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GMJ News > GMJ Briefs > NEJM Perspective: Personalized Care Over Protocol in Suicide Prevention

NEJM Perspective: Personalized Care Over Protocol in Suicide Prevention

GMJ
Last updated: 09/07/2026 06:43
By
Prof. Giorgi Pkhakadze
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1 Min Read
Emergency department physician consulting with patient about mental health crisis intervention
Emergency physician challenges traditional suicide prevention protocols, advocating for individualized approaches over standardized safety planning. Proposes one-year survival goals as more realistic framework for patient care. — Photo by Sydney Sang on Pexels (Pexels License)
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1 min read|144 words

A prominent emergency physician is calling for a fundamental shift in how acute care settings approach suicide prevention, moving away from standardized interventions toward individualized treatment strategies. Writing in The New England Journal of Medicine, the clinician argues that generic safety plans often fail to address the complex, lived realities of patients in crisis.

The perspective highlights a critical gap in current emergency department protocols. While the Centers for Disease Control and Prevention reports rising suicide rates across multiple demographics, traditional one-size-fits-all approaches may inadvertently overlook patients whose circumstances demand more nuanced care. The physician advocates for pragmatic, patient-centered interventions that acknowledge individual complexity rather than relying solely on standardized protocols.

This viewpoint invites emergency medicine professionals to reconsider conventional wisdom and explore adaptive strategies that better serve vulnerable populations. The shift toward personalized care represents an important evolution in mental health crisis response.

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ByProf. Giorgi Pkhakadze
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Prof. Giorgi Pkhakadze, MD, MPH, PhD, is Editor-in-Chief of the Georgian Medical Journal and Chair of the Public Health Institute of Georgia (PHIG). He is Professor and Head of the Department of Social and Behavioural Sciences at David Tvildiani Medical University, and Secretary/Treasurer of the UEMS Section of Public Health. ORCID: 0000-0001-7609-4515.

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