STEP 5 Risk to life, severe self-neglect




Electroconvulsive therapy should only be used to achieve rapid and short-term improvement of severe symptoms after an adequate trial of other treatments have proved ineffective and/or when the condition is considered potentially life-threatening, in severe depressive illness.

If patient refuses treatment or is unable to consent consider use of Mental Health Act






Consider patient choice and information

If patient refuses treatment consider assessment under Mental Health Act








Inpatient care and Crisis Resolution and Home Treatment Teams.










To Step 4