Suicide Risk

Symptom

Assessment

Action

0

No distress

-

-

1

Emotionally disturbed

Inquire about suicidal thoughts

Listen with empathy

2

Vague ideas of death

Inquire about suicidal thoughts

Listen with empathy

3

Vague suicidal thoughts

Assess the intent (plan and method)

Explore possibilities Identify support

4

Suicidal thoughts
no
psychiatric disorder

Assess the intent (plan and method)

Explore possibilities Identify support

5

Suicidal thoughts
and
psychiatric disorder
or
severe life stressors

Assess the intent (plan and method)

Make a contract

Refer to psychiatrist

6

Suicidal thoughts
and
psychiatric disorder
or
severe life stressors
or
agitation
or
previous attempt

Stay with the patient (to prevent access to means)

Hospitalize