When should emergency referral for mental health care be provided to a soldier?

An emergency referral for mental health care to a soldier should be provided when the soldier exhibits concerning symptoms or behaviors that place their own safety or the safety of others at risk, or when there is an imminent risk of harm. Indications that may warrant an emergency referral include:

1. Suicidal or Homicidal Ideation: The soldier expresses thoughts or intentions of harming themselves or others.

2. Psychosis or Delusions: The soldier shows marked changes in behavior or thought patterns, such as hallucinations, paranoia, or delusions.

3. Decompensation or Extreme Emotional Distress: The soldier experiences overwhelming emotional distress, such as panic attacks or severe anxiety, that significantly impairs their ability to function or regulate their emotions.

4. Aggressive or Violent Behavior: The soldier displays aggressive or violent behaviors that are out of character or present a risk to themselves or others.

5. Substance Abuse or Intoxication Resulting in Unsafe Behavior: The soldier's substance abuse or intoxication leads to risky behaviors or poses a threat to their well-being or safety.

6. Acute Traumatic Response: The soldier experiences an extreme reaction to a traumatic event or situation that requires immediate intervention to prevent further distress or impairment.

7. Self-Harm or Suicidal Attempts: There is evidence of self-harm or attempted suicide, or the soldier discloses ongoing self-harm behaviors.

8. Refusal to Eat or Drink: If a soldier persistently refuses to eat or drink and becomes malnourished.

9. Deterioration of Functioning: Rapid decline in the soldier's ability to perform daily activities or fulfill duties.

10. Severe and Persistent Disorientation: The soldier exhibits confusion or disorientation that lasts for an extended period and significantly impairs their judgment and decision-making.