Mental health evaluations provided during the ED visit should include comprehensive suicide risk assessment. The SAFE-T Guide, developed by the Substance Abuse and Mental Health Services Administration (SAMHSA), may be used in conjunction with the Decision Support Tool to meet this objective.
For those dealing with alcohol withdrawal in Kenya…the Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised (CIWA-Ar) objectifies alcohol withdrawal symptoms to help guide therapy;
- patients should be scored every 2 hours;
- frequently treatment begins with benzodiazepines when CIWA-Ar scores reach 8-10, with standing or as needed dosing for scores 10-20
- consider transfer to the ICU for scores >20.