Assessing Suicide Risk in the General Hospital: Implementing the 2007 National Patient Safety Goal <ul><li>May 5, 2008 </l...
NPSG 2007  #15A <ul><li>Goal 15 </li></ul><ul><li>The organization identifies safety risks inherent in its patient populat...
Establishing P&P <ul><li>Select population to screen based on increased risk </li></ul><ul><li>Use of screening questions ...
 
Who to screen? <ul><li>Emotional or behavioral disorder </li></ul><ul><li>Drug or alcohol problem </li></ul><ul><li>Mental...
 
 
 
 
<ul><li>Recent suicide attempt? </li></ul><ul><li>Imminent suicidal intent? </li></ul><ul><li>Actionable plan? </li></ul><...
 
 
Take-Home Points <ul><li>Involve nurses in developing the process </li></ul><ul><li>Build it into the nursing intake asses...
 
Assessing Suicide Risk in the General Hospital: Implementing the 2007 National Patient Safety Goal <ul><li>May 5, 2008 </l...
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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.

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

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

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