Suicide And Crisis Assessment Form Guidelines Page 2

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Preparations Made:
Yes
No
• Find out details of any previous attempts made (what did they do?)
• How many past attempts? What happened? Who found you? Did you
require medical attention?
• Did you tell anyone about the suicide attempt?
• Did you try to hide the attempt from others?
• Was your aim to kill yourself or was it accidental?
• Also ask if the person has ever come close to taking any action or risky
behaviour that has resulted in a threat to his or her life (e.g., unintentional
and/or past risky actions/behaviours).
• Assess the lethality of previous attempts and/or past risky actions/behav-
iours.
• How is the current suicide/self-harm plan similar or different from past
attempts?
Serious lethal attempts and/or attempts made in isolation increase risk level.
Command Hallucinations:
Yes
No
• Are you hearing any voices or seeing any visions telling you to harm or kill
yourself?
• Are you receiving any messages (e.g., from internal or external sources —
radio or
)?
• If yes, what is the voice saying? What is the vision? Whose voice is it?
• How often is the voice or vision occurring?
• Are others involved?
• How is the voice or vision making you feel? (scared? Is it a derogatory
voice?)
If the person is experiencing command hallucinations, immediate hospital or
medical attention should be sought to ensure his or her safety. The person may
be admittable to hospital on an involuntary basis, if he or she is unable to go on
his or her own.
Family/Network History:
Yes
No
• Have any of your family members or close friends or acquaintances com-
pleted suicide or made serious attempts?
• If so, when?
18
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