The Psychiatric interview is the most important component of a psychiatric evaluation. The style, format, and duration of the interview are subject to change depending on the context and the setting. Below, we will review confidentiality, introductions, safety, and positioning. 

Note: We use the word patient in this course to refer to clients. These terms may be used interchangeably. 

Confidentiality 

Most interviews will take place in an office or hospital room. However, there may be situations that require evaluating a patient in a common room, a jail cell, or even on the streets! Regardless of setting, try to find a private, quiet, and safe space away from others to conduct the interview.

Remember, the psychiatric interview can be a very personal and emotional experience. Patients may reveal personal information or confide in you. Providing a safe space for patients during their most vulnerable moments is essential.

Before introducing yourself

Before approaching a patient, assess safety by asking staff, if available, about the patient's behavior and whether they have any safety concerns. 

If there is a concern for safety (such as aggression or violence), be extra careful and politely request security personnel or additional staff to be present during the interview. 

This will ensure your safety, the safety of the patient, and the safety of the staff. 

There is nothing more devastating than being alone in a room with a violent or agitated patient!

Safety First

The most important aspect of the psychiatric interview is safety. 

While most patients will remain calm and cooperative during the interview, you can't be too careful. 

Behavior can be unpredictable sometimes.

The majority of patients suffering with mental illness are not violent, but it is always better to be on the safe side. 

Regardless of location, be sure you think about your safety and the safety of those around you.

If there are items nearby that could be used as weapons (e.g., knives, pens, pencils, rope, glassware, needles, etc.) then have the items removed from the area before beginning the interview.