Psychiatric Emergencies Domain Focus

• Suicidal and Homicidal Ideation: Risk assessment, safety planning, 1:1 observation, no-harm precautions and disposition decisions from the ED.
• Acute Psychosis: Hallucinations, delusions, impaired judgment, command hallucinations and capacity to refuse care in the emergency setting.
• Violent or Agitated Patient: Verbal de-escalation, team safety, use of sitters, seclusion and safe application and monitoring of restraints.
• Substance Use Intoxication and Withdrawal: Alcohol, opioids, stimulants, sedative-hypnotics, delirium tremens and overdose stabilization in the ED.
• Crisis Intervention and Safety: Therapeutic communication, trauma-informed care, involuntary holds, documentation and collaboration with psychiatry and law enforcement.