Suicide ranks as the 11th leading cause of death in the United States, claiming 48,183 lives in 2021 alone—equivalent to one life lost every 11 minutes. For us, as clinicians, suicide prevention starts in our emergency department, where at-risk individuals often seek help in the days or weeks leading up to a suicide attempt. Unfortunately, in the ED, the opportunity to screen for suicide risk can be overlooked due to high patient values, the assumption that mental health is for psychiatry, or because we see the same patient multiple times. Still, screening for suicidal ideation (SI) in the ED, while challenging, can significantly improve patient outcomes and save lives.
