---
title: Mental Health Facility Patient Self-Harm Incident Report Template | Paperform
description: Comprehensive self-harm incident report form for mental health facilities. Document patient incidents, crisis interventions, psychiatric evaluations, and safety protocol reviews in one secure, professional template.
url: "https://paperform.co/templates/mental-health-facility-patient-self-harm-incident-report"
type: static
generatedAt: "2026-03-28T00:44:31.037Z"
---

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### Professional Self-Harm Incident Documentation for Mental Health Facilities

When a self-harm incident occurs in a mental health facility, clear and thorough documentation is critical—not just for regulatory compliance, but for ensuring patient safety, continuity of care, and the effectiveness of your crisis intervention protocols. This **Mental Health Facility Patient Self-Harm Incident Report** template provides a structured, compassionate framework for capturing the essential details of self-harm events, psychiatric evaluations, immediate interventions, and safety protocol reviews.

#### Built for behavioral health teams who need clarity in crisis moments

Mental health professionals—psychiatrists, psychiatric nurses, social workers, case managers, and direct care staff—face the dual challenge of responding to patient crises with empathy while maintaining rigorous documentation standards. This template is designed to support both goals. It walks your team through the incident narrative, patient mental status, immediate interventions taken, and post-incident safety planning, all in a format that can be completed quickly on any device.

Whether you're managing an inpatient psychiatric unit, a residential treatment center, a crisis stabilization facility, or an intensive outpatient program, this form ensures you have a complete record that supports quality improvement, risk management, and regulatory review.

#### Comprehensive documentation meets real-world workflows

The form captures:

 - **Patient and incident identification details**, including date, time, location, and staff present
 - **Detailed incident narrative**, describing what occurred, the method of self-harm, and any precipitating factors observed
 - **Patient mental status and psychiatric evaluation** at the time of and following the incident
 - **Immediate crisis interventions** taken by clinical staff, including de-escalation techniques, medical attention, and environmental safety measures
 - **Safety protocol review**, documenting adherence to facility policies and identifying any protocol gaps
 - **Post-incident care planning**, including changes to the treatment plan, safety precautions, and follow-up actions

Each section uses conditional logic to surface relevant follow-up questions, ensuring your staff document the right details without unnecessary complexity.

#### Secure, compliant, and ready for integration

Built on [Paperform](https://paperform.co), this template is **SOC 2 Type II compliant and GDPR-ready**, with data residency controls and role-based permissions to protect sensitive patient information. Please note: while Paperform provides enterprise-grade security, this form is not HIPAA-compliant on its own—mental health facilities handling protected health information (PHI) should consult with their compliance team before deploying this template.

You can integrate incident reports with your electronic health record (EHR) system, case management platforms, or internal reporting dashboards using [Stepper](https://stepper.io) workflows. Automatically route high-severity incidents to clinical leadership, trigger follow-up tasks for treatment plan reviews, or compile incident data for your quality assurance and performance improvement (QAPI) committees—all without manual data entry.

#### Why mental health facilities trust Paperform

Mental health teams need documentation tools that are intuitive, secure, and flexible enough to fit complex clinical workflows. This template gives you a professional, consistent incident reporting process that supports your team's clinical judgment while meeting the documentation standards required by The Joint Commission, state behavioral health authorities, and your facility's own policies.

With Paperform, your staff can complete incident reports on the unit or from home, clinical supervisors can review submissions in real time, and your quality team can analyze trends across incidents to strengthen your safety protocols and improve patient outcomes.

Start with this template, customize it to your facility's policies and forms, and give your team a documentation tool that supports both excellent clinical care and operational excellence.
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