens.
05
Provide a comprehensive account of each episode of self-directed violence. Include dates, details regarding the context, triggers, severity, and consequences of each incident.
06
Describe any factors or potential warning signs that may have been present leading up to the episodes of self-directed violence. This could involve noting changes in behavior, social circumstances, or mental health patterns.
07
Document any intervention or treatment strategies that have been implemented to address the self-directed violence. This may include therapy sessions, medication adjustments, or other forms of support.
08
Conclude the surveillance by outlining any ongoing risks or protective factors that may be influencing the individual's risk of self-directed violence.
09
Review the completed form for accuracy and completeness before submitting it to the appropriate authorities or healthcare professionals.
Who needs self-directed violence surveillance:
01
Individuals who have a history of self-directed violence or who are at risk of engaging in self-harm.
02
Healthcare professionals, psychologists, and psychiatrists who are responsible for monitoring and providing care to individuals at risk.
03
Government agencies or research institutions conducting studies on self-directed violence prevention and intervention.
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What is self directed violence surveillance?
Self directed violence surveillance is the systematic collection, analysis, and interpretation of data on self directed violence incidents, including self-harm and suicide attempts, in order to monitor trends, inform prevention efforts, and guide public health interventions.
Who is required to file self directed violence surveillance?
Individuals or organizations responsible for gathering and reporting self directed violence data, such as healthcare providers, emergency departments, mental health facilities, and educational institutions, are typically required to file self directed violence surveillance.
How to fill out self directed violence surveillance?
To fill out self directed violence surveillance, you need to collect relevant data on self directed violence incidents, including demographic information, circumstances surrounding the incident, method used, medical interventions, and any subsequent actions taken. This data can be reported using standardized forms or electronic reporting systems provided by the relevant authorities.
What is the purpose of self directed violence surveillance?
The purpose of self directed violence surveillance is to track, monitor, and analyze self directed violence incidents in order to identify risk factors, inform prevention strategies, and evaluate the effectiveness of interventions. It helps in creating public health policies and programs to reduce self directed violence rates and improve overall mental health.
What information must be reported on self directed violence surveillance?
The information that must be reported on self directed violence surveillance includes details such as age, gender, location, method used, intent, previous attempts, mental health history, follow-up actions, and referrals made. This data helps in understanding the characteristics and circumstances surrounding self directed violence incidents.
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