Predictors of SUDEP counseling and implications for designing interventions

•Documentation of SUDEP counseling was rare and did not increase from 2010 to 2014.•The majority of those counseled had refractory epilepsy or a modifiable risk factor.•Clinicians in adult practice were more likely to document counseling.•The hospital where clinicians work may influence counseling practices.•More experienced clinicians were more likely to counsel for patient education only.