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Suicide Risk Assessment Principles in Psychiatry: Recognizing Symptoms & Developing Strategies

Learn to assess suicide risk in psychiatric cases based on risk factors, stratification, and patient evaluation. Understand depressive illness symptoms, violence prevention strategies, and ensure safe patient disposition for continued quality improvement.

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Suicide Risk Assessment Principles in Psychiatry: Recognizing Symptoms & Developing Strategies

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  1. Psychiatry / Alcohol and Drug FELLOWSHIP SAQ PRINCIPLES

  2. Suicide risk assessment • SAD PERSONS • Sex – male 1 • Age - >55yr or youth 1 • Depression (PMH) 2 • Previous attempt 1 • Ethanol / drugs 1 • Rational thought loss 2 • Separated / divorced / widowed 1 • Organised plan / serious attempt 2 • No supports 1 • Sickness (organic) 2 • <6 low, 7-8 moderate, >8 high risk

  3. Risk stratification of suicideattempt • IPMO • Intent • Plan • Motivation • Opportunity • Risk:Resue ratio • Lethality vs publicity

  4. Depressive Illness • IN SAD CAGES • Interest • Sleep • Appetite • Depressed mood • Concentration • Activity • Guilt • Energy • Suicidal ideation • Major depression >=5/9 for >=2 weeks

  5. Violent Patient • Safety • Self, staff, other patients, violent patient • Strategies approach • Recognition - PHx, current Hx, drugs and EtOH • prevent escalation – see early, show force, set limits, up triage, area • Restraint • Verbal, show of force, physical 6 pt arrow, chemical PO IM IV • Safe disposition • Inpatient, outpatient • Continued quality improvement • CISD • Future prevention violence – ED design, control access, education, undress all patients • EXCLUDE ORGANIC CAUSE!!

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