Thursday, October 17, 2013

Paucis Verbis: Assessing patients with suicidality in the ED


Dr. Rob Orman of ERCast blog fame 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 peak 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.

  • "Risk factors" which increase a patient's risk for committing suicide in the near future. 
  • "Protective factors"which decrease a patient's risk for committing suicide in the near future.

Feel free to download this card and print on a 4'' x 6'' index card.
Thanks, Rob!!

* Updated 3/8/11: Added extra "A" to include "Access to Means" as a risk factor.


Post a Comment

Design by ThemeShift | Bloggerized by Lasantha - Free Blogger Templates | Best Web Hosting