Highlights
Task:
General Risk Factors : use this only as basis, NOT for submission, although you may wish to take a
copy for the viewing in case any of these are present
GENERAL RISK FACTORS
Background factors Current factors
Major psychiatric illness Disorientation or disorganisation
Diagnosed personality disorder Disinhibition / intrusive / impulsive behaviour
Significant alcohol/drug abuse history Current intoxication/ withdrawal
Serious medical condition Significant physical pain
Intellectual disability / cognitive deficits Other (specify)
Significant behavioural disorder (<18 years)
Other (specify)
SUICIDE
Background factors Current factors
Previous suicide attempts Recent significant life events
History of other self harm Hopelessness / despair
Family history of suicide Expressing high levels of distress
Separated /widowed / divorced Expressing suicidal ideas
Isolation / lack of role Self harming behaviour
Other (specify) Current plan / intent
Access to available means
Other (specify)
VIOLENCE / AGGRESSION
Background factors Current factors
Previous incidents of violence Recent/ current violence
Previous use of weapons Command hallucinations
Criminal history Paranoid ideation about others
Previous dangerous/ violent ideation Expressing intent to harm others
Childhood abuse / maladjustment Anger, frustration or agitation
History of predatory behaviour Reduced ability to control behaviour
Other (specify) Access to available means
Contact with vulnerable person/s
Other (specify)
OTHER VULNERABILITIES
Background factors Current factors
History of absconding Desire / intent to leave hospital
History of sexual vulnerability Vulnerability to sexual exploitation / abuse
History of financial vulnerability Current delusional beliefs
History of falls Physical illness
History of harm to children Parent / carer status or access to children
Other (specify) Self neglect, poor self care, etc
Non adherence to medication / treatment
Other (specify)
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