Psychiatry
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RISK ASSESSMENT:

The patient is at a [select value="low|moderate|high"] acute and [select value="low|moderate|high"] chronic risk of suicide based on [checkbox value="lack of current suicidal ideation|current suicidal ideation without a plan or intent|current suicidal ideation with a plan"][text memo="other" value="20"]. The patient has [checkbox value="no history of suicide attempts|a history of suicide attempts|a recent history of suicidal ideation|difficulty with supportive relationships|a minimal support system in the community"]. They present as [checkbox value="future oriented|with plans for self-improvement|having a strong sense of personal responsibility|ambivalent about personal outcomes|pessimistic about personal outcomes"]. [textarea memo="additional information about suicide risk factors" rows="3"]
The patient is at a [select value="low|moderate|high"] acute and [select value="low|moderate|high"] chronic risk of violence based on [checkbox value="lack of current violent ideation|current violent ideation without a plan or intent|current violent ideation without a plan"][text memo="other" value="20". The patient's history is reported to include [checkbox value="no history of agitation and violence|a recent history of agitation and violence|difficulty with mood regulation|but has improved significantly with treatment|has made moderate improvement with treatment|has made minimal improvement with treatment|has made no improvement with treatment"]. [textarea memo="additional information about violence risk factors" rows="3"]
RISK ASSESSMENT:

The patient is at a acute and chronic risk of suicide based on other. The patient has . They present as . additional information about suicide risk factors
The patient is at a acute and chronic risk of violence based on other. additional information about violence risk factors

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