CDHB
This should be regarded as a very serious situation that requires both further evaluation and a response. Patients may be suicidal for a number of reasons. Although this is likely to be as a consequence of depression, patients in pain or attempting to obtain drugs of abuse may express suicidal ideation as part of their general distress. Further evaluation of why the patient is suicidal at this time is vital to establishing an effective management strategy. This includes finding out whether the patient has a plan and whether they have previously attempted suicide, and evaluating the level of intent and means to carry out the plan. Patient supports in the community should also be considered.
Note: A psychiatric consultation is mandatory. Patients expressing suicidal ideation and attempting to leave can be detained under a number of legal provisions (see Guidelines to the Mental Health (Compulsory Assessment and Treatment) Act 1992 amended 2008 on the internet). You are able to detain a person against their will in this situation and will not be criticized or encounter legal difficulties for doing so.
Topic Code: 3370