This issue of TJEM includes a study of Jebri Rania and alaiming to assess the prognostic value of the Suicide intent Scale (SiS) in deliberate self-poisoning (dSP) patients seen in the emergency department.

This was a prospective monocenter study with 228 patients enrolled patients. The major €nding of this study was that 24% of patients were admitted in an intensive care unit. The prognostic value of the Suicide intent scale was demonstrated with a likelihood ratio to 14.7 (p<0.001), a cut-o of 12 was predictive of intensive care unit admission and the area under Curve was 0.71 (p<0.001). The eorts of the authors should be emphasized because of the importance of the rapid and e‚cient management of acute intoxications in emergencies. Indeed, the more quickly we detect serious patients eligible for admission to resuscitation, better is the prognostic. Suicide intent scale is a score that has been shown to be useful in detecting high-risk suicidal patients so that they can be treated closely in a psychiatric setting and avoid a possible recurrence.

This score is usually calculated by psychiatrists who are used to asking such questions. This time it was the emergency doctor who asked the dierent questions of the score in his own way
in an emergency service where the conditions can sometimes not be approached to this kind of interview. This constitutes a selection bias. Especially since this questionnaire is generally asked to communicating patients. When the clinical condition of the patient did not allow it, the dierent information was collected from the surrounding area and this also constitutes a selection bias.

Despite this study is a prospective study, we has no idea about the mortality rate of patients. It is true that the higher the score, the higher the rate of admission to resuscitation, but calculating this score does not replace the clinical evaluation which remains the main objective element, especially in a patient in a critical situation. This score fi€nds its place then in post resuscitation or in a psychiatric environment but not in emergency room.