When such benign lesions are difficult to classify, the terms benign keratosis or verrucous keratosis can be very helpful (sometimes with inclusion of the pertinent negatives
Bolster your argument by explicitly addressing hopelessness (the strongest psychological correlate of suicide); use quotes from the patient that support your decision; refer to consultation with family members and colleagues; and include pertinent negatives
to show completeness (2) (ie, "denied suicide plans").
When we were medical students, a list of pertinent negatives
proved that we had taken a thorough history and done a complete exam.
Many extremely useful pertinent negatives
are also listed.
The tabular format with positive responses on the left and pertinent negatives
on the right is well organized but takes up a lot of space on paper.
Although a common practice in many final diagnoses is to point out pertinent negatives
(no carcinoma seen, no fungus on silver stain, etc), to our knowledge no study to date has addressed the specific use of negative terminology.