Ver el código de «SAD PERSONS score»

==Background==
*Score intended to evaluate patients presenting with [[depression]] and/or suicidal ideation and determine need for admission
*However, while scale has good specificity (>90%), sensitivity is only 2%.<ref>Saunders K, Brand F, Lascelles K, et al. The sad truth about the SADPERSONS Scale: an evaluation of its clinical utility in self-harm patients. Emerg Med J 2014;31:796-798.</ref> Neither the original nor modified score is useful for predicting need for admission.<ref>Bolton, James M.; Spiwak, Rae; Sareen, Jitender (15 June 2012). "Predicting Suicide Attempts With the SAD PERSONS Scale". The Journal of Clinical Psychiatry. 73 (06): e735–e741.</ref>
**Therefore, this score likely should not be utilized in the ED setting to make admission decisions.

==Score==
*Sex = male (1)
*Age <19 or >45 (1)
*Depressed symptoms (2)
*Past psychiatric history or suicide attempts (1)
*[[ETOH|ETOH]]/drug use history (1)
*Rational thought loss (2)
*Separated/divorced/widowed or sickness with 3 or more prescription medications(1)
*Organized plan or serious attempt (2)
*No social support (1)
*Stated intent (or ambivalence) (2)
 
;Assessment must be without ETOH/drugs on board (wait for person to sober)

==Disposition==
*By point total:
**<6: May discharge home if have someone to care for them, follow-up within 1 day, call follow up MD, and create safety plan (contracting for safety is not helpful, but creating a crisis plan may be)
**6-8: 50% admission rate (consult psychiatry for further risk assessment)
**>8: Admit

==See Also==
*[[General Psych Workup]]
*[[Depression]]

==References==
<references/> 

[[Category:Psychiatry]]