Managing the risk of suicide in acute psychiatric inpatients: A clinical judgement analysis of staff predictions of imminent suicide risk

Journal of Mental Health

Volumn 17, Issue 4, 2008, Pages 410-423

  Paterson, Brodie ^a   Dowding, Dawn ^b   Harries, Clare ^c   Cassells, Clare ^d   Morrison, Rhona ^e   Niven, Catherine ^a  

^a UNIVERSITY OF STIRLING   (United Kingdom)

^b UNIVERSITY OF YORK   (United Kingdom)

^c UNIVERSITY COLLEGE LONDON   (United Kingdom)

^d UNIVERSITY OF MANCHESTER   (United Kingdom)

^e NHS FORTH VALLEY   (United Kingdom)

Author keywords

Clinical judgement analysis; Suicide risk

Indexed keywords

ADULT; ARTICLE; CORRELATION ANALYSIS; DECISION MAKING; FEMALE; HOSPITAL ADMISSION; HOSPITAL PATIENT; HUMAN; LINEAR REGRESSION ANALYSIS; MALE; MEDICAL INFORMATION; MEDICAL STAFF; MENTAL HOSPITAL; NURSE; PSYCHIATRIST; RISK ASSESSMENT; SUICIDE; SUICIDE ATTEMPT;

EID: 51849144643     PISSN: 09638237     EISSN: 13600567     Source Type: Journal    
DOI: 10.1080/09638230701530234     Document Type: Article

References (31)

1. Backlund, L., Danielsson, B., Bring, J., & Strender, L.-E. (2000). Factors influencing GPs' decisions on the treatment of hypercholesterolaemic patients. Scandinavian Journal of Primary Health Care, 18, 87-93.
2. Barker, P. (2003). The Tidal Model: Psychiatric colonization recovery and paradigm shift in mental health care. International Journal of Mental Health Nursing, 12, 96-102.
3. Bowers, L., Gournay, K., & Duffy, D. (2000). Suicide and self-harm in inpatient psychiatric units: A national survey of observation policies. Journal of Advanced Nursing, 32, 437-444.
4. Braspenning, J., & Sergeant, J. (1994). General practitioners' decision making for mental health problems: Outcomes and ecological validity. Journal of Clinical Epidemiology, 47, 1365-1372.
5. Cassells, C., Paterson, B., Dowding, D., & Morrison, R. (2005). Long and short term risk factors in the prediction of inpatient suicide: A review of the literature. Crisis, 26, 53-63.
6. Cooksey, R. W. (1996). The methodology of social judgement theory. Thinking and Reasoning, 2, 141-173.
7. Denig, P., & Rethans, J. (1996). Inconsistent prescribing behaviour by physicians: Its effect on the validity of written case simulations. European Journal of General Practice, 2, 153-156.
8. Denig, P., Wahlström, R., Chaput de Saintonge, M., & Haaijer-Ruskamp, F. (2002). The value of clinical judgement analysis for improving the quality of doctors' prescribing decisions. Medical Education, 36, 770-780.
9. Eagles, J., Klein, S., Gray, N., Dewar, I., & Alexander, D. (2001). Role of psychiatrists in the prediction and prevention of suicide: A perspective from north-east Scotland. British Journal of Psychiatry, 178, 494-496.
10. Evans, J. S. B. T., Harries, C., Dennis, I., & Dean, J. (1995). General practitioners' tacit and stated policies in the prescription of lipid lowering agents. British Journal of General Practice, 45, 15-18.
11. Fisher, R. A. (1921). On the probable error of a coefficient of correlation deduced from a small sample. Metron, 1, 3-32.
12. Harries, C., Evans, J. S. B. T., & Dennis, I. (2000). Measuring doctors' self-insight into their treatment decisions. Applied Cognitive Psychology, 14, 455-477.
13. Harries, C., Evans, J. S. B. T., Dennis, I., & Dean, J. (1996). A clinical judgement analysis of prescribing decisions in general practice. Le Travail humain, 59, 87-111.
14. Harries, P. A., & Harries, C. (2001). Studying clinical reasoning, part 2: Applying social judgement theory. British Journal of Occupational Therapy, 64, 285-292.
15. Harvey, N. (1995). Why are judgments less consistent in less predictable task situations. Organizational Behavior and Human Decision Processes, 63, 247-263.
16. Howell, D. C. (1992). Statistical methods for psychology, 3rd edn. Belmont, CA: Duxbury Press.
17. Hughes, D. (1995). Can the clinician predict suicide? Psychiatric Services, 46, 449-451.
18. Jobes, D. A., (2000). Collaborating to prevent suicide: A clinical-research perspective. Suicide and Life-Threatening Behaviour, 30, 8-17.
19. Kettles, A., Moir, E., Woods, P., Porter, S., & Sutherland, E. (2004). Is there a relationship between risk assessment and observation level? Journal of Psychiatric and Mental Health Nursing, 11, 156-164.
20. Kirwan, J., Chaput de Saintonge, M., Joyce, C., & Currey, H. (1983). Clinical judgment in rheumatoid arthritis. I. Rheumatologists' opinions and the development of 'paper patients'. Annals of Rheumatic Diseases, 42, 644-647.
21. National Confidential Inquiry into Suicide and Homicide by People with Mental Illness (2006). Five year report of the national confidential inquiry into suicide and homicide by people with mental illness. Manchester: University of Manchester.
22. Poses, R., Cebul, R., & Wigton, R. (1995). You can lead a horse to water-improving physicians' knoweldge of probabilities may not affect their decisions. Medical Decision Making, 15, 65-75.
23. Powell, J., Geddes, J., Deeks, J., Goldacre, M., & Hawton, K. (2000). Suicide in psychiatric hospital in-patients. British Journal of Psychiatry, 176, 266-272.
24. Scottish Executive (2002). Engaging people: Observation of people with acute mental health problems. Edinburgh: Scottish Executive.
25. Simon, R. I. (2006). Imminent suicide: The illusion of short-term prediction. Suicide and Life-Threatening Behaviour, 36, 296-301.
26. Shanteau, J., Weiss, D., Thomas, R., & Pounds, J. (2003). How can you tell if someone is an expert? Performance based assessment of expertise. In S. Schneider & J. Shanteau (Eds.), Emerging perspectives on judgment and decision research. Cambridge: Cambridge University Press.
27. Shneidman, E. (1993a). Suicide as psychache. Journal of Nervous and Mental Disease, 181, 145-147.
28. Shneidman, E. (1993b). Some controversies in suicidology: Towards a mentalistic discipline. Suicide and Life Threatening Behaviour, 23, 292-298.
29. Skanér, Y., Bring, J., Ullman, B., & Strender, L.-E. (2000). The use of clinical information in diagnosing chronic heart failure: A comparison between general practitioners, cardiologists, and students. Journal of Clinical Epidemiology, 53, 1081-1088.
30. Skanér, Y., Strender, L.-E., & Bring, J. (1998). How do GPs use clinical information in their judgements of heart failure? Scandinavian Journal of Primary Health Care, 95-100.
31. Sorum, P., Stewart, T., Mullet, E., González-Vallejo, C., Shim, J., Chasseigne, G., Sastre, M., & Grenier, B. (2002). Does choosing a treatment depend on making a diagnosis? US and French physicians' decision making about acute otitis media. Medical Decision Making, 22, 394-402.