Suicide in the national protocol for monitoring sentinel events

Annali dell'Istituto Superiore di Sanita

Volumn 45, Issue 2, 2009, Pages 205-212

  Cardone, Rosetta ^a,d   Amore, Mario ^b   Pompili, Maurizio ^c   Ciampalini, Susanna ^a   De Feo, Angela ^a   Fotaras, Michela ^b   Colonna, Antonietta ^a   Leomporra, Giorgio ^a   Cannizzaro, Gianni ^a   Ghirardini, Alessandro ^a  

^a Direzione Generale Della Programmazione Sanitaria   (Italy)

^b UNIVERSITY OF PARMA   (Italy)

^c SAPIENZA UNIVERSITY OF ROME   (Italy)

^d Ministero del Lavoro della Salute e delle Politiche Sociali   (Italy)

Author keywords

Monitoring system; Prevention recommendations; Sentinel event; Suicide

Indexed keywords

ARTICLE; EPIDEMIOLOGY; HEALTH CARE POLICY; HUMAN; INTERPERSONAL COMMUNICATION; ITALY; PRACTICE GUIDELINE; PUBLIC HEALTH; STATISTICS; SUICIDE;

COMMUNICATION; EPIDEMIOLOGIC METHODS; GUIDELINES AS TOPIC; HEALTH POLICY; HUMANS; ITALY; PUBLIC HEALTH; SUICIDE;

EID: 69249086526     PISSN: 00212571     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (30)

1. Protocollo sperimentale per il monitoraggio degli eventi sentinella. Rome: Ministero della Salute; 2005 (http://www.ministerosalute.it/qualita/ paginaInternaQualita.jsp?id=238&menu=sicurezza).
2. Sentinel event program Annual report 2004-05; Government Department of Human Services, Melbourne, Victoria, Australia; 2005. Available from: www.health.vic.gov. au/clinrisk/sentinel/ser.htm.
3. Sentinel event statistics: as of June 30, 2006. JCAHO; Available from: www.jointcommission.org/NR/rdonlyres/74540565-4D0F-4992-863E-8F9E949E6B56/0/ se-stats-6-30-06.pdf.
4. Sentinel Event Statistics. September 30, 2008; JCAHO; published on website. Available from: www.jointcommission.org/SentinelEvents/Statistics/.
5. Sentinel Event Reporting-Windows into Safety and Quality in Health Care 2008; Australian Commission on safety and Quality in Healthcare; Australia, 2008. Available from: www.safetyandquality.health.wa.gov.au/docs/sentinel/ Sentinel-Report-2007-08.pdf.
6. Edmonson AC. Learning from mistakes is easier said than done: group and organisational influences on the detection and correction of human error. J Appl Behav Sci 2004;40(1):66-90.
7. Thomas EJ, Petersen LA. Measuring errors and adverse events in health care. J Gen Intern Med 2003;8(1):61-7
8. World Health Organization. World alliance for patient safety: forward programme 2006-2007. Geneva: WHO; 2006.
9. Leape LL. Reporting adverse event. NEJM 2002;347(20):1633-8.
10. World Health Organization. World Alliance for Patient Safety: WHO Draft Guidelines for adverse event reporting and learning systems; from information to action. Geneva: WHO; 2005.
11. Leape LL, Berwick DM, Bates DW. What practices will most improve safety? Evidence-based medicine meets patient safety. JAMA 2002; 288: 501-7.
12. The assessment and management of people at risk suicide. Wallington: New Zealand Guidelines Group: 2003.
13. Guidelines for identification assessment and treatment planning for suicidality. Harvard: Risk Management Foundation Harvard Medical Institution; 1996.
14. J Bouch, JJ Marshall, Suicide risk: structured professional judgment. Adv Psychiatr Treat 2005; 11: 84-91.
15. Physicians and nurses are key in assessing suicide risk. Joint Commission: The Source, Volume 2, No. 1, 2004, p. 5-7 (3).
16. Shea S. The Practical Art of Suicide Assessment, John Wiley & Sons, 1999; Evidence-based Protocol. Elderly suicide: secondary prevention, National Guideline Clearinghouse, USA.
17. Saarinen PI, Lehtonen J, Lonnqvist J. Suicide risk in schizophrenia: an analysis of 17 consecutive suicides. Schizophr Bull 1999; 25: 533-42.
18. Farberow NL, Shneidman ES, Neuringer C. Case history and hospitalization factors in suicides of neuropsychiatric hospital patients. J Nerv Ment Dis 1966; 142: 32-44.
19. Morgan HG, Priest P. Assessment of suicide risk in psychiatric inpatients. Br J Psychiatry 1984; 145: 467-9.
20. Morgan HG, Priest P. Suicide and other unexpected deaths among psychiatric inpatients: the Bristol confidential inquiry. Br J Psychiatry 1991; 158: 368-74.
21. Schwartz DA, Flinn DE, Slawson P F. Suicide in psychiatric hospitals. Am J Psychiatry 1975; 132: 150-3.
22. Kullgren G. Factors associated with completed suicide in borderline personality disorder. J Nerv Ment Dis 1988; 176: 40-4.
23. Shah AK, Ganesvaran T. Suicide among psychiatric inpatients with schizophrenia in an Australian mental hospital. Med Sci Law 1999; 39: 251-9.
24. Pompili M, Mancinelli I, Ruberto A, Kotzalidis GD, Girardi P, Tatarelli R. Where schizophrenic patients commit suicide: a review of suicide among inpatients and former inpatients. Int J Psychiatry Med 2005; 35: 171-90.
25. Rossau CD, Mortensen PB. Risk factors for suicide with schizophrenia: nested case-control study. Br J Psychiatry 1997; 171: 355-9.
26. Stephens JH, Richard P, McHugh PR. Suicide in patients hospitalized for schizophrenia: 1913-1940. J Nerv Ment Diseas 1999; 187: 10-4.
27. Steblaj A, Tavcar R, Dernovsek M Z. Predictors of suicide in psychiatric hospital. Acta Psychiatr Scand 1999;100(5):383-8.
28. Roy A, Draper R. Suicide among psychiatric hospital inpatients. Psychol Med 1995; 25: 199-202.
29. Powell J, Geddes J, Deeks J, Goldacre M, Hawton K. Suicide in psychiatric hospital in-patients. Risk factors and their predictive power. Br J Psychiatry 2000; 176: 266-72.
30. Mills PD, DeRosier JM, Ballot BA, Shepherd M, Bagian JP. Inpatient suicide and suicide attempts in Veterans Affairs hospitals. Joint Commission Journal on Quality and Patient Safety 2008;34(8):482-8.