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This document is designed to assess the suicide risk factors and symptoms in youth, including their personal history, situational stressors, signs and symptoms of distress, and thoughts about suicide.

How to fill out initial suicide risk assessment

How to fill out INITIAL SUICIDE RISK ASSESSMENT

1. Begin by gathering demographic information about the individual, including age, gender, and background.
2. Ask open-ended questions to understand the individual's current mental state and feelings.
3. Assess any previous suicide attempts or self-harming behaviors.
4. Inquire about any known mental health issues, such as depression or anxiety.
5. Evaluate the individual's support system, including family, friends, and community resources.
6. Determine any recent life events or stressors that may impact the individual's mental health.
7. Use standardized tools or scales to quantify the risk level.
8. Document all findings clearly and comprehensively in the assessment form.
9. Review the assessment with a qualified professional for further evaluation and recommendations.

Who needs INITIAL SUICIDE RISK ASSESSMENT?

1. Individuals exhibiting symptoms of mental health issues.
2. Those with a history of suicidal thoughts or behaviors.
3. People facing significant life stressors or changes.
4. Anyone in crisis or presenting risk factors for suicide.
5. Clients in settings such as hospitals, mental health facilities, or crisis intervention services.

People Also Ask about

Is a C-SSRS patient reported?

The CSSRS includes a 6-item patient self-reported tool that asked about wish for death, thoughts of suicide, suicidal thoughts with method without specific thoughts or intent, suicidal intent without and with specific plan, and suicide behavior along with the intensity of suicidal ideation subscale.

What is the SSRS rating scale?

The teacher, parent, and student rating forms sample three domains: social skills, problem behaviors, and academic competence. Scoring: Items on the SSRS are rated on a 3-point scale (“0 — Never,” “1 — Sometimes,” “2 — Very Often”) based on the rater's perceived frequency of a certain behavior.

What is the C-SSRS score?

The C-SSRS does not provide a numerical score but categorizes risk levels based on responses: No or Low Risk: No suicidal ideation or behaviors reported. Moderate Risk: Suicidal thoughts with some intent or planning but no action taken. High Risk: Suicidal ideation with intent, plan, or recent suicidal behaviors.

What is the C-SSRS scoring scale?

Baseline refers to [specify definition]; Maximum refers to the maximum C-SSRS suicidal ideation score during treatment (0 = least severe, 5 = most severe) where 0=No Suicidal Ideation, 1=Wish to be Dead, 2=Non-specific Active Suicidal Thoughts, 3=Active Suicidal Ideation with Any Methods (Not Plan) without Intent to

How reliable is the C-SSRS?

In a longitudinal study of 1055 adults admitted to a psychiatric hospital, the C-SSRS was found to have excellent internal consistency (alpha = 0.95), with the summary score and total score revealing adequate classification for suicide-related behavior within 6 months (sensitivity 69%; specificity 65%−67%) (Madan 2016)

What are the standard suicidal assessment questions?

“Have you ever tried to yourself?” If yes, ask: “How? When? Why?” and assess intent: “Did you think [method] would you?” “Did you want to die?” (Intent is as important as lethality of method) Ask: “Did you receive medical/psychiatric treatment?”

What are the 4 P's of suicide risk assessment?

The P4 screener assesses suicide risk by asking about the “4 P's”: past suicide attempts, a plan, probability of completing suicide, and preventive factors.

What are the 5 components of a suicide risk assessment?

This resource gives a brief overview on conducting a suicide assessment using a five-step evaluation and triage plan. The five-step plan involves identifying risk factors and protective factors, conducting a suicide inquiry, determining risk level and interventions, and documenting a treatment plan.

For pdfFiller’s FAQs

What is INITIAL SUICIDE RISK ASSESSMENT?

INITIAL SUICIDE RISK ASSESSMENT is a systematic evaluation process used to determine an individual's risk of suicide by identifying specific warning signs, risk factors, and protective factors.

Who is required to file INITIAL SUICIDE RISK ASSESSMENT?

Typically, healthcare professionals, mental health practitioners, and other qualified personnel who encounter individuals at risk of self-harm or suicide are required to file an INITIAL SUICIDE RISK ASSESSMENT.

How to fill out INITIAL SUICIDE RISK ASSESSMENT?

To fill out an INITIAL SUICIDE RISK ASSESSMENT, one should gather relevant information from the individual, discuss their mental health history, evaluate their current emotional state, and document observed signs or expressed thoughts regarding self-harm.

What is the purpose of INITIAL SUICIDE RISK ASSESSMENT?

The purpose of INITIAL SUICIDE RISK ASSESSMENT is to identify individuals who may be at risk of suicide, ensure they receive appropriate care, and formulate a plan for treatment and support.

What information must be reported on INITIAL SUICIDE RISK ASSESSMENT?

The INITIAL SUICIDE RISK ASSESSMENT must report information such as the individual's current mental state, any history of suicidal behavior, risk and protective factors, support systems, and any immediate interventions required.