General
When a patient reports suicidal thoughts, it is often because they are scared and want help.
True or false?
True
Pt. expressing suicidal thoughts without intent or plan.
Jackson does not answer
Call crisis response:
Hayward 510-891-5600
Oakland: 510-383-5020
Pt. is expressing thoughts of suicide but no intent or plan to harm themselves.
Call Jackson
Thoughts of homicide/suicide, intent and plan are present?
The you sense immediate risk.
911
Pt. states:
"I don't want to live anymore."
Assess for severity of statement:
Are you having thoughts of harming yourself?
What is a good way to remember these protocol and ensure you have access to them in a crisis?
Take a photo of these worksheets on your work phone.
EWC:
Pt. actively suicidal with intent and plan. They would like to speak with someone in person now.
Call crisis response, walk the patient to crisis response on the first floor of EWC.
Pt. expressing thoughts of harming themselves without plan or intent.
Jackson did not answer.
Call Crisis Response
OR walk ED
Thoughts of suicide/homicide but no intent or plan are present.
Jackson or Crisis Response
Pt. states:
"I want to end my life."
Assess for intent:
Have you actually had thoughts about killing yourself?
You've just made a report to 911.
Who else should you inform?
Maia &/or Jackson, Team RN
Pt. is actively homicidal with intent and plan and you assess that they are a flight risk.
911
Patient is in the clinic and you are waiting for your doctor, they express suicidal thoughts.
Ask for warm handoff to LCSW
Thoughts of suicide with intent but no plan. Patient is calm and cooperative.
Crisis response
Pt. States:
"I am going to end my life."
Assess for plan:
Have you been thinking about how you might do that?
You've just made a 5150.
You've told, Maia.
What else should you do?
Document the encounter and steps you took in Symphony
Pt. having suicidal thoughts with intent but no plan, they are calm and cooperative. They want help to stay safe.
Call crisis response
Patient has a weapon in their bag and they want to go to the ED to hurt someone.
Call HGH Sherriff
437-4100
A patient is actively suicidal with an intent and a plan but they are cooperative and willing to sit with you until help arrives.
Crisis response: 1-800-309-2131
Pt. states:
If my roommate comes home tonight I will kill him.
Assess for intent:
How likely is it that you will kill your roommate?
Assess for plan:
How might you kill your roommate?
What are the 3 categories present that warrant a 5150 for SI or HI?
1. Thoughts of suicide/homicide
2. Intent to harm self or others
3. Plan to do so
You just called 911 to 5150 a patient for Suicidal Ideation.
Who should you call now?
Maia
RN
Pt. is actively suicidal with intent and plan. They do not want to go to ED. They just stood up and left the entrance.
Call HGH sherriff and 911
A patient at says they are going to hurt their doctor when the appointment begins and they have a weapon in their bag.
If at highland?
If at a wellness center?
1. Call Highland Sherriff:
437-4100
2. Call 911 and security
In both locations notify the clinic & doctor.
Pt. states:
I am going to end my life when I get home with a gun I have.
I am worried about your safety, is it okay if we call crisis response together now to make sure you are safe?
(you will have to do this with or without their permission)