Holding the Lifeline
A Guide to Suicide Prevention
Additional Screening
Physicians have also developed training specific to suicide assessment to allow general practitioners to detect this problem, although none of these tools are meant to be mutually exclusive.ref, ref The SAD PERSONS scale (below) provides a mnemonic instrument to help physicians and other healthcare workers determine the presence of risk factors in order to assess for suicide risk. ref
- Sex (male versus female)
- Age
- Depression
- Previous suicide attempts
- Ethanol abuse
- Rational thinking loss (psychosis)
- Social supports lacking
- Organized plan to commit suicide
- No spouse (divorced, widowed, single)
- Sickness (physical illness)
Mental health professionals may have more training than others in addressing suicidal behaviors. But not all counselors and other professionals may be aware of the link between substance abuse and suicide.
Advice to the Counselor suggests steps to take when counseling a client who is suicidal to make sure the client remains safe.








