THREAT ASSESSMENT 60 QUESTIONS
- Who do you live with?
- Do you get along with who you live with?
- What is your room situation?
- What kind of music do you listen to?
- Do you play violent video games?
- Is your video game playing restricted at all?
- How long have you lived in this house?
- Have you ever been bullied?
- What has been done about it?
- Do you have a girlfriend/boyfriend?
- How is that relationship?
- Have you had previous relationships?
- How did those end?
- Do you look at or own any pornography?
- Do you often feel anger or depression?
- What has been done about this?
- Are you on any medication?
- What for?
- Do you feel like the medication works?
- Do you feel that you need to be on medication?
- Do you see a therapist or counselor?
- What for?
- Do you take any illegal drugs (marijuana, pills, etc)?
- How often do you take illegal drugs or last time?
- Do you drink alcohol?
- How often or last time?
- Are you in a gang or do you associate with gang members?
- Do you have any weapons in your house?
- Do you have access to those weapons, or any other weapons elsewhere?
- Are you knowledgeable about weapons?
- Are you under peer pressure for anything?
- What kind of area do you live in (low, middle, high income)?
- Have you ever been arrested or involved with criminal activity whether caught or not?
- What was the outcome?
- Are you a part of any church or religious organization (name of church)?
- Do you attend regularly?
- Other than school, what kind of discipline is common with you?
- Do you have any enemies?
- How is that dealt with?
- Do you have any friends?
- Do have any friends that you are with outside of school?
- Are you in any sports?
- How are you doing in that sport?
- Do you have any pets?
- Do you like those pets?
- Have you ever threatened to harm anyone before?
- How did that turn out?
- How is your school attendance?
- How is your school discipline history?
- What was most serious discipline offense?
- What was the outcome?
- How are your grades (Poor, Average, or Very good)?
- Do you feel like anyone: students, teachers, or others are out to get you?
- How do you deal with that?
- What are your goals, interests, or aspirations?
- Do you have any role models or someone you look up to?
- Do you have a job or make your own money?
- Do you draw, write poetry, or short stories? May I see?
- Have you ever had a traumatic experience happen to you?
- Did that experience change you? If so was the change good or bad?
Person Assessed:
Name:______
DOB:______
SSN:______
Address:______
______
Reason for threat Assessment: ______
______
Phone: ______
Date:______
Time: ______
Case#: ______
Threat Level: Low Medium High
Phil Chalmers Ten Causes of Teen Murder:
10: Metal illness and Personality Disorder
9: Lack of spiritual guidance and proper discipline
8: Fascination with the criminal lifestyle and poverty
7: Peer pressure
6: Fascination with deadly weapons and easy access to guns
5: Cults, Gangs, and Hate groups
4: Drugs and Alcohol
3: Anger and depression-suicidal
2: Obsession with violent media and violent pornography
1: Unstable family and bullying at school