Template Information
This form can assist a health care professional in performing a mental health risk assessment.
Category: general
Template Questions
- SELF-HARM/SUICIDE
- Any other observations related to self-harm.
- CURRENT STATUS
- Any other observations related to the patient's current status.
- HISTORY
- Any other observations related to the patient's history.
- SERIOUS SELF-NEGLECT
- Any other observations.
- EXPLOITATION/VULNERABILITY
- SUMMARY RISK ASSESSMENT
- Summary findings on degree of risk and recommendations
- Health professional signature