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Assessing and managing suicidal patients in the emergency department
Christopher James Ryan1, Matthew Large2, Robert Gribble3
1Clinical Associate Professor and Consultation-Liaison Psychiatrist, Westmead Hospital, Westmead, NSW, and; Discipline of Psychiatry, Sydney Medical School, University of Sydney, Sydney, NSW, and; the Centre for Values, Ethics and the Law in Medicine, University of Sydney, Sydney, NSW, Australia christopher.ryan@sydney.edu.au.
Objective:
The objective of this article is to set out consensus guidelines for the assessment and management of "suicidal patients" in the emergency department.
Conclusions:
Clinicians should be respectful and reassuring. They should review old notes, conduct a full history and examination, and talk to friends, family and any practitioners already involved in the patient's care. Management should be guided, where possible, by the patient's preferences, not by notions of risk. Every negotiated management plan and its rationale should be carefully documented.
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