Stage 4: Risk Assessment & Capacity
Concept 1 of 8
E4.1

Suicide Risk Assessment

A structured, deliberate, non-formulaic process. Risk is not a single answer but a layered judgment that drives the disposition.

Encounter card
Setting
Every psychiatric encounter — formal assessment when ideation, attempts, or significant risk factors are present.
Opening move
Ask directly about ideation. If endorsed, escalate through the hierarchy: passive thoughts → active thoughts → plan → intent → preparation/access → timeline. Then assess static + dynamic risk and protective factors. Document the process, not just the conclusion.
Sample language
  • "Have you been having thoughts of suicide or of hurting yourself?"
  • "Some passive thoughts (wishing you weren't here) or active thoughts about acting on them?"
  • "Have you thought about how you would do it?"
  • "Do you have access to means right now — medications, a firearm, anything you've considered using?"
  • "What's kept you safe so far?"
Listen for
Hierarchy: passive ideation → active ideation → plan → intent → access to means → preparation → recent attempt. Static risk factors: prior attempts, family history of suicide, age, sex, chronic illness, prior hospitalization. Dynamic risk: acute symptoms, recent loss, hopelessness, agitation, intoxication, insomnia. Protective: reasons for living, supports, treatment engagement, religious/spiritual beliefs, future orientation.
Common pitfalls
Treating suicide risk as binary. Using a risk scale as a substitute for judgment. Documenting "denies SI" without context when the patient minimized. Sending home without safety planning. Failing to involve family. Failing to address means access.

Red flags / escalate: Active ideation with plan, intent, and access. Recent attempt. Severe hopelessness. Severe agitation with insomnia. Command hallucinations to harm self. Acute intoxication amplifying ideation. Recent loss + minimization of ideation.

Documentation
Document the assessment process: questions asked, answers given, static and dynamic factors weighed, protective factors, disposition rationale. "Suicide risk assessed at moderate-high acutely based on..." NOT "Patient denies SI; safe for discharge."

A structured suicide risk assessment is the central clinical task in many psychiatric encounters. Document the reasoning, not just the conclusion.

Warm grey-tinted clinical notebook page, burnt orange accent. The suicidality hierarchy — passive ideation → active ideation → plan → intent → access to means → preparation → recent attempt. Margin clusters on each step.

Suicide risk assessment is one of the most consequential clinical skills in psychiatry. Done well, it identifies the patient at imminent risk and shapes appropriate intervention. Done poorly — reduced to box-checking or formulaic scoring — it produces documentation that doesn't reflect clinical thinking and care that doesn't match risk. The skill is structured judgment, not algorithmic scoring.

The ideation hierarchy escalates from passive to acute. Passive ideation: "I sometimes wish I weren't here." Active ideation: "I'm thinking about killing myself." Plan: "I've thought about how I would do it." Intent: "I'm thinking about doing it." Means access: weapon, medications, specific method available. Preparation: rehearsing, writing letters, giving things away, securing means. Recent attempt: the strongest single predictor of future attempt. Each level changes clinical management.

Static risk factors are demographic and historical. Prior attempts (strongest predictor). Family history of completed suicide. Male sex (more completed suicides). Older age. Chronic illness. Recent hospitalization (especially psychiatric — the period after discharge is highest-risk). These don't change visit-to-visit; they create baseline risk.

Dynamic risk factors are the current state. Acute psychiatric symptoms — severe depression, psychosis with command hallucinations, agitation, insomnia, hopelessness (the strongest single dynamic factor). Recent loss — death, divorce, job loss, financial ruin, legal trouble. Acute substance intoxication or withdrawal. These vary; they're what's happening now.

Protective factors are the counterweight. Reasons for living. Family or social supports. Religious or spiritual beliefs that proscribe suicide. Engagement in treatment. Future orientation. Means restriction in place. Children at home. These mitigate risk but don't eliminate it.

The risk assessment integrates all four. The patient with passive ideation, prior attempt history, current severe depression and hopelessness, firearm at home, and inadequate supports is in high acute risk despite the "passive" framing — because the static factors, dynamic factors, and means access all weigh heavily. The patient with active ideation but no plan, strong supports, and clear engagement may be at lower acute risk than the prior case.

Document the reasoning, not just the conclusion. "Low risk" without supporting evidence is inadequate. "Moderate acute risk based on...; protective factors include...; disposition decision: outpatient with safety plan, follow-up in 3 days, means restriction agreement reviewed" — that's documentation that captures the clinical thinking.

Static risk factors (history) + dynamic risk factors (current state) + protective factors. The clinical judgment integrates all three. Margin notes on each.
The anchor

Suicide risk assessment is a layered, deliberate judgment integrating ideation hierarchy, static risk factors, dynamic risk factors, and protective factors. Document the reasoning that shapes disposition.

How to document a suicide risk assessment — the reasoning visible. Sample note structure. Margin clusters on what to include and why.
Prove it

A patient with depression endorses passive suicidal thoughts ("I sometimes wish I just wouldn't wake up") but denies active intent or plan. He has a firearm at home and lives alone. His wife died 3 months ago. How do you assess risk and plan?

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