| Popis: |
The suicidal patient can be a challenge for emergency physicians. This case of an elderly male veteran and recent widower who presents to the emergency department with a vague history, intoxication, traumatic injuries, and respiratory depression outlines steps for the reader to take. The emergency physician is presented with a number of formidable tasks when managing suicidal patients because an accurate history is often lacking. This chapter reviews the current literature with emphasis on risk factors, risk stratification, and necessary precautions for the safety of both emergency department personnel and patients at high risk for further self-harm. While no screening tool can take the place of clinical judgment, helpful mnemonics and screening tools are reviewed. The emergency physician’s role in lethal means counseling and continuity of care is likewise addressed. |
