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9/2/2015 ADOLESCENT SUICIDE ASSESSMENT PROTOCOL (ASAP20) 2004Client AgencyDate AgeGenderHISTORICAL ITEMS: Code: 0None 1Mild 2Moderate 3Severe 1. History of suicide attempts 0None 3Definite 2. History
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The Adolescent Suicide Assessment Protocol 20 Form is a document used by mental health professionals to assess the risk of suicide in adolescents. It is designed to gather comprehensive information from the adolescent regarding their mental health status, feelings, and potential risk factors.
Mental health professionals, including psychologists, psychiatrists, social workers, and school counselors, are required to file the Adolescent Suicide Assessment Protocol 20 Form as part of their assessment process for adolescents they are evaluating for suicide risk.
To fill out the Adolescent Suicide Assessment Protocol 20 Form, professionals should carefully review each section, providing information based on interviews and assessments. Be sure to complete all required fields, including demographic information, risk factors, protective factors, and any immediate concerns regarding the adolescent's safety.
The purpose of the Adolescent Suicide Assessment Protocol 20 Form is to systematically evaluate an adolescent's risk of suicide. It facilitates structured interviews and helps practitioners identify warning signs, assess the severity of the situation, and establish a plan for intervention or support.
The form typically requires reporting on the adolescent's demographic information, history of suicidal thoughts or behaviors, mental health history, current stressors, support systems, and any previous interventions or treatments.
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