Ligatures and/or Suicide Risk Reduction - Emergency Department - Safe Rooms

Does every emergency department need to have a “safe room”?

Any examples are for illustrative purposes only.

No, The Joint Commission does not mandate “safe rooms” in emergency departments. Please also see the FAQ titled "Do we have to assess every patient for suicide risk who comes into the emergency department ?to understand how patients can be protected during treatment in the emergency department.

Note: TJC does not define “safe room” in its glossary, however in the context of the FAQ this moniker is used to describe a “designated space” as a room and/or area that is dedicated to the treatment of patients with behavioral conditions. Designated and Non-designated are the descriptors used to identify these spaces.  

This FAQ was also published in the Perspectives® Newsletter, July 2018, Volume 38, Issue 7 - The Official Newsletter of The Joint Commission.
Last updated on August 26, 2020
Manual: Hospital and Hospital Clinics
Chapter: National Patient Safety Goals NPSG

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