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High Suicide Risk

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Patient with psychiatric diagnoses with severe symptoms or acute precipitating event, with insufficient protective factors. 


Examples of high risk, active suicidal ideation

  • Psychiatric diagnoses with severe symptoms
  • Or acute precipitating event
  • Active intent
  • Has lethal means of harming self, e.g. firearms, toxic medications, etc.
  • Unable to contract for safety, i.e. patient is unable to agree to tell someone else if suicidal ideation worsens
  • Potentially lethal suicide attempt or persistent ideation with strong intent or suicide rehearsal.
  • Protective factors not relevant


Consider the following

Contact the psychiatrist on-call at your local hospital


In Canada: 
  • Consider sending to your local hospital

In Ontario: 
  • Consider sending to your local Schedule 1 facility for emergent assessment
  • Complete a Form 1 (Application by Physician for Psychiatric Assessment)
  • Information about Form 2

In Ottawa:
  • Consider contacting Psychiatrist On-Call at local schedule 1 hospital such as:
    • Ottawa Hospital, Civic Campus, 1053 Carling Avenue, 613-722-7000
    • Ottawa Hospital, General Campus, 501 Smyth Road, 613-722-7000
    • Queensway Carleton Hospital, 3045 Baseline, 613-721-2000
    • Hôpital Montfort, 713 Montreal Rd, 613-746-4621


In acute emergency, call 911


To contact Ottawa police about Form 1 call 613-230-6211

May be instructed to fax  Form 1 to CPIC at  613-760-8007


Reference: Suicide Assessment Five-step Evaluation and Triage (SAFE-T).


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