Transcription of Homicide/Violence Lethality Assessment - cdsgvl.org
1 Confidential Homicide/Violence Lethality Assessment A. Currently is there? Violent Threats? And Plans to Harm? Denies, or if yes; describe: B. Homicidal Ideation? Denies; or if yes; describe: C. History of violent behavior? Denies; or if yes describe: D. Preoccupation with lethal weapons? Denies, or if yes describe: E. Any current conflicts with other? Denies, or if yes describe: F. Any prior arrest for violence ? Denies, or if yes describe: G. Any charges still pending? Denies, or if yes describe: H. Current Homicidal/ violence Risk: High ____ Med. ____ Low ____. Evaluator's Signature/Credentials Date Supervisor's Signature/Credentials Date Revised: 10/2003, 11/2006 F-PR-1156.
