PSYCHIATRY
SUICIDE
PromptRisk factors for suicide
ResponseModified SADPERSONS score
Sex - Male =1
Age <19 or >45 =1
Depression/hopelessness =2
Previous suicide attempts/MH admission = 1
Ethanol or Drugs (Excess) - 1
Rational thinking loss (psychotic or organic illness) =2
Single/widdowed/divorceced =1
Organised or serious attempt = 2
No social support =1
Stated future intent (Determined to repeat/ambibolent) =2
0-5 low risk, DC
6-8 = psych consult
>=9 = admission
Others
Recent cessation of medications
unemployed/retired/socially isolated
Chronic illness/pain
Access to violent/lethal method
Act taken in isolation/precautions taken to avoid discovery
Final acts - wills, insurance, giving away property
Unwilling to seek help
Sex - Male =1
Age <19 or >45 =1
Depression/hopelessness =2
Previous suicide attempts/MH admission = 1
Ethanol or Drugs (Excess) - 1
Rational thinking loss (psychotic or organic illness) =2
Single/widdowed/divorceced =1
Organised or serious attempt = 2
No social support =1
Stated future intent (Determined to repeat/ambibolent) =2
0-5 low risk, DC
6-8 = psych consult
>=9 = admission
Others
Recent cessation of medications
unemployed/retired/socially isolated
Chronic illness/pain
Access to violent/lethal method
Act taken in isolation/precautions taken to avoid discovery
Final acts - wills, insurance, giving away property
Unwilling to seek help
PromptFactors influencing if patient can leave
ResponseSuicide risk assessment/stratification
Capacity
Current or prior Mental health act order in effect
Mental state examination
Support person - ensure safety
Follow up in place
Capacity
Current or prior Mental health act order in effect
Mental state examination
Support person - ensure safety
Follow up in place