1.11 Comprehensive Risk Assessment

Comprehensive Risk Assessment

  • Assess for Suicide Risk Factors:
    • History of previous suicide attempt(s).
    • History of trauma/abuse.
    • Precipitants/triggering events leading to humiliation, shame or despair.
    • Chaotic family history.
    • Lack of social support and increasing isolation.
  • Suicide Inquiry: Question the patient as to past and or recent thoughts about self-injury or suicide.
    • Has the patient planned suicide or self-injury?
      • If yes, does the patient intend to act on the plan?
        • Is the plan feasible? If so, determine the immediate action to take.
    • Discuss whom the patient can call if or when feeling suicidal.
    • Does the patient have access to lethal means?
    • Does the patient have a history of alcohol or illicit drug use?
    • Does the patient have a mood disorder?
  • Assess Protective Factors: Do they have:
    • Healthy parenting and nurturing environment?
    • Effective mental health care?
    • Resiliency or the ability to handle stress positively?
    • Problem-solving skills?
  • Clinical Judgment: Assess the patient’s immediate mental health status. Do they have:
    • History of suicide?
    • Support system in place?
    • Person or persons available to monitor the patient?
CDC. (2022)