Psychiatry








Lithium may cause ischemic-appearing ECG changes.

Screening for Suicide Risk:

  • S: Male sex → 1
  • A: Age <19 or >45 years → 1
  • D: Depression or hopelessness → 2
  • P: Previous suicidal attempts or psychiatric care → 1
  • E: Excessive ethanol or drug use → 1
  • R: Rational thinking loss (psychotic or organic illness) → 2
  • S: Single, widowed or divorced → 1
  • O: Organized or serious attempt → 2
  • N: No social support → 1
  • S: Stated future intent (determined to repeat or ambivalent) → 2

This score is then mapped onto a risk assessment scale as follows:

  • 0–5: May be safe to discharge (depending upon circumstances)
  • 6-8: Probably requires psychiatric consultation
  • >8: Probably requires hospital admission
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