Risk scores and screening tools do not replace a direct, non-judgemental question about suicidal thoughts. Asking does not plant the idea. Repeat the question at each follow-up, because risk changes within weeks.
- Ask plainly about thoughts, plans and access to means.
- Repeat it at every review after a discharge, a medication change or a loss.
- Agree a written safety plan and involve a family member where the patient permits.
- Review means restriction, including stored medicines.
Why it matters
A negative answer today is a statement about today, not the coming months.
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