Suicide risk assessment form 2025

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The 4 Ps modelPredict, Prevent, Prepare, and Protectserves as a foundational framework for risk assessment and management. These industries operate within complex and hazardous environments, making proactive and thorough risk assessment essential.
The Ask Suicide Screening Questions (ASQ) Toolkit, developed by the National Institute of Mental Health (NIMH), is a standardized suicide risk screening tool validated for use with medical patients ages 8 and older.
Risk Level Risk. Factors. Protective. Factors. Suicide Inquiry. Intervention*
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.
Suicide risk assessment generates a clinician rating of the risk that the person will attempt suicide in the immediate period. The persons suicide risk in the immediate to short-term period can be assigned to one of the four broad risk categories: high risk, medium risk, low risk, no (foreseeable) risk.
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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.
For an individual who reports thoughts of self-harm, the P4 asks 4 questions about a past history of self-harm, a specific plan, the probability of self-harm, and preventive factors reducing the likelihood of self-harm.
These 4 core items (the 4 Ps) include questions about past attempts, suicide plans, probability of completing suicide, and preventive factors.

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