Suicide Written Risk Assessment

Ethical Case Analysis
May 17, 2020
Our comp
May 17, 2020

Suicide Written Risk Assessment

Suicide Written Risk Assessment

CONSIDERATIONS FOR SUICIDE RISK ASSESSMENT SPECIFIC TO FASD CLIENTS
1) Past and current history of suicide attempts
and/or ideation.
2) Past diagnosis and medication or diagnosis of
depression or other mental illness.
3) Past diagnosis of ADHD
1. Resources: Physical and emotional systems which the caregiver and
individual perceive as supportive. Major component in establishing a
preventative intervention plan.
? Safe structure
? Routine
? Consistency (predictability)
? Staff supervision
? Relationships/friends/family
? Pets, inanimate objects
? Individual’s own connection to personal resiliencies
Comments:
2. Current Suicide Plan: (This may not be relevant as FASD individuals
rarely plan)
ADHD
Impulsivity Severity Level LOW€¦€¦€¦€¦.HIGH
Awareness of Consequences Severity Level LOW€¦€¦€¦€¦.HIGH
3. Prior Suicidal Behaviour:
Previous attempts (from historical information) LOW€¦€¦€¦€¦.HIGH
Previous self harm that could result in death? LOW€¦€¦€¦€¦.HIGH
Family member and/or friend attempt/died by suicide? LOW€¦€¦€¦€¦.HIGH
Consider:
? Was the suicide witnessed by the individual?
? Does the individual have an awareness of an attempt or completion of
a family member?
? Has the individual had recent exposure to visual self
harm/suicide/violence? (i.e., movie, TV, pictures)
? Awareness of the possibility of role modeling, mimicking or parroting
behaviour
How long ago? ___________ By what method? _________________
Comments:
4. Mental Health Concerns: Consider the possibility of COMORBITITY
(diagnosis of other mental health concerns that may increase the risk of
suicide attempts).
5. Situational Considerations:
To what extent has there been a change in the following areas:
Medication LOW€¦€¦€¦€¦.HIGH
Structure LOW€¦€¦€¦€¦.HIGH
Routine LOW€¦€¦€¦€¦.HIGH
Staff LOW€¦€¦€¦€¦.HIGH
Circumstances LOW€¦€¦€¦€¦.HIGH
Recent Abuse (Physical, Sexual & Emotional) LOW€¦€¦€¦€¦.HIGH
Comments:
6. Symptoms: (Note: Awareness of an individual’s unique patterns, habits,
and behaviours is essential in assessing significant change.)
To what extent has there been a change in the following areas:
Physical (appearance, hygiene, eating, sleeping) LOW€¦€¦€¦€¦.HIGH
Actions (withdrawn, reckless, self harm, drug use) LOW€¦€¦€¦€¦.HIGH
Self Talk (I wish I was dead/It will all be over soon) LOW€¦€¦€¦€¦.HIGH
Emotions (hopeless, helpless, worthless) LOW€¦€¦€¦€¦.HIGH
Note: Individuals with FASD have difficulty processing emotions and
feelings; however, this does not mean that they do not experience emotions
and feelings.
Comments:
7. Current Level of Risk:
LOW RISK MID RISK HIGH RISK
8. Plan for Intervention:
(Dubé, J. & Massey, D. (2001). Lethbridge Family Services, Lethbridge, AB, Canada.
Revised June 4, 2002, Outreach Program, Lethbridge Family Services.)