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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 />

When are you likely to think about ending your life e.g. when you are bored, alone,<br />

thinking about a problem<br />

What things worry you (e.g. bullying, fear, threats)<br />

Has a member of your family ever tried to commit or committed suicide<br />

Do you experience voices suggesting you should hurt yourself<br />

Do you find it difficult to discuss your suicidal thoughts and feelings<br />

Have you been able to discuss it with anyone previously<br />

ACTION FOR CARE PLAN<br />

Surname:<br />

DOB:<br />

Forenames:<br />

NHS Number:<br />

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

69 | P age

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