Professional Documents
Culture Documents
M Liando, SpKJ
Definition
Any disturbance
in thoughts, feelings, or actions
for which
immediate therapeutic intervention
is necessary
Treatment setting
General medical or psychiatry ER?
Staff and other personnel, setting ruangan
Children/young or adult?
Security (pts condition)
Evaluation (1)
Goal : sesegera mungkin melakukan penilaian pada
pasien sehingga dapat diberi tata laksana
Need modification
Triage : emergent, urgent, non-urgent (false
emergency)
Evaluation (2)
General strategy :
Self protection
Prevent harm : suicidal, homicidal, patient safety, self-
care
Organic or functional?
Psychotic?
Consider ORGANIC!!!
ACUTE onset (within hours or minutes, w/ prevailing
symp.)
FIRST episode
Geriatric AGE
Current medical illness or injury
Significant SUBSTANCE abuse
Non-auditory disturbances of perception
NEUROLOGICAL symptoms (loss of consciousness,
seizures, head injury, change in headache pattern,
change in vision)
Classic mental status signs (diminished alertness,
disorientation, memory impairment, impairment in
concentration and attention, dyscalculia, concreteness)
Other mental status signs (speech, movement, or gait
disorders)
Constructional apraxia (difficulties in drawing clock,
cube, intersecting pentagons)
Evaluation (3)
Physical Examination
Emergency Psychiatric Interview
Specific setting : psychosis, suicidal, violent, rape/
sexual abuse
Mental Status Examination
SUICIDAL RISK