Barriers and facilitators of suicide risk assessment in emergency departments: A qualitative study of provider perspectives

General Hospital Psychiatry

Volumn 37, Issue 6, 2015, Pages 581-586

  Petrik, Megan L ^a,b   Gutierrez, Peter M ^a,b   Berlin, Jon S ^c   Saunders, Stephen M ^d  

^a VETERANS AFFAIRS MEDICAL CENTER   (United States)

^b UNIVERSITY OF COLORADO SCHOOL OF MEDICINE   (United States)

^c MEDICAL COLLEGE OF WISCONSIN   (United States)

^d Marquette University   (United States)

Author keywords

Emergency department; Health care providers; Qualitative methods; Suicide; Suicide risk assessment

Indexed keywords

ADULT; ARTICLE; CLINICAL EFFECTIVENESS; CLINICAL PRACTICE; COOPERATION; EMERGENCY CARE; EMERGENCY WARD; FEASIBILITY STUDY; HEALTH CARE SURVEY; HEALTH PERSONNEL ATTITUDE; HUMAN; INTEGRATED HEALTH CARE SYSTEM; INTERDISCIPLINARY COMMUNICATION; MALE; MENTAL HEALTH CARE; ONLINE SYSTEM; OPEN ENDED QUESTIONNAIRE; PATIENT PARTICIPATION; QUALITATIVE RESEARCH; RESCUE PERSONNEL; RISK ASSESSMENT; SUICIDE; THEMATIC ANALYSIS; EMERGENCY HEALTH SERVICE; FEMALE; MEDICAL STAFF; MIDDLE AGED; QUESTIONNAIRE; UNITED STATES; UTILIZATION;

ADULT; ATTITUDE OF HEALTH PERSONNEL; EMERGENCY SERVICE, HOSPITAL; FEMALE; HUMANS; MALE; MEDICAL STAFF, HOSPITAL; MIDDLE AGED; MIDWESTERN UNITED STATES; QUALITATIVE RESEARCH; RISK ASSESSMENT; SUICIDE; SURVEYS AND QUESTIONNAIRES;

EID: 84946486590     PISSN: 01638343     EISSN: 18737714     Source Type: Journal    
DOI: 10.1016/j.genhosppsych.2015.06.018     Document Type: Article

References (39)

1. Ting SA, Sullivan AF, Boudreaux ED, Miller I, Camargo C Trends in US emergency department visits for attempted suicide and self-inflicted injury, 1993-2008. Gen Hosp Psychiatry 2012, 34:557-565.
2. Ahmedani BK, Simon GE, Stewart C, Beck A, Waitzfelder BE, Rossom R, et al. Health care contacts in the year before suicide death. J Gen Intern Med 2014, 29:870-877.
3. Da Cruz D, Pearson A, Saini P, Miles C, While D, Swinson N, et al. Emergency department contact prior to suicide in mental health patients. Emerg Med J 2011, 28:467-471.
4. Gairin I, House A, Owens D Attendance at the accident and emergency department in the year before suicide: retrospective study. Br J Psychiatry 2003, 183:28-33.
5. Allen MH, Abar BW, McCormick M, Barnes DH, Haukoos J, Garmel GM, et al. Screening for suicidal ideation and attempts among emergency department medical patients: instrument and results from the Psychiatric Emergency Research Collaboration. Suicide Life Threat Behav 2013, 43:313-323.
6. Claassen CA, Larkin GL Occult suicidality in an emergency department population. Br J Psychiatry 2005, 186:352-353.
7. Ilgen MA, Walton MA, Cunningham RM, Barry KL, Chermack ST, De Chavez P, et al. Recent suicidal ideation among patients in an inner city emergency department. Suicide Life Threat Behav 2009, 39:508-517.
8. Kemball RS, Gasgarth R, Johnson B, Patil M, Houry D Unrecognized suicidal ideation in ED patients: are we missing an opportunity?. Am J Emerg Med 2008, 26:701-705.
9. Colman I, Dryden DM, Thompson AH, Chahal AM, Borden K, Rowe BH, et al. Utilization of the emergency department after self-inflicted injury. Acad Emerg Med 2004, 11:136-142.
10. Choi JW, Park S, Yi KK, Hong JP Suicide mortality of suicide attempt patients discharged from emergency room, nonsuicidal psychiatric patients discharged from emergency room, admitted suicide attempt patients, and admitted nonsuicidal psychiatric patients. Suicide Life Threat Behav 2012, 42:235-243.
11. Crandall C, Fullerton-Gleason L, Aguero R, LaValley J Subsequent suicide mortality among emergency department patients seen for suicidal behavior. Acad Emerg Med 2006, 13:435-442.
12. Zane RD The legal process. Emerg Med Clin North Am 2009, 27:583-592. [vii].
13. Mckenna M The growing strain of mental health care on emergency departments few solutions offer promise. Ann Emerg Med 2011, 57:18A-20A.
14. Larkin GL, Beautrais AL Emergency departments are underutilized sites for suicide prevention. Crisis 2010, 31:1-6.
15. Olfson M, Marcus SC, Bridge JA Focusing suicide prevention on periods of high risk. JAMA 2014, 311:1107-1108.
16. U.S. Department of Health and Human Services Office of the Surgeon General and National Action Alliance for Suicide Prevention. 2012 National Strategy for Suicide Prevention: Goals and Objectives for Action 2012, [Washington DC].
17. National Action Alliance for Suicide Prevention Research Prioritization Task Force A Prioritized Research Agenda for Suicide Prevention: An Action Plan to Save Lives 2014, [Rockville, MD].
18. Joint Commission Accreditation program: Behavioral health care - national patient safety goals 2011.
19. Boudreaux ED, Horowitz LM Suicide risk screening and assessment: designing instruments with dissemination in mind. Am J Prev Med 2014, 47:S163-S169.
20. Randall JR, Colman I, Rowe BH A systematic review of psychometric assessment of self-harm risk in the emergency department. J Affect Disord 2011, 134:348-355.
21. Horowitz L, Ballard E, Teach SJ, Bosk A, Rosenstein DL, Joshi P, et al. Feasibility of screening patients with nonpsychiatric complaints for suicide risk in a pediatric emergency department: a good time to talk?. Pediatr Emerg Care 2010, 26:787-792.
22. Folse VN, Hahn RL Suicide risk screening in an emergency department: engaging staff nurses in continued testing of a brief instrument. Clin Nurs Res 2009, 18:253-271.
23. Delgado MK, Acosta CD, Ginde AA, Wang NE, Strehlow MC, Khandwala YS, et al. National survey of preventive health services in US emergency departments. Ann Emerg Med 2011, 57:104-108. [e2].
24. Chisholm CD, Weaver CS, Whenmouth L, Giles B A task analysis of emergency physician activities in academic and community settings. Ann Emerg Med 2011, 58:117-122.
25. Baraff LJ, Janowicz N, Asarnow Jr. Survey of California emergency departments about practices for management of suicidal patients and resources available for their care. Ann Emerg Med 2006, 48:452-458. [8 e1-2].
26. Betz ME, Sullivan AF, Manton AP, Espinola JA, Miller I, Camargo C, et al. Knowledge, attitudes, and practices of emergency department providers in the care of suicidal patients. Depress Anxiety 2013, 30:1005-1012.
27. Hadfield J, Brown D, Pembroke L, Hayward M Analysis of accident and emergency doctors' responses to treating people who self-harm. Qual Health Res 2009, 19:755-765.
28. McAllister M, Creedy D, Moyle W, Farrugia C Nurses' attitudes towards clients who self-harm. J Adv Nurs 2002, 40:578-586.
29. Chapman R, Martin C Perceptions of Australian emergency staff towards patients presenting with deliberate self-poisoning: a qualitative perspective. Int Emerg Nurs 2014, 22:140-145.
30. United States News and World Reports, Health Retrieved from. http://health.usnews.com/.
31. Patton MQ Qualitative Research and Evaluation Methods 2002, Sage.
32. Tong A, Sainsbury P, Craig J Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care 2007, 19:349-357.
33. Braun V, Clarke V Using thematic analysis in psychology. Qual Res Psychol 2006, 3(2):77-101.
34. Wortzel HS, Homaifar B, Matarazzo B, Brenner L Therapeutic risk management of the suicidal patient: stratifying risk in terms of severity and temporality. J Psychiatr Pract 2014, 20:63-67.
35. Suicide Prevention Resource Center Resources for Emergency Department Retrieved from:. http://www.sprc.org/for-providers/emergency-department-resources.
36. Walker DM The internet as a medium for health services research. Part 2. Nurse Res 2013, 20(5):33-37.
37. Horwitz LI, Meredith T, Schuur JD, Shah NR, Kulkarni RG, Jeng GY Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. Ann Emerg Med 2009, 53:701-710.
38. Ladebue A, Helfrich CD, Gerdes ZT, Fihn SD, Nelson KM, Sayre GG The experience of Patient Aligned Care Team (PACT) members. Health Care Manage Rev 2014, [Epub ahead of print].
39. McClelland M, Asplin B, Epstein SK, Kocher KE, Pilgram R, Pines J, et al. The Affordable Care Act and emergency care. Am J Public Health 2014, 104:e8-e10.