Patient who do not meet criteria for major depression may still benefit from psychological support and referral to specialist palliative care. If there is uncertainty about the diagnostic, or if the patient is severely depressed or suicidal, they should be referred to a mental health specialist. Clinicians should ask patients directly aboult suicidal indeation and intent and be particularly vigilant during high risk periode such as initiation of antidepressant treatment
aboult suicidal indeation