Depressed Suicidal Date Last Search Run: Jan 14, 2025 Table last updated: Sep 16, 2023 Data last added: Sep 13, 2023

Recommendation		RECOMMENDATION FOR INTERVENTION
STRENGTH OF EVIDENCE FOR INTERVENTION		SUPPORTIVE (Green)	NEUTRAL (Yellow)	AGAINST (Red)	NOT YET GRADED (White)
	1 (strong evidence exists)				Suicide risk assessment Support
	2 (fair evidence exists)	Medical clearance in the field
	3 (weak evidence exists)

Interventions

Medical clearance in the field

Level	Direction	Primary Outcome	Patient/Process	Setting	Reference
II	Supportive (Green)	Admission	Process	ED-MD	Berg JS, Payne AS, Wavra T, Morrison S, Patel SJ. Implementation of a Medical Clearance Algorithm for Psychiatric Emergency Patients. Hosp Pediatr 2023; 13(1):66-71. Medline
II	Supportive (Green)	Risk of Suicide	Process	Other	Riblet NB, Matsunaga S, Lee Y, Young-Xu Y, Shiner B, Schnurr PP, Levis M, Watts BV. Tools to Detect Risk of Death by Suicide: A Systematic Review and Meta-Analysis. J Clin Psychiatry Nov 2022; 84(1). Medline
II	Supportive (Green)	Characteristics and safety of OOH Screening	Patient	PH-Paramedic	Trivedi TK, Glenn M, Hern G, Schriger DL, Sporer KA. Emergency Medical Services Use Among Patients Receiving Involuntary Psychiatric Holds and the Safety of an Out-of-Hospital Screening Protocol to "Medically Clear" Psychiatric Emergencies in the Field, 2011 to 2016. Ann Emerg Med 2019; 73(1):42-51. Medline

Suicide risk assessment

Level

Direction

Primary Outcome

Patient/Process

Setting

Reference

Support

Level	Direction	Primary Outcome	Patient/Process	Setting	Reference
X	Not Yet Graded (White)	-			Boland LL, Ryan KE, Flynn JM, Fox A, Duren JL. Use of Emergency Mental Health Dispatch Training by a 9-1-1 Medical Dispatcher Assisting a Caller Expressing Suicidal Intent: A Case Report. Prehosp Emerg Care Sept 2024; 1-4. Medline