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SUICIDE RISK ASSESSMENT FORM(Adapted from Becks Suicidal Intent Scale)Objective circumstances related to suicide attempt. Name: ___ Ward: ___ Hospital: ___ Score: Clinic: ___ 1. Isolation: 2. Timing:
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How to fill out suicide risk assessment form

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How to fill out suicide risk assessment form

01
Start by gathering the necessary information such as demographics, history of suicidal behavior, mental health history, substance abuse history, and current risk factors.
02
Use standardized tools such as the Columbia-Suicide Severity Rating Scale (C-SSRS) or the Suicide Behavior Questionnaire (SBQ) to assess the level of risk.
03
Document any warning signs or red flags that the individual may present.
04
Evaluate protective factors such as social support, coping skills, and access to mental health resources.
05
Make a determination of the level of risk (low, moderate, high) and create a safety plan accordingly.
06
Follow up with the individual regularly and adjust the safety plan as needed.

Who needs suicide risk assessment form?

01
Individuals who have a history of suicidal ideation or behavior.
02
Individuals who have been diagnosed with a mental health condition.
03
Individuals who have recently experienced a significant life stressor such as loss of a loved one or job.
04
Individuals who have a history of substance abuse.
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Suicide risk assessment form is a tool used by healthcare professionals to evaluate an individual's risk for suicide.
Healthcare professionals, such as doctors and therapists, are required to file suicide risk assessment forms for patients who may be at risk for suicide.
To fill out a suicide risk assessment form, healthcare professionals typically ask patients a series of questions about their mental health, past suicide attempts, and current stressors.
The purpose of suicide risk assessment form is to identify individuals who may be at risk for suicide and provide appropriate interventions to prevent self-harm.
Information that must be reported on suicide risk assessment form includes the patient's mental health history, current mental state, and any suicidal ideation or behaviors.
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