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TOOL FOR ASSESSMENT OF SUICIDE RISK (TASR) ves [No INDIVIDUAL RISK PROFTLED Demographics: Age/ Gender (In Most Jurisdidions:> 65/15-25 i Fy, Culture; Socioeconomic Status Family History: Suicide, Suicide Sehadcurs Psyche Diserder Past/Present Psychiatric Diagnosis: Hood, Arsiety, Psychotic, Acoho/Drugy Personality Discrde= Medical lliness: Chronic, Disabling, Sugmatiang oor Social Supports: Living Alene, Isclated Poor Sec Nebvork, Unhealthy Relaionahibe Domestic Problems: Viclence/Abuse, Relationship Breakdown, Confit, Pressure, Dystuncion Poor Strass Tolerance: Poor self Management Coping, Poblem-Solng, DecsionNatang SEIS Past Suicide Behaviours: Suicide Attompts, Aborted Attempts SeItarm Past/Presantabuse: Recent or current abuse) violence; Histary of chidhsodabuse Exposure To Suicide: Drect/indrect—Peers, Faruly, Communty, culture, Social Neda ‘SYMPTOM RISK PROFILE: ves | NO Depression/Dysphoria Hopelessness ‘Severe Anhadonia “Intense Emotion: Anwen/Panic; Shame) Humiliation, Gulk; Anger; iselon/ Loneliness ‘Shut Down: Emotional withdrawal, Disengaged, Non-communicative ‘Severe Self-Reproach]Worthlassness “Impaired Reasoning: gid Thnking: Poor iudgeneni/roblen Salvng/Dedsion Making Poor Salf-Controk: impulshity; Boor Regulation Of Emotions & Behadouts; Violen e/Aaggression Psychosis: “command Fallucinaions Problematic Alcohol/Drug Use. INTERVIEW RISK PROFILE: ves [NO ‘Suicide Tdeation: Frequency, intensity, Duration, Persistence ‘Suicide Tatent: Degree Of Ambivalence & Expectation/Commibnent To Die ‘Suicide Plan: Nathod, athally, Preparaticn ‘Concealed Suleldality: Waming signs; versaljwan-verbal Cues; Calateray Cine Intutior™ Past Suicide Attempt: Number, Tags", Context, Hethod, Lethality, Consequences ‘Access To Lethal Means: Avaiabilty Of& Accessibity To Popula Lethal Nethods Recent Alcohol/ Drug Consumption Or Intoxication ‘Suicide Trigger: Recent, Evoling O1 Anicipated crisis) Conflet/Loss Vietmizatons Teume Unsolvable Problem: Can't See Any Solution/Unable Or Unnilina te Search for Aternatives ‘Intolerable State: Unbearable Emotional Psychalcaica/ Physica State or Creumstance RISK BUFFERS! Reasons For Living Internal Strengths for Managing Risk External Strengths for Managing Risk LEVEL OF IMIVEDIATE SUICIDE RISK: HGH MODERATE Low

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