Suicide screening tools and their association with near-term adverse events in the ED

The American Journal of Emergency Medicine
Bernard P Chang, Timothy M Tan

Abstract

The goal of this study was to evaluate the relationship between various suicide screening tools and clinical impression with subsequent patient psychiatric admission and near-term adverse emergency department (ED) events. We performed a prospective observational study of 50 patients with suicidal ideation in the ED. Subjects completed a series of depression/suicide screening tools: the Columbia Suicide Severity Scale, SAD PERSONS scale, Patient Health Questionnaire 9, and Beck Scale for Suicidal Ideation. Clinicians were also asked about their impression on likelihood of patient admission. Outcome measures were as follows: need for psychiatric hospital admission, prolonged stay at psychiatric facility, and any adverse events during ED stay including need for unscheduled psychiatric or sedating medications, need for physical restraints, and need for intervention by security staff. The Beck Scale for Suicidal Ideation, Patient Health Questionnaire 9, and Columbia Suicide Severity Scale did not significantly predict within-ED adverse events or admissions to psychiatric facilities. Wald test for individual parameters at an α of .10 level found that patients who were screened positive by their nurse had 3.37 times the odds of advers...Continue Reading

References

Jul 1, 1988·Journal of Clinical Psychology·A T BeckW F Ranieri
Apr 1, 1983·Psychosomatics·W M PattersonG A Patterson
Apr 29, 2010·Psychological Science·Matthew K NockMahzarin R Banaji
May 5, 2012·General Hospital Psychiatry·Sarah A TingCarlos A Camargo

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Citations

Aug 25, 2016·Journal of Child and Adolescent Psychiatric Nursing : Official Publication of the Association of Child and Adolescent Psychiatric Nurses, Inc·Sharon Patterson
Dec 23, 2020·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·John S Rozel

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