PSS_3_guideline v.1
Patient Safety Screener 3 (PSS-3)is a screener used to screen for suicidality in emergency patients.
To screen for suicidality in emergency patients.
Use as an initial quick screen for suicide risk in emergency patients presenting for any complaint, even non-psychiatric complaints. Positive screen = selection of “Yes” to question 2 or 3 below: Variables: Ask the patient: 1. Depressed mood “Over the past two weeks, have you felt down, depressed, or hopeless?” No, Yes, Refused to answer 2. Active suicidal ideation “Over the past two weeks, have you had thoughts of killing yourself?” No, Yes, Refused to answer 3. Lifetime suicide attempt “In your lifetime, have you ever attempted to kill yourself?” No, Yes, Refused to answer 3a. Recent suicide attempt (if it happened within the last 6 months) “When did your last attempt occur?” (only ask if yes to question 3) Today, Within 30 days, Within 1-6 months, >6 months, Does not know, Refused
Not to be used in patients who cannot engage in conversation (e.g. if intubated or with altered mental status).
1. Boudreaux ED, Miller I, Goldstein AB, Sullivan AF, Allen MH, Manton AP, Arias SA, Camargo CA Jr. The Emergency Department Safety Assessment and Follow-up Evaluation (ED-SAFE): method and design considerations. Contemp Clin Trials. 2013 Sep;36(1):14-24. doi: 10.1016/j.cct.2013.05.008. Epub 2013 May 22. PMID: 23707435; PMCID: PMC3979300. 2. Boudreaux ED, Jaques ML, Brady KM, Matson A, Allen MH. The patient safety screener: validation of a brief suicide risk screener for emergency department settings. Arch Suicide Res. 2015;19(2):151-60. doi: 10.1080/13811118.2015.1034604. PMID: 25826715. 3. Boudreaux ED, Camargo CA Jr, Arias SA, Sullivan AF, Allen MH, Goldstein AB, Manton AP, Espinola JA, Miller IW. Improving Suicide Risk Screening and Detection in the Emergency Department. Am J Prev Med. 2016 Apr;50(4):445-453. doi: 10.1016/j.amepre.2015.09.029. Epub 2015 Dec 4. PMID: 26654691; PMCID: PMC4801719. 4. Miller IW, Camargo CA Jr, Arias SA, Sullivan AF, Allen MH, Goldstein AB, Manton AP, Espinola JA, Jones R, Hasegawa K, Boudreaux ED; ED-SAFE Investigators. Suicide Prevention in an Emergency Department Population: The ED-SAFE Study. JAMA Psychiatry. 2017 Jun 1;74(6):563-570. doi: 10.1001/jamapsychiatry.2017.0678. PMID: 28456130; PMCID: PMC5539839.
OBSERVATION.pss_3.v0, EVALUATION.pss_3_interpretation.v0
