SAD PERSONS score
- 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%. Neither the original nor modified score is useful for predicting need for admission.
- Therefore, this score likely should not be utilized in the ED setting to make admission decisions.
- Sex = male (1)
- Age <19 or >45 (1)
- Depressed symptoms (2)
- Past psychiatric history or suicide attempts (1)
- ETOH/drug use history (1)
- Rational thought loss (2)
- Separated/divorced/widowed or sickness with 3 or more prescription medications(1)
- Organized plan or serious attempt (2)
- No social support (1)
- Stated intent (or ambivalence) (2)
- Assessment must be without ETOH/drugs on board (wait for person to sober)
- By point total:
- <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 psychiatry for further risk assessment)
- >8: Admit
- 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.
- 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.