Do you include a specific risk assessment in your outpatient clinic notes?
I typically include a risk assessment in my outpatient notes. I address the risk of violence and self-harm. I try to approach violence and suicide risk in a manner analogous to the primary care approach to cardiovascular risk: continuous risk reduction. In most outpatients, there is no imminent risk...
Focusing on any kind of paper assessment means taking your focus away from empathically perceiving what the patient is feeling. It is emotionally distancing and thus interferes with the actual perception of risk. People are confused about what the science is behind psychiatry. Psychology is the real...
I include a suicide risk assessment indicating my determination of acute risk: high, moderate, low. Then I include risk factors and protective factors that go into determining that risk. I will also indicate if this is a patient who is chronically at elevated risk for suicide.
Part of my assessment ...
If I have any concern for suicide or homicide, I do. For suicide I use the Columbia Suicide Severity Rating Scale (CSSRS) screener and for homicide: Homicide Threat Screener (HTS).