No Harm No Risk Agreements

 Complete a comprehensive safety plan with clear documentation.  No Harm-No Risk Agreements as Standard of Practice

 I will not harm myself or someone else, if I feel as though I could harm myself or someone else I will immediately go to the nearest emergency room at _________.  Have family member acknowledge and document acknowledgement.  If children at risk call CPS.

 Suicide risk scale takes into account 7 risk factor groups, add them together for risk level (1-no concern to 4; 5-7 items with high concern)  Risk Factors: history of suicide attempt, tendency to lose temper with little provocation, living alone, chronic severe pain, recent significant loss, recent psychiatric hospital admission/discharge, 1 st dx of major depression, bipolar or schizophrenia, recent alcohol abuse or worsening of depression, current preoccupation of plans for suicide, current psychomotor agitation, feelings of anxiety and hopelessness