Prehospital Patient Care Protocols for Suicidality in Washington State

DeCou, Christopher R.; Huppert, Tierney K; Kume, Kosuke; Veras, Perry; Comtois, Katherine Anne; Rea, Thomas D.

doi:10.1080/10903127.2020.1771489

Cited by 4 publications

(2 citation statements)

References 16 publications

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“…EMS clinicians are tasked with a multitude of duties. EMS clinicians in the United States generally receive limited training in psychosocial health topics (DeCou et al, 2021), which would include firearm‐related topics. It is thus unsurprising that training was identified as a key barrier.…”

Section: Discussionmentioning

confidence: 99%

Emergency medical services (EMS) clinicians' views on EMS‐delivered interventions to promote secure firearm storage practices

Stanley,

Hom,

Wright

2024

Suicide & Life Threat Behav

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IntroductionLethal means safety counseling (LMSC) to promote secure firearm storage may reduce the risk of firearm‐involved deaths, including suicide. We examined if emergency medical services (EMS) clinicians, including emergency medical technicians and paramedics, may be suitable LMSC messengers.MethodWe conducted a web‐based survey of 229 US EMS clinicians.ResultsWhile few EMS clinicians supported EMS‐delivered LMSC to all patients (17.0%), most supported EMS‐delivered LMSC to patients in an acute suicidal crisis (64.2%) or with a known suicide attempt history (55.9%). Barriers to EMS‐delivered LMSC included lack of training (73.4%), perceptions that LMSC is outside EMS clinicians' scope of practice (58.1%), and lack of standard operating procedures (56.3%). Most reported at least some interest in receiving training on EMS‐delivered LMSC (67.7%). Participants holding more accurate beliefs about the link between firearm storage practices and suicide risk, as well as the efficacy of LMSC, were more likely to support EMS‐delivered LMSC across patient scenarios (ORs = 2.18–5.21, ps <0.01) and express interest in receiving LMSC training (ORs = 3.78–5.43, ps <0.001).ConclusionGiven that many EMS clinicians interface with patients at elevated suicide risk, targeted LMSC training may be strategic; however, research is needed to determine if and how EMS clinicians might be viable LMSC messengers.

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Section: Discussionmentioning

confidence: 99%

Emergency medical services (EMS) clinicians' views on EMS‐delivered interventions to promote secure firearm storage practices

Stanley,

Hom,

Wright

2024

Suicide & Life Threat Behav

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“…Corroborando, outros estudos relatam que revisões de protocolos auxiliam para gerenciar o suicídio e integrar um cuidado coordenado e abrangente (Andrade et al, 2021;Decou et al, 2021). No Brasil, psiquiatras e psicólogos construíram documentos de orientações e recomendações para o manejo de pacientes com suicídio .…”

Section: Ferramenta 1 -Protocolos De Atendimentounclassified

Ferramentas de gestão de risco na segurança do paciente suicida em emergências hospitalares

Wansing

Blatt

Cabrera

et al. 2023

RSD

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Objetivos: Identificar ferramentas de gestão do risco na segurança do paciente com comportamentos suicidas, utilizadas nas emergências hospitalares. Metodologia: Revisão integrativa da literatura, no período de 2017 a 2021, a fim de responder à questão norteadora da pesquisa: Quais são as ferramentas de gestão utilizadas no gerenciamento do risco e da segurança do paciente em comportamentos suicidas no âmbito hospitalar? Utilizou-se a estratégia de busca PICO e a seleção dos estudos foi realizada por dois revisores de forma independente, no qual utilizaram como fontes de buscas as bases do Scopus, Web of Science e Pubmed. Resultados: Identificaram-se 863 artigos, dos quais 8 foram selecionados. Observou-se nos estudos que as ferramentas gerenciais foram: Protocolos de atendimento; Análise do Modo de Falha e Efeitos na Assistência Médica (HFMEA); Lista de Verificação (Check-list) e o Safety Huddle (reunião de segurança). Conclusões: As ferramentas de gestão do risco na segurança do paciente com comportamentos suicidas utilizadas em emergências hospitalares mostram resultados positivos com relação à prevenção ao suicídio nestes ambientes e que contribuem para uma assistência de qualidade e segura, porém carecem de mais evidências científicas.

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Advancing Emergency Medical Services’ (EMS) Response Capability for Behavioral Health Emergencies: Los Angeles County’s Performance Improvement Initiative

Cheung,

Whitfield,

Kipust

et al. 2024

Prehospital Emergency Care

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Prehospital Patient Care Protocols for Suicidality in Washington State

Cited by 4 publications

References 16 publications

Emergency medical services (EMS) clinicians' views on EMS‐delivered interventions to promote secure firearm storage practices

Emergency medical services (EMS) clinicians' views on EMS‐delivered interventions to promote secure firearm storage practices

Ferramentas de gestão de risco na segurança do paciente suicida em emergências hospitalares

Advancing Emergency Medical Services’ (EMS) Response Capability for Behavioral Health Emergencies: Los Angeles County’s Performance Improvement Initiative

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