The Suicide Risk Assessment Paradox: We Must Ask, Yet We Cannot Reliably Predict
Can suicide really be predicted? Explore why clinicians must ask directly while recognizing the limits of risk scores, prediction tools, and static risk labels.
Backed by Experience: A track record built over 25+ years
Psychiatric Clinical Intelligence, Built Around Real-World Practice
OnDemand Psych is a psychiatry specific clinical intelligence layer designed to support real-time clinical decision making across the psychiatric care continuum.
It brings structured psychiatric reasoning, treatment planning support, medication safety review, risk factor and level of care considerations, and documentation workflows into one clinician in the loop system.
Explore The Platform →The Clinical Intelligence Layer Supports
Diagnostic reasoning
DSM-5-TR informed differential considerations, with psychiatric, medical, neurologic and substance related context.
Psychopharmacology
Treatment considerations including first-line options, augmentation, switching, tapering, cross tapering and special population factors.
Medication safety
Interaction considerations, contraindications, monitoring, QTc concerns, laboratory considerations and polypharmacy review.
Risk and level of care
Structured consideration of suicide, violence, relapse, intoxication, withdrawal and relevant level of care factors.
Documentation and coding
Structured psychiatric evaluations, follow-up notes, crisis documentation, discharge summaries, prior-authorization letters, ICD-10 framing and CPT code suggestions.
Reason through the whole presentation.
Psychiatry rarely presents one variable at a time. Work through one domain or all five.
Structure the differential.
Organize psychiatric, medical, neurologic, and substance related considerations against the history and mental status examination.
- DSM-5-TR informed differential considerations
- Medical and substance related explanations to rule out
- Information still needed before a conclusion
The clinician establishes the diagnosis.
Weigh the treatment options.
Treatment considerations including first line options, augmentation, switching, tapering, cross tapering and special population factors.
- First line and augmentation options
- Switching, tapering and cross-taper plans
- Special population factors
The clinician decides the treatment plan.
Check before you prescribe.
Interaction considerations, contraindications, monitoring, QTc concerns, laboratory considerations and polypharmacy review.
- Drug interaction flags with monitoring thresholds
- Contraindications, QTc and laboratory considerations
- Polypharmacy review
The clinician makes the prescribing decision.
Organize the risk picture.
Structured consideration of suicide, violence, relapse, intoxication, withdrawal and relevant level-of-care factors.
- Suicide and violence risk factors
- Relapse, intoxication and withdrawal considerations
- Relevant level ofcare factors
The clinician determines risk and disposition.
Draft the documentation.
Structured psychiatric evaluations, follow-up notes, crisis documentation, discharge summaries, prior-authorization letters, ICD-10 framing and CPT code suggestions.
- Evaluations, follow-up notes and discharge summaries
- Crisis documentation and prior-authorization letters
- ICD-10 framing and CPT code suggestions
The clinician approves the final documentation.
Three steps. You decide.
A focused workflow for clinical reasoning, medication review, risk organization, and documentation.
01
Present the case.
Describe the presentation, medications, history, and prior treatment response.
02
Review the considerations.
Examine diagnostic and treatment options alongside medication safety and risk factors.
03
Verify and finalize.
Check the references, edit the draft, and approve the documentation in your own workflow.
Workflow fit
Explore the platform →- Runs in your browser
- No EMR integration required
- Type, dictate, or attach a document
What you get with OnDemand Psych.
Everything below is included from the first day of your free trial.
Answers in seconds
Structured answers on diagnosis, medications, risk and treatment planning, written for clinicians.
References with every answer
Each answer lists the frameworks and sources it drew on, so you can check it before you act.
Dictation and documents
Speak your question, or attach a PDF, Word or PowerPoint file, such as a referral or lab report, and ask about it.
Notes, drafted for you
Turn your visit notes into a progress note or mental status exam, ready for you to review and edit.
Organised by case
Keep conversations in folders, ask follow-up questions, and export any answer as a PDF.
Learning included
The 360° Psychopharmacology Course, plus Dr. Padder's free clinical guides.
The psychiatrist behind every answer.
OnDemand Psych puts Dr. Padder's clinical frameworks in front of you when a question comes up: between patients, on call, or while writing the note.
- Triple board certified: Psychiatry & Neurology, Addiction Medicine, and Clinical Psychopharmacology
- More than 25 years of practice, from inpatient units to telepsychiatry
- Author of the best-selling Practical Guide to Psychiatric Medications
What do you need help with today?
Medications
"I need an answer before my next patient."
“I need a quick prescribing check for my next patient: is this dose appropriate, and what interactions or monitoring should I consider?” Fast, practical guidance on dosing, switching, interactions, and monitoring.
Try it free → Complex cases
"My patient isn't responding to treatment."
“I’m seeing a patient whose symptoms haven’t improved. What should I review before deciding on the next treatment step?” A structured review of treatment response, possible contributing factors, and options to consider.
Try it free → Risk and safety
"I need to structure a risk assessment."
“I’m concerned about a patient’s immediate safety. What should I assess, document, and include in a safety plan?” A clear framework for risk assessment, immediate actions, safety planning, and documentation.
Try it free → Documentation
"Help me turn my notes into a chart-ready note."
“I’ve finished a consultation. Can you turn the notes I provide into a clear, chart-ready clinical entry?” Organized in a format that supports your charting, using only the information you provide.
Try it free →Simple plans. Unlimited questions.
Every plan starts with a 7 day free trial.
Basic
For solo outpatient prescribers
$399 $99 / month
Billed monthly
Start free trial- Unlimited questions
- 360° Psychopharmacology Course
- Treatment considerations
- Drug interaction flags with monitoring thresholds
- Cross taper and switching plans
- Child, adolescent and geriatric psychiatry
- Side effect and lab monitoring considerations
Most popular
Advanced
For complex and treatment resistant cases
$499 $199 / month
Billed monthly
Start free trial- Everything in Basic
- Consultation-liaison psychiatry
- Complex case support
- Neuropsychiatry resources
- ICD-10 framing and CPT code suggestions
- Disability and functional evaluation support
- Clinical guideline references
- Audit and peer-review documentation support
Premium
For supervisors, educators and dual-diagnosis practice
$599 $299 / month
Billed monthly
Start free trial- Everything in Advanced
- Pharmacogenomics and precision psychiatry
- Dual diagnosis and substance use disorder resources
- Collaborative care psychiatry
- Supervisory, teaching and administrative resources
- Prior-authorization letter support
Hospitals, telepsychiatry groups and residency programs
Team access, EMR and API integration, and a dedicated account manager. Residency programs can arrange site-wide access.
What clinicians say.
From psychiatrists and PMHNPs using it in practice.
I usually use it when I’m unsure about a medication choice or want to double-check something. It’s been helpful with more complicated cases.
It’s nice having somewhere to quickly look things up between patients. I still make my own decisions, but it helps me think through the options.
I’ve found it useful for medication adjustments, especially when patients are already taking several medications.
Some days I just need a quick reference without going through multiple articles or guidelines. That’s mostly what I use it for.
I like being able to compare different treatment approaches. Sometimes it brings up considerations I might want to look into further.
I don’t use it for every patient, but when I have a case that needs a little more thought, it’s a useful resource to have.
Questions clinicians ask us.
Who is OnDemand Psych for?
Psychiatrists, psychiatric nurse practitioners, physician assistants, residents and other clinicians who make psychiatric care decisions, across emergency, inpatient, outpatient and telepsychiatry settings.
Where do the answers come from?
Answers are built on Dr. Padder's clinical frameworks and established psychiatric references. Each answer lists the sources it drew on so you can check it.
Does OnDemand Psych use AI?
Yes. AI is used to organise and deliver structured clinical information. It supports your judgement and does not replace it: you stay in the loop for every decision.
How does the free trial work?
Every plan starts with a 7 day free trial with full access to that plan's features. You can cancel before the trial ends.
Is there a limit on questions?
No. All plans include unlimited questions.
What about patient privacy?
Please avoid entering identifying patient details. Contact us for details on how your data is stored and protected.
Can I cancel any time?
Yes. You can cancel your plan at any time from your account settings.
Still have a question? support@ondemandpsych.com
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