Psychiatric Hospital Patient Suicide Attempt Report
About this free form template

When a suicide attempt occurs in a psychiatric facility, immediate, thorough documentation is critical—not only for patient safety and regulatory compliance, but for ensuring the clinical team can quickly adjust treatment protocols and communicate appropriately with families and oversight bodies.

This Psychiatric Hospital Patient Suicide Attempt Report template gives behavioral health facilities a structured, confidential system to document critical incidents, review safety protocols, coordinate family notifications, and modify treatment plans in real time. Built for psychiatric hospitals, residential treatment centers, and inpatient mental health units, this form ensures nothing falls through the cracks during a high-stakes moment.

Why psychiatric facilities need a dedicated suicide attempt reporting form

After a suicide attempt, clinical teams must move quickly to stabilize the patient, review what happened, assess gaps in safety protocols, notify appropriate parties, and adjust the treatment plan—all while maintaining HIPAA compliance and meeting Joint Commission or state regulatory requirements.

Using generic incident forms or paper checklists can lead to incomplete documentation, delayed responses, and miscommunication across shifts. Paperform transforms this process into a secure, centralized digital workflow that guides staff through every required step, triggers notifications, and integrates directly into your EHR or case management system via Stepper.

What this template includes

This form walks your clinical and administrative team through:

  • Patient and incident details: demographics, date/time, location, and method of attempt
  • Immediate response documentation: who responded, interventions taken, medical treatment provided
  • Safety protocol review: assessment of current precautions, identification of protocol gaps or failures
  • Precipitating factors: documented triggers, warning signs, recent changes in behavior or medication
  • Family notification: who was notified, when, and by whom—ensuring compliance with patient rights and facility policy
  • Treatment plan modification: updates to observation level, medication changes, therapeutic interventions, discharge timeline
  • Follow-up actions: referrals, team meetings, additional assessments, regulatory reporting requirements

Conditional logic ensures the right questions appear based on the severity of the attempt, the patient's current status, and your facility's protocols, while eSignature fields via Papersign allow supervisors and medical directors to approve and sign off on the report electronically.

Built for behavioral health workflows

Paperform integrates with your existing behavioral health tech stack. Push completed reports to your EHR, notify clinical leadership via Slack or email, log incidents in Airtable or Monday.com, and trigger multi-step reviews using Stepper—no developer required.

With SOC 2 Type II compliance, role-based access controls, and HIPAA-friendly security, Paperform ensures your incident reporting process meets the stringent privacy and safety standards required in psychiatric care.

Trusted by healthcare organizations worldwide, Paperform gives your team the tools to respond quickly, document thoroughly, and continuously improve patient safety protocols.

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suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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