Suicide risk assessment

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Saved on this device.

Target exams

Red flags

• Active suicidal intent with a specific plan and accessible means — same-day senior review; do not discharge to an empty plan
• Recent high-lethality attempt, disappointment at survival, or interrupted attempt — assume elevated near-term risk until proven otherwise
• First days to weeks after psychiatric hospital discharge or after hospital-treated self-harm — peak risk period requiring rapid follow-up and means restriction
• Command hallucinations to self-harm, severe agitation, akathisia, or intoxication — treat as dynamic amplifiers of immediate risk
• Older adult with depression, social isolation, and access to firearms or stockpiled medication — high-lethality pathway; restrict means early
• Denial of ideation when collateral describes planning, farewell acts, or means acquisition — believe the highest-risk information and reassess