Suicide Risk Assessment
Complete per protocol.
- Industry: Healthcare
- Frequency: Per protocol / Admission
- Estimated Time: 15-20 minutes
- Role: Clinical Staff
- Total Items: 33
- Compliance: Joint Commission NPSG, State Requirements
Screening
Complete screening.
- Validated screening tool used?
- Suicidal ideation identified?
- Plan or means identified?
Interventions
Apply interventions.
- Safety plan in place?
- Appropriate precautions initiated?
- Provider notified?
Pre-Assessment Information
Initial assessment documentation and patient/facility identification
- Assessor Name / Credentials
- Assessment Date
- Department / Unit
- Assessment Type (Routine/Annual/Complaint)
- Previous assessment findings reviewed?
Infection Prevention & Control
Verify infection control practices per CDC and Joint Commission standards
- Hand hygiene compliance observed?
- Appropriate PPE available and properly used?
- Isolation precautions properly implemented?
- Sharps containers available and not overfilled?
- High-touch surfaces properly disinfected?
Patient Safety & Identification
Verify patient safety protocols and identification procedures
- Two patient identifiers used before procedures?
- Fall risk assessment completed?
- Call light within patient reach?
- Bed in lowest position with brakes locked?
Medication Safety & Management
Verify medication handling and administration practices
- Medications stored securely and at proper temperature?
- Controlled substances properly secured and counted?
- No expired medications in stock?
- High-alert medications properly labeled?
Environment of Care & Safety
Verify facility environment meets safety standards
- Fire exits clear and unobstructed?
- Emergency equipment functional and accessible?
- Spill kits available and stocked?
- Electrical cords and outlets in safe condition?
Documentation & Regulatory Compliance
Complete assessment documentation and ensure regulatory compliance
- All findings documented with evidence?
- Corrective actions assigned with timeline?
- Staff education provided on identified issues?
- Assessor Signature
- Additional Observations
Related Healthcare Checklists
- Elopement Prevention
- Clinical Alarm Management
- Specimen Collection Safety
- Blood Transfusion Safety Checklist
- Healthcare Daily Clinic Opening Checklist
- Clinic Closing Procedures
- Exam Room Turnover
- Medical Supply Check
Related Clinical Operations Checklists
- Hand Hygiene Compliance - FREE Download
- Medication Safety Check - FREE Download
- Surgical Safety Checklist - FREE Download
- Fall Prevention Assessment - FREE Download
- Infection Control Audit - FREE Download
- Patient Identification Verification - FREE Download
- Safe Discharge Checklist - FREE Download
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Why Use This Suicide Risk Assessment?
This suicide risk assessment helps healthcare teams maintain compliance and operational excellence. Designed for clinical staff professionals, this checklist covers 33 critical inspection points across 8 sections. Recommended frequency: per protocol / admission.
Ensures compliance with Joint Commission NPSG, State Requirements. Regulatory-aligned for audit readiness and inspection documentation.
Frequently Asked Questions
What does the Suicide Risk Assessment cover?
This checklist covers 33 inspection items across 8 sections: Screening, Interventions, Pre-Assessment Information, Infection Prevention & Control, Patient Safety & Identification, Medication Safety & Management, Environment of Care & Safety, Documentation & Regulatory Compliance. It is designed for healthcare operations and compliance.
How often should this checklist be completed?
This checklist should be completed per protocol / admission. Each completion takes approximately 15-20 minutes.
Who should use this Suicide Risk Assessment?
This checklist is designed for Clinical Staff professionals in the healthcare industry. It can be used for self-assessments, team audits, and regulatory compliance documentation.
Can I download this checklist as a PDF?
Yes, this checklist is available as a free PDF download. You can also use it digitally in the POPProbe mobile app for real-time data capture, photo documentation, and automatic reporting.