Psychiatry Boot Camp 1.4 Suicide Risk Assessment
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Feb 27, 2023 Dr. Tyler Black, a child and adolescent psychiatrist from the University of British Columbia, dives into the intricate world of suicide risk assessment. He dispels common myths and emphasizes the art of building rapport during assessments, particularly in emergency settings. Black explores the diverse motivations behind suicidal thoughts, advocating for personalized care. He also discusses the complexities of risk evaluations and the balance between patient autonomy and safety, highlighting the importance of proper documentation and empathetic communication in psychiatric practice.
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Efficient Interviewing
- Once you determine whether to admit or discharge, focus your interview accordingly.
- Avoid redundant questioning if the patient will be reassessed elsewhere soon.
Shifting Focus
- When assessing suicide risk, ask how they ended up talking to you.
- Shift the focus from how they tried to end their life to how they sought help.
Building Rapport
- Build rapport first in suicide risk assessments.
- Start by casually walking the patient through their day.