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CGHQ-1734.PDF. Suicide-Related Behavior Report Form
Get CGHQ-1734.PDF. Suicide-Related Behavior Report Form
Pt or Suicide Completion of CG members. After completing form, submit to CG-1111, EAP Manager. The purpose of the Privacy Act is to ensure that proper notification is given regarding the legal implications and purposes for collecting personal information. The individual who is the subject of the report must be made aware of the Privacy Act statement below before completing and submitting the information, unless he/she is deceased. PRIVACY ACT STATEMENT * Authority: 14 U.S.C. 93(a)(17); 10 U.
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Cfr FAQ
The Suicide Behaviors Questionnaire-Revised (SBQ-R) is a psychological self-report questionnaire designed to identify risk factors for suicide in children and adolescents between ages 13 and 18.
Osman, A., Bagge, C. L., Gutierrez, P. M., Konick, L. C., Kopper, B. A., & Barrios, F. X. (2001). Suicidal Behaviors Questionnaire—Revised (SBQ-R) [Database record].
Examples of suicidal gestures include non-lethal overdoses and cutting that's not deep enough to cause serious blood loss. Risky behaviors such as speeding and drug abuse are also considered to be parasuicidal actions.
Receiver operating characteristic (ROC) analyses indicated that the most useful cutoff scores on the SBQ-R were 7 for nonsuicidal samples, and 8 for clinical samples. Both the single SBQ-R Item 1 and SBQ-R total scores are recommended for use in clinical and nonclinical settings.
STOP-BANG questionnaire (SBQ) is a tool involving 4 dichotomous items and 4 clinical parameter items, a score≥ 3 is regarded as having a moderate to severe risk of OSA.
CG-1111 Related content
Patient Health Data Privacy
by B KAPLAN · Cited by 4 — that the Agency has in place to track reports of adverse...
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