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APA 2008: Assessing Suicide Risk in the General Hospital: Implementing the 2007 National Patient Safety Goal
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APA 2008: Assessing Suicide Risk in the General Hospital: Implementing the 2007 National Patient Safety Goal

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Talk on suicide risk assessment for general hospitals implementing The Joint Commission\'s NPSG.

Talk on suicide risk assessment for general hospitals implementing The Joint Commission\'s NPSG.

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APA 2008: Assessing Suicide Risk in the General Hospital: Implementing the 2007 National Patient Safety Goal APA 2008: Assessing Suicide Risk in the General Hospital: Implementing the 2007 National Patient Safety Goal Presentation Transcript

  • Assessing Suicide Risk in the General Hospital: Implementing the 2007 National Patient Safety Goal
    • May 5, 2008
    • Annual APA Meeting, Washington DC
    • Steven R Daviss, MD, DFAPA
    • Sheppard Pratt Hospital System at
    • Baltimore Washington Medical Center
    • [email_address]
  • NPSG 2007 #15A
    • Goal 15
    • The organization identifies safety risks inherent in its patient population.
    • 15A
    • The organization identifies patients at risk for suicide. Applicable to psychiatric hospitals and patients being treated for emotional or behavioral disorders in general hospitals
  • Establishing P&P
    • Select population to screen based on increased risk
    • Use of screening questions
    • Who does the screening
    • When to do the screening
    • What happens with a positive screen
  •  
  • Who to screen?
    • Emotional or behavioral disorder
    • Drug or alcohol problem
    • Mental Retardation
    • Dementia
    • Delirium/Change in mental status
    Note: We did not “screen” people admitted for suicide attempts
  •  
  •  
  •  
  •  
    • Recent suicide attempt?
    • Imminent suicidal intent?
    • Actionable plan?
    • Psychological pain or anguish?
    • Self-hatred?
    • Hopelessness?
    • Agitation?
    • Psychosis?
    • Wish for death?
    • Family/peer suicidal history?
    • Poor social support?
    • Substance abuse?
    • Recent severe stressor?
  •  
  •  
  • Take-Home Points
    • Involve nurses in developing the process
    • Build it into the nursing intake assessment process
    • Define your population to screen
    • Automate processes as much as possible
    • Staffing issues re: more thorough assessments
  •  
  • Assessing Suicide Risk in the General Hospital: Implementing the 2007 National Patient Safety Goal
    • May 5, 2008
    • Annual APA Meeting, Washington DC
    • Steven R Daviss, MD, DFAPA
    • Sheppard Pratt Hospital System at
    • Baltimore Washington Medical Center
    • [email_address]