Active SI/HI or Active Psychosis


Assess for Active SI/HI or Active Psychosis

For SI, complete the .SUICIDEIMASCREEN in Epic and a PHQ9.

For HI/Psychosis, complete a violence risk assessment and a PHQ9.

If yes to questions 4, 5 or 6, in suicide screen:

  • Preceptor must evaluate patient.

  • If ACTIVE SI/HI with intent and/or plan or recent behaviors OR Active psychosis with imminent danger to patient or others : Call Psych ED: (212) 241-5637 or IMA psychiatrist for guidance on decision to send to ED.

Appropriate for Psych ED Eval

If patient in imminent danger, follow the directions here.

If patient willing to go to ED voluntarily

  • Mon-Fri 9-4pm call triage SW at 212-824-7583 (x5-7583) to wait with patent until security arrives. After 4pm or on Saturday have an MA or nursing staff member wait with patient.

  • Call (or ask front desk to call) CAM security at 212-824-7005 (x5-7005) to wait with the patient.

  • Call Mount Sinai Health System Transportation Office (operated by Hunter Ambulance): 631-777-5600

  • Inform RN, MA and front desk.

  • Lock all cabinets and drawers. Remove garbage cans from the room. Enter ".roomsafetycheck" smartphrase in your note.

  • Call ED Referral Line at 212-241-3611 [x4-3611] and inform that patient to go to psych ED and will need 1:1 observation.

  • Complete and sign your visit note if possible.

  • Schedule follow up with a PCP (visit in 1 week).

  • Consult to IMA behavioral Health (depression care)

Not Appropriate for Psych ED Eval

  • Document all conversations in note.

  • Complete a Safety Plan with the patient .SAFETYPLANIMA (ENGLISH or SPANISH)

  • Share resources National suicide prevention lifeline 1800273talk Textline 741741

  • Start medications if indicated and appropriate

  • Schedule follow up with a PCP (phone call or visit in 1-2 weeks)

  • If the patient current has a mental health provider, please contact that provider. If not:

Consult to IMA behavioral Heath

  • Please email Dr. Katherine Small, Lizbeth Valencia, Lauren Bradley and Ellen Rosario if an urgent appointment is needed.

  • Depending on patients needs, insurance and desire for counseling, patients may be given an appointment for depression care and/or IMA Mental Health Evaluation Clinic, IMA Psych OR and outside referral with the help of IMA Social Work.

  • Appointments for IMA Eval can also be made at the front desk.

Our Team:

Depression Care Social Workers

  • Lizbeth Valencia LMSW
  • Lauren Bradley LMSW

Administrative Coordinator

  • Ellen Rosario

MD Leads:


  • Dr. Yekaterina Angelova


  • Dr. Katherine Small

Alternative Mental Health Options

  • IMA SW Triage: assistance in identifying resources and making appointments for mental health and substance use. IMA has Social Work Triage Walk-in hours on Mondays-Fridays 9am-4pm. Services are first come, first serve. Please register at your primary care firm front desk to see Social Work during walk in hours.
  • MSH Outpatient Adult Psychiatric Clinic Diagnostic Evaluations, Medication Management, Individual and Group Psychotherapy; Clozapine Clinic 20 East 106th Street, 9th Floor Or 1160 5th Ave New York, NY (bet. 5th and Madison Ave) psychiatry/areas?of?care/ambulatory?psychiatry?services General information, intake, and referrals: (212) 241- 5947

  • MSH Partial Hospital Program Short term (2-3 weeks) intensive treatment (4-5 days per week) to prevent psychiatric hospitalization or to step down from psychiatric hospitalization 20 East 106th Street, 9th Floor New York, NY (bet. 5th and Madison Ave) psychiatry/areas?of?care/partial?hospital?program For Referrals Contact: Julia Siegel, LCSW Phone: 212 241-3170 Fax: 212-426-5107 Email:

  • Mount Sinai St. Luke's Outpatient Adult Psychiatry Diagnostic Evaluations, Medication Management, Individual and Group Psychotherapy; Clozapine Clinic; First Onset Psychosis services 411 West 114th Street, 3rd & 5th Floor New York, NY (off Amsterdam Ave.) If you are seeking services for yourself, a friend, or family member, please contact the Access Center at (212) 523-8080. If you are a mental health provider from the Mount Sinai Health System, please call (212) 523-5384

  • The Center for Intensive Treatment of Personality Disorders (CITPD) Short term DBT-based intensive group therapy 1000 10th Avenue, 6th Floor New York, NY (bet. 58th & 59th St) To arrange for treatment at CITPD, patients, families and providers can call the Comprehensive Assessment Center at 212-523-8080 to schedule an evaluation.

  • Institute for Family Health, Center for Counseling and Family Health Center of Harlem 1824 Madison Avenue 2nd Floor New York, NY 10035 (Ph.) 212-423-4200 , (Fax) 646-770-8401 Center for Counseling of Harlem hours: Monday- Friday: 8:30am-8pm Saturday-Sunday: 9am-5pm Walk-Ins receive same or next day appointment

  • Union Settlement 2089 3rd Ave (at 114th St) NY, NY 10029 212-828-6144 (Intake Coordinator)

  • Upper Manhattan Mental Health Center 212-694-9200 Located on Amsterdam between 145th and 146th For substance use must request Chemical Dependence Program

  • Metropolitan Hospital 1900 2nd Ave 1st Floor New York, NY 10029 212-423-6645 Mon-Fri: Clients seeking individual treatment who are not being referred by an inpatient unit or clinician must walk-in for their initial appointment and arrive by 7:45 am

To explore alternative referral options for this patient one may

  • visit

  • call or visit 1888-NYC-well (1-888-692-9355) and provide insurance info and zip code