Examining the characteristics and clinical features of in‐ and between‐session suicide risk assessments among psychiatric outpatients

Hom, Melanie A.; Stanley, Ian H.; Rogers, Megan L.; Sheffler, Julia; Nelson, Katherine R.; Joiner, Thomas E.; Schramm, Elisabeth

doi:10.1002/jclp.22555

Cited by 3 publications

(3 citation statements)

References 18 publications

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“…Copies or a transcription of the content of safety plans should be included in the documentation as well. In some cases, regular follow‐up assessments between healthcare visits might occur via the phone (Hom et al, ); documentation should reflect these regular assessments. Due to the fluctuating nature of suicidal and suicide‐related symptoms (Kleiman et al, ), assessments must occur regularly and be documented with equivalent regularity.…”

Section: Documentation Is a Core Clinical Competencymentioning

confidence: 99%

Documenting suicide risk assessments and proportionate clinical actions to improve patient safety and mitigate legal risk

Stanley

Simpson²,

Wortzel

et al. 2019

Behavioral Sci & The Law

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Few clinical practices are as important for simultaneously augmenting patient safety and mitigating legal risk as the judicious evaluation and stratification of a patient's risk for suicide, proportionate clinical actions based thereon taken by the healthcare provider, and contemporaneous documentation of the foregoing. In this article, we draw from our combined decades of multidisciplinary experience as a clinical psychologist, forensic psychiatrist, medical malpractice attorney, and clinical psychology trainee to discuss the documentation of suicide risk assessment and management as a conduit to patient safety and legal risk mitigation. We additionally highlight documentation as a core clinical competency across disciplines and note areas of improvement, such as increased training, to bolster documentation practices.

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Section: Documentation Is a Core Clinical Competencymentioning

confidence: 99%

Documenting suicide risk assessments and proportionate clinical actions to improve patient safety and mitigate legal risk

Stanley

Simpson²,

Wortzel

et al. 2019

Behavioral Sci & The Law

Self Cite

View full text Add to dashboard Cite

show abstract

“…Suicide is one of the most common causes of death worldwide, and mortality due to suicide is increasing over time 1–4. Suicide attempts are a rising problem in children and adolescents 5.…”

Section: Introductionmentioning

confidence: 99%

Risk of suicide in children and adolescents in the emergency department—is universal screening the answer?

et al. 2023

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ObjectiveSuicide is a leading cause of death among children and adolescents. Suicide risk screening tools can detect the risk of suicide among patients presenting to healthcare settings. The aim of this review was to describe the effectiveness of universal suicide risk screening (all patients) compared with selective screening (behavioural health patients only) in children and adolescents in emergency departments (EDs).MethodA literature search was conducted on PubMed for articles related to suicide risk screening in paediatric EDs between January 2016 and February 2022.Results8 studies met the selection criteria. The review showed that 46%–93% of patients that screened positive for suicide risk had presented with a medical concern. These patients would have been missed without universal suicide risk screening. In both selective and universal screening scenarios, use of a suicide risk screening tool was better at detecting suicide risk compared with use of presenting problem alone. Suicide risk screening was found to be acceptable without increasing length of stay in the ED.ConclusionBased on this review, using a suicide screening tool can help detect patients at risk who would otherwise have been missed.

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“…Unique challenges in SRMPs with youth populations include confidentiality, developmental factors, and parent/family involvement. More research is needed to understand the impact on youth of disclosure of suicide risk to parents/guardians [ 15 , 16 ]. Study teams also must be informed about state laws on emancipated minors, mature minors, minors’ ability to seek care without parental consent for suicide risk, and other special circumstances around crisis-related interventions (e.g., involuntary commitment to a psychiatric facility).…”

Section: Introductionmentioning

confidence: 99%

Suicide risk assessment and suicide risk management protocol for the Texas Youth Depression and Suicide Research Network

Hughes

Trombello

Kennard

et al. 2023

Contemporary Clinical Trials Communications

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Examining the characteristics and clinical features of in‐ and between‐session suicide risk assessments among psychiatric outpatients

Cited by 3 publications

References 18 publications

Documenting suicide risk assessments and proportionate clinical actions to improve patient safety and mitigate legal risk

Documenting suicide risk assessments and proportionate clinical actions to improve patient safety and mitigate legal risk

Risk of suicide in children and adolescents in the emergency department—is universal screening the answer?

Suicide risk assessment and suicide risk management protocol for the Texas Youth Depression and Suicide Research Network

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