SOP 508.29-att-4: Suicide Precautions Log

Division:
Mental Health/Operations
Effective Date:
July 1, 2020
Topic Area:
508 Policy - Mental Health Suicide Prevention/ACU/CSU/BTU
PowerDMS:
View on PowerDMS
Length:
60 words

Summary

This is a tracking log form used to document offenders placed on suicide precautions within Georgia Department of Corrections facilities. The log records the offender's name, GDC number, mental health level, assigned counselor, dates precautions begin and end, and the providers initiating and terminating the precautions. Facilities must maintain completed logs in the mental health area for four years.

Key Topics

  • suicide precautions
  • suicide prevention
  • mental health monitoring
  • SP log
  • suicide watch
  • mental health documentation
  • offender tracking
  • facility records
  • counselor assignments
  • mental health level

Full Text

# Suicide Precautions (SP) Log

SOP 508.29
Attachment 4

7/1/20

|Offender Name|GDC #|MH
Level|Assigned
Counselor|Beginning
Date of
SP|Facility/Upper
Level Provider
that Initiated
SP|Ending
Date of
SP|Name of Upper
Level Provider
Ending SP|
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Form no. M69-01-04 Page 1 of 1

Retention Schedule: Upon completion this form shall be maintained in the mental health area of the treating facility for four (4) years.

Attachments (4)

  1. Suicide Risk Assessment Instrument (997 words)
  2. Suicide Precautions Treatment Plan (299 words)
  3. Suicide Precautions Rounds (201 words)
  4. Suicide Precautions Log (60 words)
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