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Sad person's score
From WikEM
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
