Management of Suicidal Patient (guide by Dr Kartini)

1. Admit the patient


2. Restrain patient

    - physical: patient will become traumatized by this method

    - chemical: best choice!

3. Put the patient in "strict suicidal caution"

    - in the ward, there is a "suicidal chart"

    - the patient will be observed hourly on some aspects:

      i.  sleep, appetite, interaction with others, 
          self hygiene: marks will be given

     ii.  tendency to attempt suicide (yes or no)

4. Assess the cause 
    (if it is due to psy problem, have to tackle them..eg: secondary to hearing voices or 
     delusion of guilt, etc..)

5. First line treatment: oral medication

    - but if the patient is catatonic or stupor, then only we can consider giving ECT 
      (but not on the day of admission-->give on second day)

6. When the patient is stable, plan for psycho-social management.

~I took this from Puteri, so credit to her for this~