How do you determine disposition when a patient presents to an outpatient psychiatry visit with recent self-injury that may require medical attention?
What factors influence whether you send the patient to the emergency department versus continuing the visit? How do you approach suicide risk assessment and safety planning in this situation?
2 Answers
Mednet MemberInvited Expert
Psychiatry · Oklahoma State University
Answered on
Self-injury can present a complicated and anxiety-provoking clinical situation, yet it is not uncommon in psychiatric practice. Such behavior may reflect a range of psychological processes, including acute distress, personality pathology, or genuine suicidal intent. Because the underlying meaning of...
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Mednet Member
Psychiatry · Franciscan Health Systems
Answered on
I agree with the responses that it has to be individualized, but if the self-injury is severe enough to warrant "medical attention" (I assume that means requiring sutures?), then in most cases that would warrant an emergency detention order in my opinion. Even in the case of borderline patients, thi...
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