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Updated: Jun 6, 2026

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
Published on: May 15, 2020
[Detecting suicide risk at psychiatric emergency services]
José Manoel Bertolote1, Carolina de Mello-Santos, Neury José Botega
1Departamento de Neurologia, Psicologia e Psiquiatria, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, Botucatu, SP, Brazil. bertolote@gmail.com
A thorough clinical interview is crucial for assessing suicide risk by identifying protective factors and risk factors. While prediction remains impossible, empathic evaluation guides patient care and prevention strategies.
Area of Science:
- Emergency Medicine
- Psychiatry
- Clinical Psychology
Context:
- Emergency departments present unique challenges for assessing suicide risk.
- Effective patient management requires understanding risk and protective factors.
Purpose:
- To guide healthcare professionals in identifying suicide risk factors and protective measures.
- To outline best practices for conducting clinical interviews in emergency settings.
Summary:
- The clinical interview is the primary method for evaluating suicidal risk, focusing on emotional support and information gathering.
- Key data includes risk/protective factors, demographics, personal history, and social support.
- Despite challenges, trained professionals can effectively manage patient interviews; however, predictive scales lack efficiency.
Impact:
- Enhances clinical decision-making in emergency mental health assessments.
- Emphasizes the foundational role of empathic clinical interviews in suicide prevention.
- Highlights the limitations of current scales in predicting suicide completion.
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