What does the "O" in "SAD PERSONS" relate to in the context of suicide assessment?

In the context of suicide assessment, the "O" in "SAD PERSONS" stands for "Organized plan." This is a critical component in evaluating an individual's risk for suicide because having a specific and well-thought-out plan significantly increases the likelihood of an attempt.

When assessing someone for suicidal ideation, it is essential to understand not only whether they have thought about suicide but also the details surrounding their thoughts. An organized plan might include specifics about the method, time, and place of the intended act, indicating a higher level of intent and commitment to carrying out the plan. This detail helps mental health professionals gauge the immediate risk and the necessary interventions to ensure the individual's safety.

Understanding this aspect highlights the importance of thorough assessment in suicide prevention strategies, informing clinical decisions regarding hospitalization or other forms of urgent intervention.