X hits on this document

PDF document

2008-10-10_Imminent_Risk_And_Action_Plan.pdf - page 3 / 5

17 views

0 shares

0 downloads

0 comments

3 / 5

NIDA5 NIMH4 BPDRF1 TREATMENT NOTES 2003-2008

4)

Not Reported Not Observed

NO

YES

HOPE for the future SELF-EFFICACY in problem area ATTACHMENT to life

RESPONSIBILITY to children, family or others, including pets, who client would not abandon.

ATTACHED to therapy and at least one therapist THERAPIST attached, will stay in contact

Embedded in PROTECTIVE SOCIAL NETWORK or family FEAR of act of suicide, death and dying or no acceptable method available

Fear of SOCIAL DISAPPROVAL for suicide

Belief that suicide is IMMORAL or that it will be punished; HIGH spirituality COMMITMENT to live and history of taking commitments seriously or reason to trust this commitment

Client WILLING TO FOLLOW CRISIS PLAN

Client MOTIVATED TO OVER-REPORT risk

Required if yes:

Other (describe):

5)

A.

Suicidal ideation and behavior NOT EXPLICITLY TARGETED in session (Check reasons)

Client is

(see Q6 for documentation)

Same reasons as for not conducting structured formal suicide risk assessment ( Risk Assessment of suicide history was sufficiently therapeutic. Other:

)

  • C.

    Did BEHAVIORAL ANALYSIS of previous suicidal ideation and behaviors.

  • D.

    Did CHAIN ANALYSIS of suicidal ideation and behaviors.

E.

Focused on CRISIS INTERVENTION and/or PROBLEM SOLVING (Check those used):

VALIDATED current emotions and wish to escape or die (emotional support) .

Worked to remove, remediate PROMPTING EVENTS

.

Gave advice and instructed in use of COPING SKILLS to reduce suicidality

Crisis Survival Mindfulness Emotion Regulation Interpersonal Effectiveness Self-Management

C : \ D o c u m e n t s a n d S e t t i n g s \ e r i n w 6 \ L o c a l S e t t i n g s \ T e m p o r a r y I n t e r n e t F i l e s \ O L K 8 7 \ 2 0 0 8 - 1 0 - 1 0 _ I m m i n e n t _ R i s k _ A n d _ A c t i o n _ P l a n . d o c

Page 3 of 5

Document info
Document views17
Page views17
Page last viewedFri Dec 09 10:38:33 UTC 2016
Pages5
Paragraphs153
Words1634

Comments