Rapid Outpatient Step-Down After a Suicidal Crisis

Refer Patients Who Need Treatment That Works Fast

Need a fast appointment? Call us at (202) 525-5123. If your patient is being discharged, tell us the expected discharge date and we will try to schedule the first visit to fit your discharge plan.

For emergency physicians, inpatient psychiatrists, IOP and PHP teams, discharge planners, and social workers: WIP gives your patients a fast, psychiatrist-led next step after a hospital or ER stay for depression with suicidal thoughts.

The weeks after psychiatric discharge carry some of the highest suicide risk, according to a meta-analysis in JAMA Psychiatry. Standard antidepressants take weeks to work. WIP-DC and WIP-Rockville offer Spravato, IV ketamine, and accelerated TMS, with close follow-up from the same psychiatrist.

AvailabilityAccepting new patients, no waitlist
Fast-acting optionsSpravato, IV ketamine, and accelerated TMS
Fastest routeCall (202) 525-5123

What We Offer Your Patients

FDA-approved

FDA-approved, with an oral antidepressant, for depressive symptoms in adults with MDD with acute suicidal ideation or behavior. Administered on site under REMS with about two hours of monitoring. Available at WIP-DC and WIP-Rockville.

Rapid reduction in suicidal ideation within hours in many patients, per an individual-participant meta-analysis. Typically a series over 2–3 weeks. Off-label.

7–8 sessions a day for 5 days instead of about 6 weeks. TMS is FDA-cleared for depression.

Medication management, a written safety plan, and frequent early visits, in person or by telehealth.

Spravato’s label notes that it has not been shown to prevent suicide or reduce suicidal ideation or behavior, and does not preclude hospitalization when clinically warranted. Ketamine use for depression and suicidal ideation is off-label. TMS is not specifically cleared for suicidal ideation.

Appropriate Referrals

Good fit

Adults with depression and suicidal ideation who are safe for outpatient care, with a safety plan and supports in place. Patients stepping down from inpatient, ED, IOP, or PHP. Patients with treatment-resistant depression who need a faster response.

Not a fit for outpatient care

Imminent risk requiring inpatient admission. Active mania or psychosis. Intoxication or withdrawal needing detox. Medical instability. We’re glad to discuss borderline cases.

How to Refer

  1. 1
    Call us, especially if it’s urgent
    Call 202-525-5123 and mention a hospital or ER step-down. If it’s a discharge, give us the expected discharge date and we will try to schedule around your discharge plan. For non-urgent referrals, you can also complete the referral form below. Select “I’d like to discuss this case first” to speak with a WIP psychiatrist before scheduling.
  2. 2
    Send records
    Fax the discharge summary, medication list, safety plan, and recent labs to 202-464-5570.
  3. 3
    We schedule and follow up
    We schedule without a waitlist and, with the patient’s consent, keep you and the outpatient team informed.

You can also send your patient our scheduling link directly.

Referral Form

Complete the form below to refer a patient. To speak with a WIP psychiatrist before the patient is scheduled, select “I’d like to discuss this case first.” Records can be faxed to 202-464-5570.

Clinician Information

Name of referring clinician(Required)

Patient Information

Name of patient being referred(Required)
Would you like to have a brief consult with one of our psychiatrists?

Why Clinicians Refer to WIP

  • The full interventional toolkit, psychiatrist-ledSpravato, IV ketamine, KAP, TMS, accelerated TMS, and SGB, all directed by the patient’s psychiatrist.
  • No waitlistNew patients are seen without a waitlist.
  • Two practicesWIP-DC in Spring Valley and WIP-Rockville on Rockville Pike, with telehealth follow-up for DC, Maryland, and Virginia.
  • CollaborationWe coordinate with the patient’s therapist, IOP, and primary care team.

Frequently Asked Questions from Referring Clinicians

How quickly can a referred patient be seen?

Call our new-patient team at 202-525-5123; phone is the fastest route. WIP has no waitlist for new patients. If the patient is being discharged, share the expected discharge date and we will try to schedule the first visit to fit your discharge plan.

What records should we send?

The discharge summary, current medication list, the patient’s safety plan, and recent labs if available. Fax records to 202-464-5570.

Can I discuss a patient with a psychiatrist before referring?

Yes. Use the referral form on this page and select “I’d like to discuss this case first,” and a WIP psychiatrist will contact you before the patient is scheduled.

Which patients are not a good fit?

Patients at imminent risk who need inpatient care, and patients with active mania, psychosis, intoxication or withdrawal needing detox, or medical instability. We’re glad to discuss borderline cases.

Will you keep the referring team informed?

Yes. With the patient’s consent, we send updates to the referring clinician and coordinate with the patient’s therapist and outpatient team.

Do you treat adolescents with interventional treatment?

Spravato and ketamine at WIP are for adults. TMS is FDA-cleared as an add-on treatment for major depression in adolescents 15 and older. Our fellowship-trained child and adolescent psychiatrists see younger patients for evaluation and medication management.

For patients and families, see rapid-acting treatment for depression with suicidal thoughts. For general referrals, visit our referrals page.

Refer a Patient

For a fast appointment, call (202) 525-5123. If it’s a discharge, we will try to accommodate your discharge planning. Fax records to 202-464-5570. Patients at imminent risk should be directed to the nearest emergency room or 988.