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Crisis Risk Assessment Report
Mode / Implementation
The Client Has Displayed / Discussed / Disclosed One Or More Of The Following In A Previous Or Current session
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Verbally saying
Talking about feeling empty
Mentioning strong feelings of guilt and shame
Talking about not having a reason to live or that others would be better off without them
Social withdrawal and isolation
Talking about giving away personal items and wrapping up loose ends
Saying goodbye to friends and family
Verbally discussing having access to lethal means and a plan to end their life
Past suicide attempts
A family history of suicide
Being exposed to another person’s suicide
I agree to the terms of counselling and have abided by the norms set by the company.
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