Sad person's score

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Background

  • Score used to determine if patients presenting with depression and/or suicidal ideation need to be admitted vs. outpatient follow-up

Score

  • Sex = male (1)
  • Age <19 or >45 (1)
  • Depressed symptoms (2)
  • Past psych history (1)
  • ETOH/drug use history (1)
  • Rational thought loss (2)
  • Separated/divorced/widowed (1)
  • Organized/serious attempt (2)
  • No social support (1)
  • Stated intent (or ambivalence) (2)
Assessment must be without ETOH/drugs on board (wait for person to sober)

Disposition

  • By point total:
    • <6: May discharge home if have someone to care for them, follow x 1 day, call follow up MD, and contract for saftey
    • 6-8: 50% admission rate (consult psych)
    • >8: Admit

See Also

References