A novel engagement of suicidality in the emergency department: Virtual Collaborative Assessment and Management of Suicidality
| Autor: | Leticia Lobo Duvivier, Linda A. Dimeff, Julie Chung, Benjamin Lok, Kelly Koerner, Brian M. Piehl, Mohan Zalake, Samantha A. Chalker, David A. Jobes |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Suicide Prevention Adolescent Attitude of Health Personnel Point-of-Care Systems Psychological intervention Proof of Concept Study Suicide prevention Clinical decision support system Decision Support Techniques law.invention User-Computer Interface Young Adult 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Outpatients medicine Humans Medical Informatics Applications 030212 general & internal medicine Avatar Inpatients Process Assessment Health Care Discharge disposition Electronic medical record Emergency department Middle Aged Patient Acceptance of Health Care medicine.disease 030227 psychiatry Psychiatry and Mental health Feasibility Studies Female Medical emergency Emergency Service Hospital Psychology |
| Zdroj: | General Hospital Psychiatry. 63:119-126 |
| ISSN: | 0163-8343 |
| DOI: | 10.1016/j.genhosppsych.2018.05.005 |
| Popis: | Objective A novel avatar system (Virtual Collaborative Assessment and Management of Suicidality System; V-CAMS) for suicidal patients and medical personnel in emergency departments (EDs) was developed and evaluated. V-CAMS facilitates the delivery of CAMS and other evidence-based interventions to reduce unnecessary hospitalization, readmissions, and suicide following an ED visit. Method Using iterative user-centered design with 24 suicidal patients, an avatar prototype, “Dr. Dave” (based on Dr. Jobes) was created, along with other patient-facing tools; provider-facing tools, including a clinical decision support tool were also designed and tested to aid discharge disposition. Results Feasibility tests supported proof of concept. Suicidal patients affirmed the system's overall merit, positive Perception of Care, and acceptability; medical providers (n = 21) viewed the system as an efficient, effective, and safe method of improving care for suicidal ED patients and reducing unnecessary hospitalization. Conclusions Technology tools including a patient-facing avatar and e-caring contacts, along with provider-facing tools may offer a powerful method of facilitating best-practice suicide prevention interventions and point-of-care tools for suicidal patients seeking ED services and their medical providers. Future directions include full development of V-CAMS and integration into a health electronic medical record and a rigorous randomized controlled trial to study its effectiveness. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect