HISTORY:
Suicidal ideation for
Intensity: ,
Current plan:
- Mean: , access for lethal mean,
- Place:
- Time: , preparations made
Previous suicide attempts:
Recent stressors:
Protective factors:
Social history:
Smoking: , pack-years
Alcohol: , drinks per
Recreational drugs: ,
no mental illness
Adherence to treatment:
EXAM:
Mental Status:
Appearance: , , eye contact, appears
Behavior:
Psychomotor activity:
Speech: , ,
Mood: , ,
Affect: , , , to situation, with mood
Thought process: , , ,
Thought content: , , ,
Perception: , ,
Cognition: , oriented to , attention , memory
Judgment:
Insight: into condition
Reliability:
ASSESSMENT:
DDx:
PLAN:
- Blood work: , , , ,
- Urine toxicology screen
- Safety plan with patient and family
- Removal of access to means
- Regular check-ins by family or friends
- Safety contacts provided
- Avoidance of alcohol and drugs
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-
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-
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- Psychiatric hold
- Admission to psychiatric unit
- Referral to psychiatrist
- Referral to social worker
- Referral to psychologist
- Referral to crisis team
- Follow-up in
- Return to ER if suicidality worsen or if new symptoms such as psychosis develop