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Modified MSPS Suicide Risk Assessment

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Modified MSPS Suicide Risk Assessment, Modified SAD PERSONS

  • See Also
  1. Suicidality
  2. Major Depression
  • Indications
  1. Suicide Risk Assessment
  • Criteria (Mnemonic
  • SAD PERSONS)
  1. Sex: Male (1 point)
  2. Age <19 years or >45 years old (1 point)
  3. Depression or hopelessness (2 point)
  4. Previous Attempt or psychiatric care (1 point)
  5. Excessive Alcohol or drug use (1 point)
  6. Rational thinking loss (2 point)
  7. Separated, divorced or widowed (2 point)
  8. Organized or serious Suicide attempt (2 point)
  9. No social support (1 point)
  10. Start future Suicide intent (2 point)
  • Interpretation
  1. Score <=5
    1. Consider for discharge home with outpatient follow-up
  2. Score >5
    1. Emergent psychiatric evaluation and consider acute psychiatric hospitalization
  • Efficacy
  1. Test Sensitivity: 94%
  2. Test Specificity: 71%
  • References
  1. Hockberger (1988) J Emerg Med 6(2): 99-107 [PubMed]