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CHAT Tool - Offender Health Research Network

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Tick No or Yes as appropriate for each question and include additional notes No Yes<br />

SUICIDE RISK FACTORS<br />

Is this your first time in a secure establishment i.e. Young <strong>Offender</strong> Institution, Secure<br />

Training Centre, Secure Children’s Home<br />

Are you currently serving a sentence, on remand or under a welfare placement<br />

Details:<br />

If Yes to sentence - is your sentence (or expected sentence) longer than you expected<br />

Do you have any history of breaches of licence/bail<br />

Will you be expecting visitors<br />

Are you in contact with your family<br />

Surname:<br />

DOB:<br />

Forenames:<br />

NHS Number:<br />

<strong>CHAT</strong> <strong>Tool</strong> Secure Estate (Version 3 - June 2013)<br />

67 | P age

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