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    Patent Pending

    ED-SAFE Patient Safety Screener (PSS-3)

    Screens for suicidality in emergency patients.
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    INSTRUCTIONS

    Use as an initial quick screen for suicide risk.

    When to Use
    Pearls/Pitfalls
    Why Use

    Emergency patients presenting for any complaint, even non-psychiatric complaints, to screen for suicide risk.

    • Dependent on the patient’s ability to answer the question; thus, it cannot be used in patients who cannot engage in conversation (e.g. if intubated or with altered mental status).

    • Has strong agreement with well-established but lengthier suicide risk assessments like the Beck Scale for Suicide Ideation (BSSI).

    • 3-12% of ED patients presenting with non-psychiatric chief complaints actually have suicidal ideation (Boudreaux 2013). Identifying these at-risk patients is an important first step in implementing an intervention to prevent death/sequelae from suicidal behavior.

    • Traditional suicide risk measures are lengthy and complex. ED-SAFE PSS-3 is a short, efficient screener that can be easily integrated into the existing ED clinical workflow.

    Ask the patient:
    No
    Yes
    Refused to answer
    No
    Yes
    Refused to answer
    No
    Yes
    Refused to answer

    Result:

    Please fill out required fields.

    Next Steps
    Evidence
    Creator Insights

    Advice

    Patients screening positive should be further assessed by the treating physician to determine if a mental health professional should be consulted. A safety plan may also be considered.

    Management

    • The ED-SAFE PSS-3 is a screen and not an endpoint. A positive screen should prompt provider to delve deeper in assessing the patient for suicidality and to consider consulting a mental health professional for the patient.

    • More in-depth screens or assessments for suicide risk include the Beck Scale for Suicide Ideation (BSSI) and Columbia Suicide Rating Scale (C-SSRS).

    • Patients for whom providers have high concern for suicidality should be assessed by a mental health specialist.

    Critical Actions

    The ED-SAFE PSS-3 is meant to be a universal screening tool. Patients presenting to the ED, regardless of whether the primary complaint is psychiatric or not, can be screened with this universal screening tool.

    Content Contributors
    About the Creator
    Dr. Edwin D. Boudreaux
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