SAD PERSONS score - Revision history

Danbot: Strip excess bold

2026-03-22T09:37:14Z

Strip excess bold

← Older revision		Revision as of 09:37, 22 March 2026
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	*Score intended to evaluate patients presenting with [[depression]] and/or suicidal ideation and determine need for admission		*Score intended to evaluate patients presenting with [[depression]] and/or suicidal ideation and determine need for admission
	*However, while scale has good specificity (>90%), sensitivity is only 2%.<ref>Saunders K, Brand F, Lascelles K, et al. The sad truth about the SADPERSONS Scale: an evaluation of its clinical utility in self-harm patients. Emerg Med J 2014;31:796-798.</ref> Neither the original nor modified score is useful for predicting need for admission.<ref>Bolton, James M.; Spiwak, Rae; Sareen, Jitender (15 June 2012). "Predicting Suicide Attempts With the SAD PERSONS Scale". The Journal of Clinical Psychiatry. 73 (06): e735–e741.</ref>		*However, while scale has good specificity (>90%), sensitivity is only 2%.<ref>Saunders K, Brand F, Lascelles K, et al. The sad truth about the SADPERSONS Scale: an evaluation of its clinical utility in self-harm patients. Emerg Med J 2014;31:796-798.</ref> Neither the original nor modified score is useful for predicting need for admission.<ref>Bolton, James M.; Spiwak, Rae; Sareen, Jitender (15 June 2012). "Predicting Suicide Attempts With the SAD PERSONS Scale". The Journal of Clinical Psychiatry. 73 (06): e735–e741.</ref>
	**Therefore, this score likely ~~'''~~should not~~'''~~ be utilized in the ED setting to make admission decisions.		**Therefore, this score likely should not be utilized in the ED setting to make admission decisions.

	==Score==		==Score==
	*~~'''S'''ex~~ = male ~~'''~~(1)~~'''~~		*Sex = male (1)
	*~~'''A'''ge~~ <19 or >45 ~~'''~~(1)~~'''~~		*Age <19 or >45 (1)
	*~~'''D'''epressed~~ symptoms ~~'''~~(2)~~'''~~		*Depressed symptoms (2)
	*~~'''P'''ast~~ psychiatric history or suicide attempts ~~'''~~(1)~~'''~~		*Past psychiatric history or suicide attempts (1)
	*[[ETOH\|~~'''E'''TOH~~]]/drug use history ~~'''~~(1)~~'''~~		*[[ETOH\|ETOH]]/drug use history (1)
	*~~'''R'''ational~~ thought loss ~~'''~~(2)~~'''~~		*Rational thought loss (2)
	*~~'''S'''eparated~~/divorced/widowed or sickness with 3 or more prescription medications~~'''~~(1)~~'''~~		*Separated/divorced/widowed or sickness with 3 or more prescription medications(1)
	*~~'''O'''rganized~~ plan or serious attempt ~~'''~~(2)~~'''~~		*Organized plan or serious attempt (2)
	*~~'''N'''o~~ social support ~~'''~~(1)~~'''~~		*No social support (1)
	*~~'''S'''tated~~ intent (or ambivalence) ~~'''~~(2)~~'''~~		*Stated intent (or ambivalence) (2)

	;Assessment must be without ETOH/drugs on board (wait for person to sober)		;Assessment must be without ETOH/drugs on board (wait for person to sober)

SLuckettG: /* Disposition */

2019-03-25T14:51:03Z

Disposition

← Older revision		Revision as of 14:51, 25 March 2019
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	==Disposition==		==Disposition==
	*By point total:		*By point total:
	**<6: May discharge home if have someone to care for them, follow x 1 day, call follow up MD, and ~~contract~~ for ~~saftey~~		**<6: May discharge home if have someone to care for them, follow-up within 1 day, call follow up MD, and create safety plan (contracting for safety is not helpful, but creating a crisis plan may be)
	**6-8: 50% admission rate (consult ~~psych~~)		**6-8: 50% admission rate (consult psychiatry for further risk assessment)
	**>8: Admit		**>8: Admit

SLuckettG: /* Score */

2019-03-25T14:49:50Z

Score

← Older revision		Revision as of 14:49, 25 March 2019
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	*'''A'''ge <19 or >45 '''(1)'''		*'''A'''ge <19 or >45 '''(1)'''
	*'''D'''epressed symptoms '''(2)'''		*'''D'''epressed symptoms '''(2)'''
	*'''P'''ast ~~psych~~ history '''(1)'''		*'''P'''ast psychiatric history or suicide attempts '''(1)'''
	*[[ETOH\|'''E'''TOH]]/drug use history '''(1)'''		*[[ETOH\|'''E'''TOH]]/drug use history '''(1)'''
	*'''R'''ational thought loss '''(2)'''		*'''R'''ational thought loss '''(2)'''
	*'''S'''eparated/divorced/widowed '''(1)'''		*'''S'''eparated/divorced/widowed or sickness with 3 or more prescription medications'''(1)'''
	*'''O'''rganized/serious attempt '''(2)'''		*'''O'''rganized plan or serious attempt '''(2)'''
	*'''N'''o social support '''(1)'''		*'''N'''o social support '''(1)'''
	*'''S'''tated intent (or ambivalence) '''(2)'''		*'''S'''tated intent (or ambivalence) '''(2)'''

Mholtz at 19:35, 2 June 2017

2017-06-02T19:35:56Z

← Older revision		Revision as of 19:35, 2 June 2017
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	==Background==		==Background==
	*Score intended to evaluate patients presenting with [[depression]] and/or suicidal ideation and determine need for admission		*Score intended to evaluate patients presenting with [[depression]] and/or suicidal ideation and determine need for admission
	*However, while scale has good specificity (>90%), sensitivity is only 2%<ref>Saunders K, Brand F, Lascelles K, et al. The sad truth about the SADPERSONS Scale: an evaluation of its clinical utility in self-harm patients. Emerg Med J 2014;31:796-798.</ref>		*However, while scale has good specificity (>90%), sensitivity is only 2%.<ref>Saunders K, Brand F, Lascelles K, et al. The sad truth about the SADPERSONS Scale: an evaluation of its clinical utility in self-harm patients. Emerg Med J 2014;31:796-798.</ref> Neither the original nor modified score is useful for predicting need for admission.<ref>Bolton, James M.; Spiwak, Rae; Sareen, Jitender (15 June 2012). "Predicting Suicide Attempts With the SAD PERSONS Scale". The Journal of Clinical Psychiatry. 73 (06): e735–e741.</ref>
	**Therefore, this score likely '''should not''' be utilized in the ED setting to make admission decisions.		**Therefore, this score likely '''should not''' be utilized in the ED setting to make admission decisions.

Mholtz: Mholtz moved page Sad person's score to SAD PERSONS score

2017-06-02T19:33:39Z

Mholtz moved page Sad person's score to SAD PERSONS score

← Older revision	Revision as of 19:33, 2 June 2017
(No difference)

Mholtz at 19:33, 2 June 2017

2017-06-02T19:33:11Z

← Older revision		Revision as of 19:33, 2 June 2017
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	==Background==		==Background==
	*Score ~~used~~ to ~~determine if~~ patients presenting with [[depression]] and/or suicidal ideation need to ~~be admitted vs~~. ~~outpatient follow-up~~		*Score intended to evaluate patients presenting with [[depression]] and/or suicidal ideation and determine need for admission
			*However, while scale has good specificity (>90%), sensitivity is only 2%<ref>Saunders K, Brand F, Lascelles K, et al. The sad truth about the SADPERSONS Scale: an evaluation of its clinical utility in self-harm patients. Emerg Med J 2014;31:796-798.</ref>
			**Therefore, this score likely '''should not''' be utilized in the ED setting to make admission decisions.

	==Score==		==Score==
	*~~Sex~~ = male (1)		*'''S'''ex = male '''(1)'''
	*~~Age~~ <19 or >45 (1)		*'''A'''ge <19 or >45 '''(1)'''
	*~~Depressed~~ symptoms (2)		*'''D'''epressed symptoms '''(2)'''
	*~~Past~~ psych history (1)		*'''P'''ast psych history '''(1)'''
	*[[ETOH]]/drug use history (1)		*[[ETOH\|'''E'''TOH]]/drug use history '''(1)'''
	*~~Rational~~ thought loss (2)		*'''R'''ational thought loss '''(2)'''
	*~~Separated~~/divorced/widowed (1)		*'''S'''eparated/divorced/widowed '''(1)'''
	*~~Organized~~/serious attempt (2)		*'''O'''rganized/serious attempt '''(2)'''
	*No social support (1)		*'''N'''o social support '''(1)'''
	*~~Stated~~ intent (or ambivalence) (2)		*'''S'''tated intent (or ambivalence) '''(2)'''

	;Assessment must be without ETOH/drugs on board (wait for person to sober)		;Assessment must be without ETOH/drugs on board (wait for person to sober)

Neil.m.young: Text replacement - "followup" to "follow-up"

2016-07-15T02:52:45Z

Text replacement - "followup" to "follow-up"

← Older revision		Revision as of 02:52, 15 July 2016
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	==Background==		==Background==
	*Score used to determine if patients presenting with [[depression]] and/or suicidal ideation need to be admitted vs. outpatient ~~followup~~		*Score used to determine if patients presenting with [[depression]] and/or suicidal ideation need to be admitted vs. outpatient follow-up

	==Score==		==Score==

Neil.m.young: Text replacement - "==Source==" to "==References== "

2016-06-26T02:01:35Z

Text replacement - "==Source==" to "==References== <references/>"

← Older revision		Revision as of 02:01, 26 June 2016
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	*[[Depression]]		*[[Depression]]

	==~~Source~~==		==References==
			<references/>

	[[Category:Psychiatry]]		[[Category:Psychiatry]]

Ostermayer: Text replacement - "Category:Psych" to "Category:Psychiatry"

2016-03-22T16:02:55Z

Text replacement - "Category:Psych" to "Category:Psychiatry"

← Older revision		Revision as of 16:02, 22 March 2016
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	==Source==		==Source==

	[[Category:~~Psych~~]]		[[Category:Psychiatry]]

Rossdonaldson1: /* Disposition */

2015-02-15T23:32:12Z

Disposition

← Older revision		Revision as of 23:32, 15 February 2015
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	==Disposition==		==Disposition==
	*By point total:		*By point total:
	**<6: May ~~d/c~~ home if have someone to care for them, follow x ~~1dy~~, call ~~f/u~~ MD, contract		**<6: May discharge home if have someone to care for them, follow x 1 day, call follow up MD, and contract for saftey
	**6-8: 50% admission rate (consult psych)		**6-8: 50% admission rate (consult psych)
	**>8: Admit		**>8: Admit