es ‘SUICIDE RIK ASSESSMENT DATA CHECKLIST Identity suicide risk factors unique to the individual Identity acute suicide risk factors Identity protective factors Evaluate status of therapeutic alliance Obtain treatment team information Interview patient’ family or significant others Speak with current or prior treaters Review patient's dally hospital records peoesene SUICIDE RISK ASSESSMENT NOTE: CONTENTS Suicide risk factors assessed and weighed (low , mod, high) Protective Factors assessed and weighed (low , mod, high) Overall assessment rating (low, mod, high or range) Treatment and management intervention Informed by the assessment Changes from previous suicide risk assessment, lf any beeee SUICIDE PREVENTION CONTRACTS ‘suicide prevention contrat without a therapeutic lance ls meaningless, if used it shoud be 2 ‘art of ongoing risk assessment anda treatment plan There isno objective evidence that ‘obtaining a contract reduces the isk of suicide or tht such a contract can be used asa factor inthe assessment of uli isk Chiles ond serosal 1995 “The suicide prevention contract isa clinical, not legal contract and doesnot protect the clinician {rom being sued after 3 patient commits suede. Simeon fl. Am Acod Psychiatry Low, 1999 ‘Anindivdual can not enforce the terms of contract that woud relieve he or him frm labiltyfor any harm caused by negligence. Thus a sucde prevention contact would not protect 3 lncan from legal fab the clnicin’s conduct was negligent and was proximate cause of the patent's sukide Negligence cannot be contracted away. (Roy vs Hortogs 1975) 7/29/2010Guidelines for Selecting a Treatment Setting for Patients at Risk for Suicide or Suicidal Behaviors indicated necessary _ moy be possible hospitalization Yes Yes Yes Yes Yes Yes Yes 68z » SHOWN WoDIns SNUVIHL ANY ONISSISSY