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An Examination of Suicide Risk Screening, Intervention, and Documentation in an Emergency Department
Jenkins, Lindsey Danielle
Jenkins, Lindsey Danielle
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Abstract
The present study’s goal was to demonstrate the importance of universally screening all emergency department patients for suicide by employing three aims: 1) develop a demographic profile of patients that did and did not endorse suicidal ideation and patients that were unable to be assessed, 2) evaluate types of emergency department interventions by whether or not the patient presented with suicidal ideation and assess clinical outcomes one year after the emergency department visit, and 3) examine psychological aspects of providers’ treatment for patients who did and did not endorse suicidal ideation. Participants were 450 patients seen in an emergency department during a three-month time period. Data was collected via a retrospective chart review and consensus qualitative research (CQR) approach. Results from the demographic profile of patients that endorsed suicidal ideation found 83.3% presented with a mental health concern and 27.3% had a primary depressive disorder diagnosis. Comparisons of treatment interventions found patients that endorsed suicidal ideation received more psychiatric treatment and mental health-related instructions compared to patients that did not endorse suicidal ideation. In the suicidal ideation group, 38.7% of patients returned to the emergency department with 18.7% of patients presenting with suicidal ideation. Results from the CQR analysis indicated that psychiatric documentation varied among patients that did and did not endorse suicidal ideation. Findings from the present study may help provide evidence to emergency department providers of the importance of universal screening of suicide and mental health intervention regardless of the patient’s initial chief complaint.
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2020-01-01
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University of Kansas
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This item contains archived web content.
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Jenkins_ku_0099D_17220_DATA_1.pdf
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- Embargoed until 2170-05-31
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Keywords
Educational psychology, Clinical psychology, Emergency Department, Suicide Risk Assessment, Suicide Risk Documentation, Suicide Risk Intervention