Preventing Epilepsy Deaths: Clinician Toolkit
Assessment & Action Guide

Unsupervised Seizures

Patients need to be assessed for the following at their initial visit, annually and at times of life transitions.
Assess for supervision during seizures, particularly nocturnal supervision and in dangerous environments such as water.
Clinician actions
  • Discuss increased risk of SUDEP for those without nocturnal supervision and convulsive seizures.
Assess for the role for seizure detection or monitoring devices.
Clinician actions
  • Discuss ways the patient may recognize they had a seizure if it was unsupervised and without aura (i.e. gap in time, tongue bite, incontinence, injury without other explanation).
Conversation tips
Learn how to discuss unsupervised seizures with your patients