Emergency Medical Minute26 Jan 2022

Mental Health Monthly #9: Suicide Assessment in the ED: Using the ICAR2E Tool

Dr. Kim Nordstrom discusses a valuable bedside tool for evidence-based assessment in patients that visit the ED and are at risk for suicidality. Dr. Nordstrom is a practicing emergency psychiatrist and associate professor with the University of Colorado. As a developer and user of the tool, Dr. Nordstrom gives us invaluable insight into a new avenue for psychiatric care in emergency medicine.

Educational Pearls:

An app-based tool made in conjunction with ACEP
Identifying suicidal risk for each patient, including assessment of clues like bodily injuries
Communicating with patients to create a safe space and enhance rapport
Assessing for threats such as environmental or personal objects
Risk assessment; previous attempts, mental state, life stressors, etc.
Risk reduction once discharge is thought possible
Extension of care once patients leave the ED

Link to Access the ICAR2E Tool

References

Wilson MP, Moutier C, et al. Emergency department recommendations for suicide prevention in adults: The ICAR2E mnemonic and a systematic review of the literature. Am J Emerg Med. 2020; 38:571-581.

Summarized by Jorge Chalit

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