Reference

Guide | Reference

9  Risk Modifiers

Purpose. Document risk in a consistent, defensible way. Separate baseline risk from dynamic drivers.

9.1 Core Risk Domains

• Suicide or self-harm.
• Violence toward others.
• Self-neglect or inability to care for self.
• Exploitation or victimization vulnerability.

9.2 Risk Tiers

• Low: no current intent or imminent risk indicators.
• Moderate: risk factors present; monitoring required.
• High: active intent, plan, or acute instability.

9.3 Dynamic Drivers

• Recent losses, intoxication, acute stress, access to means, escalation cues. [E0/U2]

9.4 Protective Factors

• Supports, reasons for living, engagement with care, stable housing.

Documentation Output. Risk tier and primary drivers. Protective factors noted. Safety actions or escalation triggers recorded.