SOP_NUMBER: 508.29-att-4
TITLE: Suicide Precautions Log
DIVISION: Mental Health/Operations
TOPIC_AREA: 508 Policy - Mental Health Suicide Prevention/ACU/CSU/BTU
EFFECTIVE_DATE: 2020-07-01
WORD_COUNT: 60
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/407644
URL: https://gps.press/sop-data/508.29-att-4/

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

ATTACHMENTS:
  1. Suicide Risk Assessment Instrument
     URL: https://gps.press/sop-data/508.29-att-1/
  2. Suicide Precautions Treatment Plan
     URL: https://gps.press/sop-data/508.29-att-2/
  3. Suicide Precautions Rounds
     URL: https://gps.press/sop-data/508.29-att-3/
  4. Suicide Precautions Log
     URL: https://gps.press/sop-data/508.29-att-4/

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FULL TEXT:
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# **Suicide Precautions (SP) Log**











SOP 508.29
Attachment 4

7/1/20






|Offender Name|GDC #|MH<br>Level|Assigned<br>Counselor|Beginning<br>Date of<br>SP|Facility/Upper<br>Level Provider<br>that Initiated<br>SP|Ending<br>Date of<br>SP|Name of Upper<br>Level Provider<br>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.