Dana, the facility I’m working with right now recently selected these fields 
for their admission assessment:

Primary diagnosis/complaint/reason for admission is emotional or behavioral 
health related: Yes ◘    No   ◘ 
That is the screening question. If the answer is yes, and only then – per 
interpretation of JCAHO standards – the rest of the suicide risk assessment is 
performed, consisting of:
-Has been considering harming self to escape stress, pain, problems: Yes ◘    
No   ◘ 
-Has a suicide plan: Yes ◘   No ◘  (If yes) How, when and where: (free text)
-Has attempted suicide in the past: Yes ◘   No ◘  (If yes) How: (free text)
-Has a close friend or family member that committed suicide: Yes ◘    No ◘      

Sharon

_____________________________________________
From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf Of Dana 
Pfingstler
Sent: Thursday, May 10, 2007 7:19 AM
To: Meditech L
Subject: [MEDITECH-L] Suicide Risk Assessment

Hi Everyone,

Does anyone have a small Suicide Risk Assessment they would be willing to share?
Our DON would like to add this to our admission assessment.

Thanks in advance

Dana Pontious, RN
Nursing Analyst
Elk Regional Health Center
St Marys, PA 15857
814 788-8682
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