The use of simulation to teach suicide risk assessment to health profession trainees - Rationale, methodology, and a proof of concept demonstration with a virtual patient

Academic Psychiatry

Volumn 39, Issue 6, 2015, Pages 620-629

  Foster, Adriana ^a   Chaudhary, Neelam ^a   Murphy, James ^a   Lok, Benjamin ^b   Waller, Jennifer ^a   Buckley, Peter F ^a  

^a MEDICAL COLLEGE OF GEORGIA   (United States)

^b UNIVERSITY OF FLORIDA   (United States)

Author keywords

Communication Checklist; Suicide risk; Video; Virtual patient

Indexed keywords

ADULT; BIPOLAR DISORDER; COMPUTER INTERFACE; CONTROLLED STUDY; EDUCATIONAL TECHNOLOGY; FEMALE; HUMAN; MALE; MEDICAL EDUCATION; PROBLEM BASED LEARNING; PROCEDURES; PSYCHOLOGICAL INTERVIEW; RANDOMIZED CONTROLLED TRIAL; RISK ASSESSMENT; SIMULATION TRAINING; STANDARDS; SUICIDE; TEACHING; YOUNG ADULT;

ADULT; BIPOLAR DISORDER; COMPUTER-ASSISTED INSTRUCTION; EDUCATION, MEDICAL; EDUCATIONAL TECHNOLOGY; FEMALE; HUMANS; INTERVIEW, PSYCHOLOGICAL; MALE; PROBLEM-BASED LEARNING; RISK ASSESSMENT; SIMULATION TRAINING; SUICIDE; USER-COMPUTER INTERFACE; YOUNG ADULT;

EID: 84948402728     PISSN: 10429670     EISSN: 15457230     Source Type: Journal    
DOI: 10.1007/s40596-014-0185-9     Document Type: Article

References (43)

1. Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Web-based Injury Statistics Query and Reporting System (WISQARS). Retrieved April 4, 2014 http://www.cdc.gov/violenceprevention/suicide/statistics/leading-causes.html.
2. American Psychiatric Association Practice Guideline for the Assessment and Treatment of Patients with Suicidal behaviors. Am J Psychiatry, 2003; 160(11).
3. Rudd MD, Cukrovicz KC, Bryan CJ. Core competencies in suicide risk assessment and management: implications for supervision. Train Educ Prof Psychol. 2008;2(4):219-28.
4. Schmitz WM, Allen MH, Feldman BN, et al. Preventing suicide through improved training in suicide risk assessment and care: an American Association of Suicidology Task Force report addressing serious gaps in U.S. mental health training. Suicide Life Threat Behav. 2012;42:292-304.
5. Oakley C, Oyebode F. Medical students' views about an undergraduate curriculum in psychiatry before and after clinical placements. BMC Med Educ. 2008;8:26.
6. Mohr NM et al. Generational influences in academic emergency medicine: teaching and learning, mentoring, and technology (part I). Acad Emerg Med. 2011;18(2):190-9.
7. Scalese RJ, Obeso VT, et al. Simulation technology for skills training and competency assessment in medical education. J Gen Intern Med. 2007;23 Suppl 1:46-9.
8. Parsons TD, Kenny P, Ntuen CA, et al. Objective structured clinical interview training using a virtual human patient. Stud Health Technol Inform. 2008;132:357-62.
9. Fleming M, Olsen D, Stathes H, et al. Virtual reality skills training for health care professionals in alcohol screening and brief intervention. J Am Board Fam Med. 2009;22(4):387-98.
10. Gorrindo T, Baer L, Sanders KM, et al. Web-based simulation in psychiatry residency training: a pilot study. Acad Psychiatry. 2011;35(4):232-7.
11. Guise V, Chambers M, Valimaki M. What can virtual patient simulation offer mental health nursing education? J Psychiatr Ment Health Nurs. 2012;19:410-8.
12. Gorrindo T, Goldfarb E, Chevalier L, et al. Interprofessional differences in disposition decisions: results from a standardized web-based patient assessment. Psychiatr Serv. 2013;6(8):808-11.
13. Medalia A, Saperstein AM. Does cognitive remediation for schizophrenia improve functional outcomes? Curr Opin Psychiatr. 2013;26(2):151-7.
14. Reger MA, Gahm G. A meta-analysis of the effects of internet and computer-based cognitive-behavioral treatments for anxiety. J Clin Psychol. 2009;65(1):53-75.
15. The Psychiatry Milestone Project, A Joint Initiative of The Accreditation Council for Graduate Medical Education and The American Board of Psychiatry and Neurology, https://www.acgme.org/acgmeweb/Portals/0/PDFs/Milestones/PsychiatryMilestones.pdf. Retrieved on Dec 30, 2013.
16. Psychiatry Learning Objectives Taskforce 2007. Clinical learning objectives guide for psychiatry education of medical students. Association of Directors of Medical Student Education in Psychiatry (ADMSEP), retrieved on October 25, 2013. http://www.admsep.org/Clinical-LO-Guide-Outline-Format-Nov-07.pdf.
17. Edelstein DR, Ruder HJ. Assessment of clinical skills using videotapes of the complete medical interview and physical examination. Med Teach. 1990;12(2):155-62.
18. Etzersdorfer E, Vijayakumar L, Schony W, et al. Attitudes towards suicide among medical students: comparison between Madras (India) and Vienna (Austria). Soc Psychiatry Psychiatr Epidemiol. 1998;33(3):104-10.
19. Sato R, Kawanishi C, Yamada T, et al. Knowledge and attitude towards suicide among medical students in Japan: preliminary study. Psychiatry Clin Neurosci. 2006;60(5):558-62.
20. Oncü B, Soyka C, Ihan IO, et al. Attitudes of medical students, general practitioners, teachers, and police officers toward suicide in a Turkish sample. Crisis. 2008;29(4):173-9.
21. Schwenk TL, Davis L, Wimsatt LA. Depression, stigma, and suicidal ideation in medical students. JAMA. 2010;304(11):1181-90.
22. Hooper LM, Epstein SA, Qu L, et al. Predictors of primary care physicians' self-reported intention to conduct suicide risk assessments. J Behav Health Serv Res. 2012;39(2):103-15.
23. Miller LG, McGlothlin JM, West JD. Taking the fear out of suicide assessment and intervention: a pedagogical and humanistic practice. J Humanist Couns. 2013;52:106-21.
24. Pisani AR, Cross WF, Gould MS. The assessment and management of suicide risk: state of workshop education. Suicide Life Threat Behav. 2011;41:255-76.
25. Brown J. Transferring clinical communication skills from the classroom to the clinical environment: perceptions of a group of medical students in the UK. Acad Med. 2010;85(6):1052-9.
26. Fiedorowicz J G, Tate J, Miller A C, et al. A medical interviewing curriculum intervention for medical students' assessment of suicide risk. Acad Psychiatry Adv. 2013;00:0, 0000, http://ap.psychiatryonline.org.
27. Fallucco EM, Hanson MD, Glowinski AL. Teaching pediatric residents to assess adolescent suicide risk with a standardized patient module. Pediatrics. 2010;125(5):953-9.
28. Szanto K, Kalmar S, Hendin H, et al. A suicide prevention program in a region with a very high suicide rate. Arch Gen Psychiatry. 2007;64(8):914-20.
29. Huh JT, Weaver CM, Martin JL, et al. Effects of a late-life suicide risk-assessment training on multidisciplinary healthcare providers. J Am Geriatr Soc. 2012;60:775-80.
30. Sun F-K, Long A, Huang X-Y, et al. A quasi-intervention investigation into the efficacy of a suicide education programme for second-year student nurses in Taiwan. J Clin Nurs. 2011;20:837-46.
31. Morriss R, Gask L, Battersby L, et al. Teaching front-line health and voluntary workers to assess and manage suicidal patients. J Affect Disord. 1999;52(1):77-83.
32. Cook DA, Beckman TJ. Current concepts in validity and reliability for psychometric instruments: theory and application. Am J Med. 2006;119(2):166.e7-166.e16.
33. Peden M, Chuah J, Kotranza A, Johnsen K, Lok B, Cendan J. Nerve - A three dimensional patient simulation for evaluating cranial nerve function. MedEdPORTAL; 2011. Available from: www.mededportal.org/publication/8255. Last accessed 30 Aug 2013.
34. Foster A, Noseworthy D, Shah H, et al. Evaluation of medical student interaction with a bipolar virtual patient scenario written by a Peer Support Specialist - a pilot study. In: Briscoe G, Spollen J. Proceedings of the 2010 Annual Meeting of the Association of Directors of Medical Student Education in Psychiatry (ADMSEP). Teach Learn Med 2011;23:96-102.
35. Stevens A, Hernandez J, Johnsen K, et al. The use of virtual patients to teach medical students history taking and communication skills. Am J Surg. 2006;191:806-11.
36. Deladisma AM, Cohen M, Stevens A, et al. Do medical students respond empathetically to a virtual patient? Am J Surg. 2007;193:756-60.
37. Shah H, Rossen B, Lok B, et al. Interactive virtual-patient scenarios: an evolving tool in psychiatric education. Acad Psychiatry. 2012;36(2):146-50.
38. Rossen B, Lind DS, Lok B. "Human-centered distributed conversational modeling: efficient modeling of robust virtual human conversations" 9th International Conference on Intelligent Virtual Agents 2009, Amsterdam, Netherlands, Sept. 14-16, 2009.
39. Krämer NC, Bente G, Eschenburg F, et al. Embodied conversational agents, research prospects for social psychology and an exemplary study. Soc Psychol. 2009;40(1):26-36.
40. American Psychiatric Association: Diagnostic and statistical manual of mental disorders, Fourth Edition, Text Revision. Washington, DC, American Psychiatric Association, 2000.
41. Kaplan & Sadock synopsis of psychiatry: behavioral sciences/clinical psychiatry. Sadock BJ, Kaplan HI, Sadock VA. Philadelphia: Wolter Kluwer/Lippincott Williams & Wilkins, 2007.
42. Holmes EP, Corrigan PW, Williams P, et al. Changing public attitudes about schizophrenia. Schizophr Bull. 1999;25(3):447-56.
43. Black AE, Church M. Assessing medical student effectiveness from the psychiatric patient's perspective: the medical student interviewing performance questionnaire. Med Educ. 1998;32(5):472-8.