Ask Suicide-Screening Questions to Everyone in Medical Settings: The asQ'em Quality Improvement Project
| Autor: | Erica Ludi, Tannia P. Cartledge, Julie Kohn-Godbout, Adrienne Farrar, Deborah J. Snyder, Donald L. Rosenstein, Laura M. Lee, Maryland Pao, Lisa M. Horowitz |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
business.industry
Poison control medicine.disease Suicide prevention Mental health Occupational safety and health Article Psychiatry and Mental health Patient satisfaction Arts and Humanities (miscellaneous) Injury prevention Medicine Observational study Medical emergency medicine.symptom business Suicidal ideation Applied Psychology |
| DOI: | 10.17615/030m-5q38 |
| Popis: | Background Suicide in hospital settings is a frequently reported sentinel event to the Joint Commission (JC). Since 1995, over 1,000 inpatient deaths by suicide have been reported to the JC; 25% occurred in non-behavioral health settings. Lack of proper "assessment" was the leading root cause for 80% of hospital suicides. This paper describes the "Ask Suicide-Screening Questions to Everyone in Medical Settings (asQ'em)" Quality Improvement Project. We aimed to pilot a suicide screening tool and determine feasibility of screening in terms of prevalence, impact on unit workflow, impact on mental health resources, and patient/nurse acceptance. Methods We piloted the asQ'em two-item screening instrument that assesses suicidal thoughts and behaviors, designed specifically for nurses to administer to medical patients. Educational in-services were conducted. A convenience sample of adult patients, 18 years or older, from three selected inpatient units in the National Institutes of Health Clinical Center, participated. Results A total of 331 patients were screened; 13 (4%) patients screened "positive" for suicide risk and received further evaluation. No patient had acute suicidal thoughts or required an observational monitor. Screening took approximately 2 minutes; 87% of patients reported feeling comfortable with screening; 81% of patients, 75% of nurses, and 100% of social workers agreed that all patients in hospitals should be screened for suicide risk. Discussion Nurses can feasibly screen hospitalized medical/surgical patients for suicide risk with a two-item screening instrument. Patients, nurses, and social workers rated their experience of screening as positive and supported the idea of universal suicide screening in the hospital. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|