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I would like to ask you some very specific questions now about your safety. It might be that some areas do not affect you and that's fine, but it's important I ask you anyway. Going forward, I shall ask similar questions to these each session to check whether there have been any changes.

Where appropriate, each area addressed in a full risk assessment should be asked in relation to the present and the past (Table 2.4). Knowing if a patient has made a serious attempt on their life previously is useful to know to inform clinical decision-making around risk in the present.

Table 2.4

In the event of serious concerns about risk it is imperative that follow-up questions are asked to work down the funnel and ascertain the current level of risk. Immediate risk issues should be addressed directly, the service risk protocol should be enacted, and the situation raised during the next case management supervision session (Chapter 9).