Change in emergency department providers' beliefs and practices after use of new protocols for suicidal patients

Psychiatric Services : a Journal of the American Psychiatric Association
Marian E BetzEdwin D Boudreaux

Abstract

The study examined changes in self-reported attitudes and practices related to suicide risk assessment among providers at emergency departments (EDs) during a three-phase quasi-experimental trial involving implementation of ED protocols for suicidal patients. A total of 1,289 of 1,828 (71% response rate) eligible providers at eight EDs completed a voluntary, anonymous survey at baseline, after introduction of universal suicide screening, and after introduction of suicide prevention resources (nurses) and a secondary risk assessment tool (physicians). Among participants, the median age was 40 years old, 64% were female, and there were no demographic differences across study phases; 68% were nurses, and 32% were attending physicians. Between phase 1 and phase 3, increasing proportions of nurses reported screening for suicide (36% and 95%, respectively, p<.001) and increasing proportions of physicians reported further assessment of suicide risk (63% and 80%, respectively, p<.01). Although increasing proportions of providers said universal screening would result in more psychiatric consultations, decreasing proportions said it would slow down clinical care. Increasing proportions of nurses reported often or almost always asking sui...Continue Reading

Associated Clinical Trials

Citations

Feb 26, 2016·Epidemiologic Reviews·Paul J D RoszkoMegan L Ranney
Mar 19, 2016·Depression and Anxiety·Marian E BetzEdwin D Boudreaux
Jul 28, 2016·Annals of Emergency Medicine·Marian E BetzJill Harkavy-Friedman
May 10, 2018·Journal of Psychosocial Nursing and Mental Health Services·Michelle HeylandMona Shattell
Aug 7, 2018·Suicide & Life-threatening Behavior·Edwin D BoudreauxBruce Barton
Dec 13, 2018·Archives of Suicide Research : Official Journal of the International Academy for Suicide Research·Lisa M VaughnJacqueline Grupp-Phelan
Apr 2, 2019·International Journal of Geriatric Psychiatry·Timothy SchmutteSteven C Marcus
May 23, 2020·Psychiatric Services : a Journal of the American Psychiatric Association·Sara Wiesel CullenSteven C Marcus
Aug 28, 2020·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Mary LeClouxLisa M Horowitz
Oct 17, 2019·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Cara KatzJames M Bolton
Mar 15, 2016·Medical Care·Susan E PuumalaNathaniel R Payne
Sep 21, 2019·The Western Journal of Emergency Medicine·Sonya Naganathan, Kristen L Mueller
Mar 13, 2018·Frontiers in Psychiatry·Beth S BrodskyBarbara Stanley
Mar 3, 2017·Journal of Clinical Psychology in Medical Settings·Cheryl A KingRebecca Lindsay
Oct 2, 2020·Journal of the American College of Emergency Physicians Open·Jay M BrennerDaniel R Martin
Nov 21, 2020·Nordic Journal of Psychiatry·Arja MainioPirkko Riipinen
May 17, 2021·General Hospital Psychiatry·Mary Christensen-LeClouxJohn V Campo

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