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Compliant documentation must include: Identified risk factors: suicidal ideation, prior attempts, means access, substance use, and significant recent losses Protective factors: support systems, children in the home, future orientation, and treatment engagement Clinical reasoning: the thought process connecting your findings to a risk level Risk level determination: low, moderate, or high, with documented rationale Safety plan or clinical intervention: what was done in response to the identified risk A compliant risk assessment reads as clinical reasoning, not a form

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