Suicide and Self Harm Risk Assessment 2026

Get Form
Suicide and Self Harm Risk Assessment Preview on Page 1

Here's how it works

01. Edit your form online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out Suicide and Self Harm Risk Assessment with our platform

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2
  1. Click ‘Get Form’ to open the Suicide and Self Harm Risk Assessment in the editor.
  2. Begin by filling in the client’s name and date at the top of the form. This information is crucial for record-keeping.
  3. In Part A, answer the assessment questions regarding previous history. Reflect on any past self-harm or suicidal thoughts by responding to the provided questions.
  4. Next, evaluate risk factors. Carefully consider each factor listed, such as social isolation or family problems, and answer accordingly.
  5. Proceed to current suicidal thoughts. Indicate any present thoughts or plans by answering the relevant questions about frequency and intensity.
  6. Assess protective factors that may prevent suicide. Identify any support systems or reasons for living that apply to the client.
  7. Finally, in Part B, indicate the assessed risk level by circling the appropriate option and signing where required.

Start using our platform today to complete your Suicide and Self Harm Risk Assessment easily and for free!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
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.
The C-SSRS is comprised of four sections presenting 18 items that aim to predict potential suicide risk in both suicidal and non-suicidal individuals. This scale was created in the United States and adapted to over 100 country-specific languages.
Any individual who responds yes to a question about thoughts of self-harm is asked 4 additional questionsthe 4 Ps on past history, plan, probability, and preventive factors. Shaded responses are those that are more concerning for suicidal ideation.
The Health and Safety Executives Five steps to risk assessment. Step 1: Identify the hazards. Step 2: Decide who might be harmed and how. Step 3: Evaluate the risks and decide on precautions. Step 4: Record your findings and implement them. Step 5: Review your risk assessment and update if. necessary.
The Columbia-Suicide Severity Rating Scale (C-SSRS) is a standardized suicide risk screening tool validated for use with children, adolescents, and adults. It assesses for both passive and active suicidal ideation, method, plan, intent to act on the plan, and suicidal behavior.

Security and compliance

At DocHub, your data security is our priority. We follow HIPAA, SOC2, GDPR, and other standards, so you can work on your documents with confidence.

Learn more
ccpa2
pci-dss
gdpr-compliance
hipaa
soc-compliance
be ready to get more

Complete this form in 5 minutes or less

Get form

People also ask

S stands for male Sex; A for Age younger than 19 or older than 45; D for Depression; P for Previous suicide attempt; E for Excess alcohol or substance use; R for Rational thinking loss; S for Separated or Single; O for Organized plan; N for No social support; and S for Sickness.
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?

Related links