Suicide And Crisis Assessment Form Guidelines Page 5

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• A violent history, lack of remorse, no fear of consequences all further risk.
None to Low risk when thoughts are more based in anger with no plan of action
and no access/means available to act on thoughts.
Client Presentation:
Angry
Agitated
Anxious
Paranoid/delusional
Hallucinating
Disoriented
Coherent
Indifferent
Sadness
Incoherent
Labile
Alert
Weight change
Sleep change
Substance abuse
Hopeless/helpless
Self-harm
Appetite disturbance
*Labile — rapid fluctuation in mood/presentation (i.e., crying to angry)
Specifics:
Risk Assessment:
Danger to self
Yes
No
Suicidal ideation
Yes
No
Suicide plan
Yes
No
Access to plan
Yes
No
Preparations made
Yes
No
Previous attempts
Yes
No
Command hallucinations
Yes
No
Family/network history
Yes
No
appendix b
21

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