Suicide Assessment and Safety Plan
Bernard Counseling
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This two-page printable set contains a structured suicide assessment form and a safety-plan worksheet. The assessment page provides fields for imminent-risk indicators, risk factors, protective factors, and notes. The safety plan prompts for warning signs, coping strategies, personal supports, professional contacts, and emergency options.
- Two printable PDF pages
- US Letter and A4 formats
- Instant digital download
For additional documentation templates, see the Therapy Forms & Assessments Bundle.
This template should be used only within the clinician's scope of practice, current risk-assessment standards, and applicable emergency protocols. It is not a substitute for clinical judgment or emergency intervention.
Personal use only. Do not duplicate, distribute, or resell.
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