Table 1 Risk-rescue rating
From: Which deliberate self-poisoning patients are most likely to make high-lethality suicide attempts?
Risk factors | Rescue factors |
|---|---|
1. Agent used | 1. Location |
1. Ingestion, cutting, stabbing | 3. Familiar |
2. Drowning, asphyxiation, strangulation | 2. Non-familiar, non-remote |
3. Jumping, shooting | 1. Remote |
2. Impaired consciousness | 2. Person initiating rescuea |
1. None in evidence | 3. Key person |
2. Confusion, semicoma | 2. Professional |
3. Coma, deep coma | 1. Passerby |
3. Lesions/toxicity | 3. Probability of discovery by any rescuer |
1. Mild | 3. High, almost certain |
2. Moderate | 2. Uncertain discovery |
3. Severe | 1. Accidental discovery |
4. Reversibility | 4. Accessibility to rescue |
1. Good, complete recovery expected | 3. Asks for help |
2. Fair, recovery expected with time | 2. Drops clues |
3. Poor, residuals expected, if recovery | 1. Does not ask for help |
5. Treatment required | 5. Delay until discovery |
1. First aid, E.W. care | 3. Immediate 1 h |
2. House admission, routine treatment | 2. Less than 4 h |
3. Intensive care, special treatment | 1. Greater than 4 h |
Total risk points | Total rescue points |
Risk score | Rescue scoreb |
|---|---|
5. High risk (13–15 risk points) | 1. Least rescuable (5–7 rescue points) |
4. High moderate (11–12 risk points) | 2. Low moderate (8–9 rescue points) |
3. Moderate (9–10 risk points) | 3. Moderate (10–11 rescue points) |
2. Low moderate (7–8 risk points) | 4. High moderate (12–13 rescue points) |
1. Low risk (5–6 risk points) | 5. Most rescuable (14–15 rescue points) |