Get Cghq-1734.pdf. Suicide-related Behavior Report Form

Completing the CGHQ-1734.PDF. Suicide-Related Behavior Report Form is an important procedure that helps in gathering essential data following incidents related to suicidal behavior. This guide provides a structured approach to accurately fill out the form online.

Follow the steps to successfully complete the report form online.

1. Click the ‘Get Form’ button to access the form and open it in the online editor.
2. Begin by filling out Section I: Demographic Information. Include the required details such as CGIS CCN, last name, first name, middle initial, emplid (employee identification), gender, marital status, date of birth, education, and residence. Pay close attention to questions about minor children and gun ownership at the residence.
3. Proceed to Section II: Employment Information. Here, provide details about the permanent duty station, rank, rate, department ID, and any unauthorized absence. Ensure you fill in the Commanding Officer's name.
4. In Section III: Incident Information, provide comprehensive details about the incident. This includes the type of incident, its location, time and date if known, and any potential involvement of alcohol, suicide notes, or criminal activity. Be as descriptive as possible in the narrative section.
5. If applicable, complete Section IV: Medical / Injury Information. If the individual is deceased, you may skip this section. Otherwise, indicate hospitalization status and any medical tests performed, along with findings.
6. In Section V: Workplace Stressors, identify any relevant issues such as disciplinary actions, legal troubles, or supervisory problems that may have contributed to the suicidal behavior.
7. Complete Section VI: Other Life Stressors Not Related to Work. Provide details on personal circumstances that could have influenced the incident, including relationship troubles or significant losses.
8. Move on to Section VII: CG Medical / Worklife Involvement. List any mental health care the individual received and any mental health diagnoses. Ensure to elaborate on their treatment history.
9. Fill out Section VIII: Religious / Spiritual Core of Member, noting any involvement in faith-based organizations and signs of hope or purpose in the individual.
10. Conclude with Section IX: Closing Information. Confirm whether the incident occurred in the line of duty and provide your information as the report completer, along with the date.
11. Once all sections are completed, save your changes. You can download, print, or share the form as needed.

Take action now and efficiently complete the CGHQ-1734 form online.