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E: Loss of Energy <br />C: Not able to Concentrate <br />A: Change or loss of Appetite <br />P: Psychomotor retardation or agitation <br />S: Suicidal Ideation <br />The client's mood and feelings should be observed. They may be sad, express feelings of <br />helplessness, or guilt, but may also express hostility or mood changes. <br />High risk factors for suicide include: <br />• Bereavement or loss <br />Humiliation or disgrace <br />Family history of suicide <br />Suicidal preoccupation and talk <br />Well defined plans for suicide <br />Persistence of sadness even when other symptoms of depression are getting better <br />To assist the client who is expressing suicidal ideation, immediately contact: <br />Criminal Investigation Division Commander or the SAFJC Director <br />Do not leave the client alone. <br />If no one is available to make this assessment, contact the Duty Commander <br />Commander or if there is an imminent credible threat of suicide: <br />Call 911 immediately. <br />Alert Director. <br />In ALL cases of emergencies or unusual occurrences immediately notify: <br />The SAFJC Director. <br />Any available Sergeant or Commander at the Santa Ana Police Department. <br />If the client voluntarily requests to go to a mental health center and needs transportation, call <br />the Police Department non -emergency line at 714-245-8665 for a law enforcement response. <br />iVA <br />