You are at the scene where a male patient threatened to take pills to end his life. In talking with the patient, he informs you that he just got a new job that requires more of his time and his wife has been giving him a hard time about it. Tonight, he had enough and just made the comment because he was mad at her. He says that although he is still upset, he does not plan to do anything 'drastic.' Before taking further action, which fact about the patient should raise the EMT's suspicion that he is indeed at a higher risk for suicide?

Emergency medical services (EMS) providers should follow these steps for pre-hospital treatment of psychiatric disorders: Stabilize the crisis, Avoid coercion, Treat in the least restrictive setting, Form a therapeutic alliance, and Formulate an appropriate disposition and aftercare plan.  Here are some de-escalation techniques for psychiatric emergencies: Maintain a calm, reassuring, and compassionate tone of voice Ask the person's name and use the name they give you Do not touch the patient unless required and permission is given Physically lower yourself to eye level with the... Show more

Emergency medical services (EMS) providers should follow these steps for pre-hospital treatment of psychiatric disorders: Stabilize the crisis, Avoid coercion, Treat in the least restrictive setting, Form a therapeutic alliance, and Formulate an appropriate disposition and aftercare plan. 

Here are some de-escalation techniques for psychiatric emergencies:
Maintain a calm, reassuring, and compassionate tone of voice
Ask the person's name and use the name they give you
Do not touch the patient unless required and permission is given
Physically lower yourself to eye level with the patient
Slow down
Acknowledge hallucinations, but don't dismiss them: 
For example, "I understand that you see bugs. I do not see them. That sounds scary. We care about you and I would like to try to help you with that" 

Behavioral health emergencies are a priority for EMS professionals. 
These emergencies can take many forms, including:
Mental health crises, such as those related to bipolar disorder, schizophrenia, or PTSD
Intoxication due to alcohol, drugs, or both
Neurodegenerative disorders, such as Alzheimer's disease or dementia
Patients or bystanders who present a danger to themselves or others 

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