title: Psychiatric Emergencies: Assessing and Managing Suicidal Ideation.
abstract: The assessment of suicide risk is a daunting, but increasingly frequent task for outpatient practitioners. Guidelines for depression screening identify more individuals at risk for treatment and mental health resources are not always easily accessible. For those patients identified as in need of a formal suicide risk assessment, this article reviews established risk and protective factors for suicide and provides a framework for the assessment and management of individuals at risk of suicide. The assessment should be explicitly documented with a summary of the most relevant risk/protective factors for that individual with a focus on interventions that may mitigate risk.
authors.affiliation: Department of Internal Medicine, The University of Iowa, 200 Hawkins Drive, Iowa City, IA 52242, USA; Department of Psychiatry, Carver College of Medicine, The University of Iowa, 200 Hawkins Drive, Iowa City, IA 52242, USA.
authors.forename: Andrea N
authors.initials: AN
authors.lastname: Weber
authors.affiliation: School of Health Sciences, University of Nottingham, D17 Institute of Mental Health, Innovation Park, Triumph Road, Nottingham, NG7 2TU, UK.
authors.forename: Maria
authors.initials: M
authors.lastname: Michail
authors.affiliation: Department of Psychiatry, Carver College of Medicine, The University of Iowa, 200 Hawkins Drive, Iowa City, IA 52242, USA.
authors.forename: Alex
authors.initials: A
authors.lastname: Thompson
authors.affiliation: Department of Internal Medicine, The University of Iowa, 200 Hawkins Drive, Iowa City, IA 52242, USA; Department of Psychiatry, Carver College of Medicine, The University of Iowa, 200 Hawkins Drive, Iowa City, IA 52242, USA; Department of Epidemiology, College of Public Health, The University of Iowa, 145 North Riverside Drive, 100 CPH, Iowa City, IA 52242, USA; Abboud Cardiovascular Research Center, Carver College of Medicine, The University of Iowa, 2269 Carver Biomedical Research Building, Iowa City, IA 52242, USA. Electronic address: jess-fiedorowicz@uiowa.edu.
authors.forename: Jess G
authors.initials: JG
authors.lastname: Fiedorowicz
mesh_terms: D004630:Emergencies; D005195:Family Relations; D006304:Health Status; D006801:Humans; D011569:Psychiatric Status Rating Scales; D018570:Risk Assessment; D012307:Risk Factors; D012737:Sex Factors; D019529:Sexuality / Q000523:psychology; D012959:Socioeconomic Factors; D013315:Stress, Psychological / Q000523:psychology; D019966:Substance-Related Disorders / Q000523:psychology; D059020:Suicidal Ideation; D000092864:Suicide Prevention
keywords: Depression; Mental health; Prevention; Primary health care; Risk assessment; Suicide