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Charleston County School District SUICIDE RISK ASSESSMENT CHECKLIST Student: Date: Time: Risk Assessor (individual conducting risk assessment): Referral Source (who referred the individual for risk
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How to fill out suicide risk assessment

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How to fill out suicide risk assessment

01
Step 1: Start by gathering information about the person's current mental health status, such as any previous suicide attempts, ideation, or a family history of suicide.
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Step 2: Assess the person's risk factors for suicide, including factors such as a recent loss, mental health disorders, substance abuse, access to lethal means, and social isolation.
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Step 3: Use a standardized suicide risk assessment tool, such as the Columbia-Suicide Severity Rating Scale (C-SSRS) or the Suicide Ideation Questionnaire (SIQ), to systematically evaluate the person's level of suicide risk.
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Step 4: Identify protective factors that may reduce the person's risk for suicide, such as a strong support system, coping skills, engagement in treatment, and future goals.
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Step 5: Document the assessment findings, including the person's risk level, identified risk and protective factors, and any recommended interventions or referrals.
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Step 6: Develop a safety plan with the person, which includes strategies to help them cope with suicidal thoughts, emergency contact information, and ways to access immediate support.
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Step 7: Follow up regularly with the person to monitor their response to interventions and reassess their suicide risk level as needed.

Who needs suicide risk assessment?

01
Individuals who have a history of suicide attempts or self-harm behaviors.
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People with a diagnosed mental health disorder, particularly those with depression, bipolar disorder, or borderline personality disorder.
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Individuals who have expressed suicidal thoughts or ideation.
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Patients who have recently experienced a significant loss or trauma, such as the death of a loved one or a relationship breakup.
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Those who have a family history of suicide or a significant history of suicide in their social network.
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Individuals with a history of substance abuse or addiction.
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People who are socially isolated, lacking a support system, or experiencing relationship difficulties.
08
Certain high-risk groups like veterans, LGBTQ+ individuals, and individuals in certain professions with occupational stress.
09
Anyone who exhibits warning signs of suicide, such as withdrawal from activities, giving away possessions, or sudden mood changes.
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Suicide risk assessment is a process of evaluating an individual's risk of committing suicide.
Healthcare professionals and mental health providers are required to conduct and file suicide risk assessments for their patients.
Suicide risk assessments can be filled out by using standardized questionnaires, conducting interviews, and reviewing medical and psychological history.
The purpose of suicide risk assessment is to identify individuals who are at risk of suicide and provide appropriate interventions to prevent suicide.
Information reported on suicide risk assessment may include current mental health status, suicidal ideation, previous suicide attempts, and risk factors for suicide.
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