The mental health triage scale can be used at the initial assessment of the patient presenting to the ED.
This was developed for use with the NICE guidelines on self-harm. [4]
It can be helpful in assessing risk of further self-harm or risk to others and highlights those patients requiring a higher level of supervision prior to full assessment. [10]
In accordance with the latest guidance from NICE, risk assessment tools are not recommended to be used to predict risk of future harm, which patients would benefit from treatment and for global risk stratification. [4]