120 (120)    MH REPORT (601.93)

Name Value
REPORT NUMBER 120
INSTRUMENT BSS
RPT
.|  .| Beck Scale for Suicide Ideation|  | Date Given: <.Date_Given.>| Clinician: <.Staff_Ordered_By.>| Location: <.Location.>| | Veteran: 
<.Patient_Name_Last_First.>| SSN: <.Patient_SSN.>| DOB: <.Patient_Date_Of_Birth.> (<.Patient_Age.>)| Gender: <.Patient_Gender.>| | | <*Answer_999999999999*>|                
  | Copyright (c) 2001 Aaron T. Beck. Reproduced, adapted and translated with permission of Publisher NCS Pearson, Inc. All rights reserved.| | Information contained in this note is 
based on a self-report assessment and is not sufficient to use alone for diagnostic purposes. Assessment results should be verified for accuracy and used in conjunction with other diagnostic 
activities and procedures.|              $~