Table 1.

Best Practice Recommendations for Interdisciplinary Suicide Screening

Patients to screen
  • All adults (>18) as patients often do not recognize their symptoms as signs of mental health conditions (i.e., depression)

  • Risk factors for determining suicidal ideation risk and acuity of risk may have limited clinical utility36

  • Older adults (>50), particularly men, are less likely to be screened for suicidal ideation37,38

Lack of education and preparation
  • To address the suicide public health crisis, Washington state requires all health care providers to complete suicide prevention training29

  • 2012 National Strategy for Suicide Prevention outlined the importance of prevention training for all personnel in health professions39

  • Evidence-based suicide prevention training should be required of all health care providers, including pharmacists40

  • Interprofessional education at schools and colleges of pharmacy, medicine, etc., could incorporate mental health care and access

Gaps in transitions of care40
  • Need to develop transitions of care programs post-emergency department discharge to communicate back to PCP, community pharmacist, and if established, mental health care provider

  • Need to ensure adequate psychosocial assessment occurs to identify patients at risk

  • Need to develop triage process from community pharmacy to PCP/mental health care provider or crisis unit/acute care based on severity

Role of the pharmacist
  • PCPs encourage patient perception of the pharmacist as part of the mental health care team40

  • Research models of interdisciplinary care for suicide prevention to identify best practices40

  • PCP, primary care provider.