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"pink slip" = automotive title, issued by a state government agency.

WTF does that have to do with NICS?
"Pink slip" refers to the pink carbon copy of a legal document that is released to someone after the original paperwork is completed, signed and filed within an organization in any industry.
Here, without clicking on anything, one can extrapolate that the dude was documented for suicidal ideation twice last year.
Screenshot_20231211_111731.jpg
Also, without clicking on anything, I can imagine there is discussion of red-flag laws in the works.
 
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From the article, here is what "Pink Slip" refers to (first paragraph is the key description; the rest covers the process involved):

A pink slip is what law enforcement and other agencies call an application for emergency admission, usually when individuals' mental or behavioral health represents a risk to themselves or others.

"Pink slipping" can be initiated by various kinds of law enforcement, from police to probation officers, as well as by doctors, and the patient gets transported to an emergency department.

At the emergency department, the attending physician consults a behavioral health assessment team for an evaluation, said John Lawson, assistant director of care transitions at Mental Health Recovery Board for Clark, Greene, Madison Counties. The patient undergoes a mental status exam and a lethality test.

If an individual is found to be in acute crisis where they are a danger to themselves or others, they are admitted and held voluntarily or involuntarily, Lawson said.

"If an individual is not found to be an acute crisis, they can be discharged on a safety plan and referred to an outpatient behavioral health treatment provider in the community for follow-up care," Lawson said.

The court process

If the patient is admitted to the hospital, they can be held there for a 24-hour observation. They are later transferred to a psychiatry unit at a hospital where the hospital has three days to file an affidavit of mental illness with probate court. The court has 10 days from the date of the pink slip to have a hearing, according to Ohio revised code.

If a court finds the person named in the affidavit to be a "person with a mental illness subject to court order," the court can have the person committed for a period not to exceed 90 days to go to an applicable hospital or facility; to a board of alcohol, drug addiction, and mental health services or services provider the board designates; or to receive private psychiatric or psychological care and treatment. The patient can be committed in either an inpatient or an outpatient setting.

"Person with a mental illness subject to court order" means a person with a mental illness who, because of the person's illness, is considered a risk to themselves or others, according to Ohio revised code.

"An individual struggling with suicidal ideations must be assessed if they have a plan or intent to kill themselves," said Kim Back, chief clinical officer at DeCoach Behavioral Health Urgent Care, located in Fairborn. "Some considerations for safety planning are access to lethal means, history of suicidal gestures or attempts, support network, coping skills, and other protective and risk factors."

The court process of determining if someone is a "person with a mental illness subject to court order" is generally called civil commitment. Only after a person becomes committed would that information then be shared with the Ohio Attorney General's Bureau of Criminal Investigation (BCI). BCI records, such as civil commitments and competency hearings, are shared with NICS, the BCI says.

Getting a pink slip may never lead to a civil commitment.

"Many times an application for emergency admission is completed and the probate court will not be involved," Back said. "The ER may determine the individual does not qualify for emergency admission (they are not found to be an imminent risk), the individual decides to sign-in voluntarily, or the individual is admitted and stabilized before the three business days are up, thereby the probate court is never involved."

After the 90 days in a civil commitment is up, the process either continues, going through a continued commitment hearing, or the case gets dismissed if the person is no longer an imminent risk. A person's commitment can be extended for up to two years, at which point the commitment gets refiled or the commitment gets dismissed.
 

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