Get the free Modified Suicide Assessment Form 032420.docx

Long Beach Unified School District Division of Student Support ServicesModified Suicide Assessment During School Closures Los Angeles PART/PET (800) 8547771 (same phone # to request START), Long Beach

How to fill out modified suicide assessment form

How to fill out modified suicide assessment form

1. Start by gathering the necessary information about the individual you are assessing.
2. Begin by assessing the individual's demographic information, such as their name, age, gender, and contact information.
3. Move on to recording the presenting problem that brought the individual to seek help. This could include any previous suicide attempts, current suicidal thoughts, or specific triggers.
4. Next, assess the individual's psychiatric and medical history, including any previous mental health diagnoses, medications, or hospitalizations.
5. Evaluate the individual's family and social history, including any history of suicide or mental health issues among family members, as well as their current support system.
6. Proceed to elicit information about the individual's current mental state, such as their mood, affect, thought content, and perception of reality.
7. Assess any current protective factors the individual may have, such as positive coping skills, social support, or reasons for living.
8. Lastly, document your clinical impressions and recommendations based on the assessment findings.
9. Remember to always prioritize the individual's safety and well-being throughout the assessment process.

Who needs modified suicide assessment form?

1. The modified suicide assessment form is typically needed by mental health professionals, such as psychologists, psychiatrists, counselors, and social workers.
2. It is used when assessing individuals who may be at risk for suicide or have a history of suicidal ideation or attempts.
3. It helps professionals gather crucial information about the individual's current mental state, past history, and risk factors, allowing for a comprehensive assessment and appropriate intervention.

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What is modified suicide assessment form?

The modified suicide assessment form is a document used to evaluate and document an individual's risk of suicide. It includes various assessment scales and indicators to help mental health professionals determine the level of care required.

Who is required to file modified suicide assessment form?

Mental health professionals, including psychologists, psychiatrists, and licensed counselors, are required to file the modified suicide assessment form when assessing clients who may be at risk of suicide.

How to fill out modified suicide assessment form?

To fill out the modified suicide assessment form, the professional should gather comprehensive information about the individual's mental health history, current emotional state, and any potential risk factors. Specific sections of the form must be completed, indicating levels of risk, protective factors, and immediate safety plans.

What is the purpose of modified suicide assessment form?

The purpose of the modified suicide assessment form is to systematically assess an individual's risk of suicide, to inform treatment decisions, and to ensure that appropriate interventions are put in place for individuals in crisis.

What information must be reported on modified suicide assessment form?

The modified suicide assessment form must report information such as the individual's personal details, history of suicidal behavior, mental health diagnosis, current risk factors, protective factors, and any specific plans for safety or intervention.