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A caring letter sent by Motto to his patient A caring letter written by hand. Motto's approach is sometimes called the "Caring Letters" model of suicide prevention. [2] [3] The technique involves letters sent from a researcher who had spoken at length with the recipient during a suicidal crisis. [3]
The patient then receives Bern’s version of a Motto letter at regular intervals for two years. So far, the outcomes have been astounding: In 2016, the findings of a clinical trial were published, showing an 80 percent reduction in the risk of attempts and fewer costly days in hospitals following treatments.
The name and address of the doctor and the patient. The name and address of the party requiring the certificate (if required), such as an employer or school administrator. The specific period of time off work that is medically justifiable. The degree of incapacity, and whether the patient could return to work with altered duties.
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It is used for alert (conscious) people, but often much of this information can also be obtained from the family or friend of an unresponsive person. In the case of severe trauma, this portion of the assessment is less important. A derivative of SAMPLE history is AMPLE history which places a greater emphasis on a person's medical history. [2]
Each letter stands for an important line of questioning for the patient assessment. [ 3 ] [ 4 ] This is usually taken along with vital signs and the SAMPLE history and would usually be recorded by the person delivering the aid, such as in the "Subjective" portion of a SOAP note , for later reference.