How can I support patients with a history of suicidal ideation during

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Support patients with a history of suicidal ideation during routine consultations by:

Asking about any current thoughts, plans, or feelings of hopelessness related to self-harm or suicide, and if present, referring urgently for a mental health assessment .
Reviewing their mental health history, including previous contact with mental health services, psychiatric admissions, and medication use, to inform risk and care planning .
Conducting a sensitive psychosocial assessment that explores the person’s needs, vulnerabilities, strengths, and the functions of their suicidal ideation or self-harm, considering their values and preferences .
Ensuring the assessment is done in a private, confidential setting, with adaptations as needed for any disabilities or preferences, and involving family or carers if appropriate .
Developing or reviewing a personalised care plan and safety plan collaboratively with the patient, sharing it with relevant healthcare professionals and carers to support ongoing management .
Paying attention to social factors such as isolation, loneliness, and caring responsibilities, which may affect mental health and suicide risk .
Recognising the need for multidisciplinary review and coordination of care if the patient has frequent episodes or if previous treatments have been ineffective, appointing a key professional to coordinate care .
Being aware that risk assessment tools should not be used alone to predict suicide risk or determine treatment, but rather a comprehensive clinical risk formulation should guide management .

How can I support patients with a history of suicidal ideation during routine consultations?