Homicidal and suicidal ideations
ICD-10 R45.85 is a billable code used to indicate a diagnosis of homicidal and suicidal ideations.
Homicidal and suicidal ideations refer to thoughts or plans regarding self-harm or harm to others. These ideations can manifest as fleeting thoughts or more persistent and detailed plans. Patients may express feelings of hopelessness, worthlessness, or anger, which can escalate to thoughts of suicide or violence. The presence of these ideations often indicates underlying mental health disorders such as depression, anxiety, or personality disorders. Clinical assessment typically involves evaluating the severity, frequency, and context of these thoughts, as well as any associated risk factors such as previous attempts, substance abuse, or significant life stressors. It is crucial for healthcare providers to document the patient's mental state, any expressed intent, and the presence of protective factors to ensure appropriate management and follow-up.
Detailed mental health history, including any prior ideations or attempts, current stressors, and coping mechanisms.
Patients presenting with chronic illness may express suicidal ideations due to the burden of their condition.
Internal medicine providers should collaborate with mental health professionals for comprehensive care.
Immediate assessment of risk, including intent, plan, and means to carry out ideations.
Patients presenting after a suicide attempt or with acute suicidal thoughts.
Emergency settings require rapid assessment and intervention, with clear documentation of findings and actions taken.
Used when a patient presents with suicidal ideations for a comprehensive evaluation.
Complete mental health history, risk assessment, and treatment plan.
Psychiatrists should ensure thorough documentation to support the evaluation.
R45.85 should be used when a patient expresses thoughts or plans of self-harm or harm to others, and these ideations are documented as part of the clinical assessment.
