RepertoireClinical template workspaceFree Self-Assessment
Substanceuse concernDepressionAnxietySelf-harmconcern /suicidal

Behavioral health

Self-harm concern / suicidal ideation

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Worth reading together

Substance use concern

Comes up in this visit

DepressionAnxiety

Template

Self-harm concern / suicidal ideation

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How identifiedChoose one

InterviewChoose any

AssessmentChoose any

Ideation and behaviorChoose one

Risk factorsChoose any

Protective factorsChoose any

DispositionChoose one

Safety measuresChoose any

ReferralChoose any

Follow-upChoose one

CounselingChoose oneParagraph

What the sources cover

  • How identified: ASQ, PHQ-9 item 9, disclosure, caregiver or school
  • Interview adolescent alone and with caregiver
  • Brief suicide safety assessment
  • Passive, active without plan, plan or intent, NSSI, attempt
  • Risk factors incl. firearms, prior attempt
  • Protective factors
  • Disposition: imminent (ED), urgent 48-72 hours, outpatient
  • Safety plan; lethal means; 988
  • Behavioral health, CBT or DBT, psychiatry
  • Follow-up within days; follow-up contacts reduce attempts
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  • Emergency instructions paragraph

Used to decide, kept out of the note

  • No-suicide contracts

Return precautions in the template

thoughts of suicide or self-harmworsening moodagitationtrouble functioning at school or home

Sources