Youth Suicide Attempt Nomenclature Used in Two Central Texas Hospitals

Crisis
Amanda N BarczykKarla A Lawson

Abstract

Surveillance systems capturing instances of self-directed violence (SDV) continue to lack uniform nomenclature and classification methodology. To apply and compare two retrospective surveillance approaches to youth experiencing SDV presenting to two urban hospitals with Level I Trauma Centers. Two suicide attempt surveillance methods where retrospectively applied to our SDV cohort: (a) a rigorous method facilitated by medical record review and application of standardized classification; and (b) a common surveillance method conducted by systematic queries of suicide attempt key terms and diagnosis codes among hospital databases. Rigorous surveillance identified 249 patients attempting suicide. The common method's querying suicide attempt in the chief complaint field had a high positive predictive value and specificity; however, sensitivity was low. Authors were unable to determine whether all SDV encounters during the study timeframe were identified for initial screening owing to the hospital's lack of a uniform nomenclature or classification system. Results showed underreporting of suicide attempt cases, inadequate sensitivity and specificity in common surveillance methods, and skewed demographic representation compared with th...Continue Reading

References

Jul 4, 2001·Journal of the American Academy of Child and Adolescent Psychiatry·UNKNOWN American Academy of Child and Adolescent Psychiatry
Sep 24, 2004·Suicide & Life-threatening Behavior·Benjamin J Pearson-NelsonThoroddur Bjarnason
Jan 29, 2005·The American Journal of Psychiatry·Jayne CooperLouis Appleby
Nov 8, 2006·Suicide & Life-threatening Behavior·Morton M Silverman
Oct 31, 2007·Suicide & Life-threatening Behavior·Madhavi VajaniLisa M Millet
Jun 1, 2011·Journal of Clinical Psychology in Medical Settings·Lisa A BrennerHerbert T Nagamoto
Nov 14, 2012·Suicide & Life-threatening Behavior·Bridget B MatarazzoLisa A Brenner
Aug 26, 2014·American Journal of Preventive Medicine·UNKNOWN Data and Surveillance Task Force of the National Action Alliance for Suicide Prevention
Oct 21, 2014·Suicide & Life-threatening Behavior·Michele S Berk, Joan R Asarnow
Dec 3, 2016·Psychiatric Services : a Journal of the American Psychiatric Association·Christine StewartGregory E Simon

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Citations

Jul 6, 2019·Health Information Management : Journal of the Health Information Management Association of Australia·Jerneja SveticicKathryn Turner
Mar 9, 2019·Community Mental Health Journal·Amanda N BarczykKarla A Lawson
Aug 14, 2020·Issues in Mental Health Nursing·Tamara Pike Keefner, Thomas Stenvig
May 27, 2020·The Journal of Emergency Medicine·Amanda N BarczykKarla A Lawson

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