Suicide risk assessment form 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin with the 'Risk present, but lower' section. Assess and check off any relevant items that indicate a lower risk level.
  3. Move to the 'Current Suicide Plan' section. Fill in details regarding the plan, including how prepared the individual is and the lethality of their chosen method.
  4. In the 'Pain' section, evaluate and document the individual's pain level and their desire for relief.
  5. Proceed to 'Resources'. Identify available support systems that can assist the individual.
  6. Review 'Prior Suicidal Behavior'. Note any past attempts or behaviors from both the individual and significant others.
  7. Complete the 'Mental Health' section by assessing coping behaviors, depression levels, medical status, and other psychopathology.
  8. Finally, summarize total checks to determine overall risk level. Ensure all sections are filled accurately for effective assessment.

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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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