Caring for Adult Patients with Suicide Risk

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.

Alcohol withdrawal – the Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised (CIWA-Ar)

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.