Paucis Verbis: Assessing patients with suicidality in the ED

Feb 18, 11
Paucis Verbis: Assessing patients with suicidality in the ED

SuicidalTennisBallDr. Rob Orman emailed me last week about creating a pocket card on Suicide Risk Stratification. In many community ED’s, risk assessment is done by the emergency physician. I’m lucky where I work, because we have a 24/7 psychiatric ED, which consults on suicidal patients in the “medical ED”.

In the end, assessment is primarily based on physician judgment, because there’s no great clinical decision tool, rules, or scores to assess risk. Rob has created his own mnemonic to help you ask the right questions in assessing a suicidal patient. This is a sneak peek into a larger article that Rob is planning to unleash on the world on suicide assessment. Based on his review of the literature and own clinical experience, the mnemonic is: TRAAPPED SILO SAFE.

TRAAPPED SILO

  • “Risk factors” which increase a patient’s risk for committing suicide in the near future.

SAFE

  • “Protective factors”which decrease a patient’s risk for committing suicide in the near future.

PV Card: Risk Stratification of Suicide


Go to ALiEM (PV) Cards for more resources.

 

Author information

Michelle Lin, MD

ALiEM Founder and CEO
Professor and Digital Innovation Lab Director
Department of Emergency Medicine
University of California, San Francisco

The post Paucis Verbis: Assessing patients with suicidality in the ED appeared first on ALiEM.

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