Suicidal ideation physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vindhya BellamKonda, M.B.B.S [2]
Overview
There are no physical findings specific to suicidal ideation. Findings might be specific to secondary causes responsible for suicidal ideation which may be medical, psychiatric, substance abuse etc....
Doing a mental status examination is mandatory for the diagnosis of any patient endorsing suicidal ideation. However, complete medical evaluation should be done to rule out organic conditions that might be causing suicidal ideation.
Mental status examination
A detailed mental status examination is necessary for a patient endorsing suicidal ideation, there may be slight variation in the findings of mental status examination depending on the underlying psychiatric condition that might be the cause of suicidal ideation. Assessing appearance, behavior, ability to cooperate with the exam, level of activity, speech, mood and affect, thought process and content, insight and judgement. Check the patient's orientation, mood, affect, cognition( memory, speech, language). Ask the patient about any suicidal or homicidal ideation.