Registered Nurses' Association of Ontario

Nursing Best Practice Guidelines


10.0 Nurses in all practice settings should screen clients for evidence of depression, using a validated tool (such as, the Stroke Aphasia Depression Questionnaire, Geriatric Depression Scale, Hospital Anxiety and Depression Scale or the Cornell Scale for Depression in Dementia) throughout the continuum of care. In situations where evidence of depression is identified, clients should be referred to a trained healthcare professional for further assessment and management.

10.1 Nurses in all practice settings should screen stroke clients for suicidal ideation and intent when a high index of suspicion for depression is present, and seek urgent medical referral.