Realistically, a clinician is not always able to prevent a suicide in a determined patient. However, CRICO has developed guidelines with Harvard medical faculty over the past 10 years to assist primary care and mental health professionals in their decision-making. The documents address the process of identifying or managing at-risk patients in a hospital or outpatient setting, as well as collaboration issues among mental health and primary care clinicians.

Some common risk management themes identified by CRICO include:

  • lack of an ongoing, documented assessment of suicide risk, especially prior to hospital discharge, a change in privileges, or a change in clinical status,

  • lack of documentation to reflect a clinical rationale regarding treatment decisions, and

  • inadequate patient supervision.

More CRICO Guidelines or Algorithms

CRICO decision support tools.

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