Assessing Suicide Risk
1. In this station you wish to assess the patients likelihood to attempt suicide. It is basically a
psychiatric history station and you must establish a good rapport with the patient.
2. Introduce yourself to the patient and explain that you wish to talk to them about their recent
attempt to harm themself.
3. The assessment has 6 main components to it.
a) The history of the current episode of self harm.
What precipitated the attempt?
Was it planned?
What method did they use?
Was a suicide note left?
Was the patient intoxicated (drugs/alcohol)?
Was the patient alone?
Were there any precautions against discovery (e.g. waited until house empty)?
Did the patient seek help after the attempt or were they found and brought in by
someone else?
b) Assess risk factors for suicide
Male sex
Age > 45 years
Unemployed
Divorced, widowed or single
Physical illness
Psychiatric illness
Substance misuse
Previous suicide attempts
Family history of depression, substance misuse or suicide.
c) Assess the patients mood, especially noting if they are depressed or angry.
d) Will the patient be returning to the same situation, e.g. problems at home
e) What does the patient think about the future?
f) Ask about current suicide thoughts.
4. Thank the patient for speaking to you.
5. You should summarise your findings to the examiner stating the patients suicide risk. You should
also suggest what to do next e.g. hospitalisation.