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Immediate safety and triage
Immediate priorities
Airway compromise risk
Intoxication or sedative coingestion
Severe psychomotor retardation with poor airway protection
Breathing compromise risk
Opioid coingestion concern
Aspiration risk with depressed consciousness
Circulation compromise risk
Dehydration from poor intake
Hypotension from overdose concern
Behavioral safety
Imminent self harm risk
Homicidal ideation risk
Elopement risk
Active intent
Severe agitation
High risk triggers
Suicidality
Active intent
Recent attempt
Psychosis
Command hallucinations
Mood congruent delusions
Catatonia
Stupor
Rigidity
Severe functional failure
Inability to maintain hydration
Inability to maintain nutrition
Severe agitation
Inability to participate in evaluation
Need for rapid behavioral control
Immediate environment
Lethal means separation
Secure medications
Secure weapons access
Observation level
Continuous observation for imminent risk
Close observation for moderate risk
Medical monitoring
Vital signs frequency based on intoxication risk
Cardiac monitoring for overdose concern
Time critical decisions
Disposition drivers
Inpatient psychiatric admission indications
Active intent with plan
Inability to ensure safety outpatient
Medical admission indications
Delirium
Toxic ingestion requiring monitoring
Urgent specialty consultation triggers
Psychiatry for high risk or diagnostic uncertainty
Toxicology for overdose concern
Capacity and consent
Decision making capacity elements
Understanding
Appreciation
Involuntary hold criteria by jurisdiction
Danger to self
Grave disability
Immediate stabilization options
Acute agitation strategy
Nonpharmacologic measures
Low stimulation setting
Verbal de escalation
Pharmacologic measures
If severe agitation then rapid tranquilization protocol per local policy
If psychosis then antipsychotic selection mindful of QT risk
Catatonia strategy
Lorazepam challenge
If rapid improvement then catatonia likely
If no response then urgent psychiatry for ECT consideration
Severe insomnia strategy
Short term sedating agent selection
Avoid high toxicity agents in overdose risk
Avoid benzodiazepines with substance use disorder risk
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.