Suicide risk categorisation of psychiatric inpatients: what it might mean and why it is of no use.

Abstract

Existing suicide risk assessment policies and guidelines do not specify whether the risk to be assessed is absolute, relative to other patients or relative to the same patient at an earlier time. We utilised the results of a recent study of inpatient suicide to explore the implications of each of the above types of risk. No interpretation of the current requirements for suicide risk categorisation of psychiatric inpatients can lead to information that might usefully guide clinical decision-making. Policies and guidelines requiring suicide risk categorisation of inpatients should be withdrawn. The College should delete the mandatory entrustable professional activity requiring risk assessment.