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dc.contributor.authorBetz, Marian E.
dc.contributor.authorSullivan, Ashley F.
dc.contributor.authorManton, Anne P.
dc.contributor.authorEspinola, Janice A.
dc.contributor.authorMiller, Ivan
dc.contributor.authorCamargo, Carlos A. Jr.
dc.contributor.authorBoudreaux, Edwin D.
dc.contributor.authorBoyer, Edward W.
dc.contributor.authorClark, Robin E.
dc.contributor.authorColeman, Mardia A.
dc.contributor.authorFeldman, Barry N.
dc.contributor.authorED-SAFE Investigators
dc.date2022-08-11T08:08:17.000
dc.date.accessioned2022-08-23T15:49:50Z
dc.date.available2022-08-23T15:49:50Z
dc.date.issued2013-02-20
dc.date.submitted2013-05-29
dc.identifier.citationDepress Anxiety. 2013 Feb 20. doi: 10.1002/da.22071. <a href="http://dx.doi.org/10.1002/da.22071" target="_blank">Link to article on publisher's site</a>
dc.identifier.issn1091-4269 (Linking)
dc.identifier.doi10.1002/da.22071
dc.identifier.pmid23426881
dc.identifier.urihttp://hdl.handle.net/20.500.14038/28529
dc.descriptionThe ED-SAFE Investigators include Edward W. Boyer, Robin E. Clark, Mardia A. Coleman, and Barry N. Feldman of the University of Massachusetts Medical School.
dc.description.abstractBACKGROUND: We sought to examine the knowledge, attitudes, and practices of emergency department (ED) providers concerning suicidal patient care and to identify characteristics associated with screening for suicidal ideation (SI). METHODS: Six hundred thirty-one providers at eight EDs completed a voluntary, anonymous survey (79% response rate). RESULTS: The median participant age was 35 (interquartile range: 30-44) years and 57% of the participants were females. Half (48%) were nurses and half were attending (22%) or resident (30%) physicians. More expressed confidence in SI screening skills (81-91%) than in skills to assess risk severity (64-70%), counsel patients (46-56%), or create safety plans (23-40%), with some differences between providers. Few thought mental health provider staffing was almost always sufficient (6-20%) or that suicidal patient treatment was almost always a top ED priority (15-21%). More nurses (37%, 95% confidence interval [CI] 31-42%) than physicians (7%, 95% CI 4-10%) reported screening most or all patients for SI; this difference persisted after multivariable adjustment. In multivariable analysis, other factors associated with screening most or all patients for SI were self-confidence in skills, (odds ratio [OR] 1.60, 95% CI 1.17-2.18), feeling that suicidal patient care was a top ED priority (OR 1.73, 95% CI 1.11-2.69) and 5+ postgraduate years of clinical experience (OR 2.06, 95% CI 1.03-4.13). CONCLUSIONS: ED providers reported confidence in suicide screening skills but gaps in further assessment, counseling, or referral skills. Efforts to promote better identification of suicidal patients should be accompanied by a commensurate effort to improve risk assessment and management skills, along with improved access to mental health specialists.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=23426881&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://dx.doi.org/10.1002/da.22071
dc.subjectSuicide
dc.subjectSuicidal Ideation
dc.subjectSuicide, Attempted
dc.subjectEmergency Service, Hospital
dc.subjectEmergency Medical Services
dc.subjectMental Health Services
dc.subjectEmergency Medicine
dc.subjectHealth Services Administration
dc.subjectHealth Services Research
dc.subjectMental and Social Health
dc.subjectPsychiatry
dc.subjectPsychiatry and Psychology
dc.titleKnowledge, Attitudes, and Practices of Emergency Department Providers in the Care of Suicidal Patients
dc.typeJournal Article
dc.source.journaltitleDepression and anxiety
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/emed_pp/72
dc.identifier.contextkey4180663
html.description.abstract<p>BACKGROUND: We sought to examine the knowledge, attitudes, and practices of emergency department (ED) providers concerning suicidal patient care and to identify characteristics associated with screening for suicidal ideation (SI).</p> <p>METHODS: Six hundred thirty-one providers at eight EDs completed a voluntary, anonymous survey (79% response rate).</p> <p>RESULTS: The median participant age was 35 (interquartile range: 30-44) years and 57% of the participants were females. Half (48%) were nurses and half were attending (22%) or resident (30%) physicians. More expressed confidence in SI screening skills (81-91%) than in skills to assess risk severity (64-70%), counsel patients (46-56%), or create safety plans (23-40%), with some differences between providers. Few thought mental health provider staffing was almost always sufficient (6-20%) or that suicidal patient treatment was almost always a top ED priority (15-21%). More nurses (37%, 95% confidence interval [CI] 31-42%) than physicians (7%, 95% CI 4-10%) reported screening most or all patients for SI; this difference persisted after multivariable adjustment. In multivariable analysis, other factors associated with screening most or all patients for SI were self-confidence in skills, (odds ratio [OR] 1.60, 95% CI 1.17-2.18), feeling that suicidal patient care was a top ED priority (OR 1.73, 95% CI 1.11-2.69) and 5+ postgraduate years of clinical experience (OR 2.06, 95% CI 1.03-4.13).</p> <p>CONCLUSIONS: ED providers reported confidence in suicide screening skills but gaps in further assessment, counseling, or referral skills. Efforts to promote better identification of suicidal patients should be accompanied by a commensurate effort to improve risk assessment and management skills, along with improved access to mental health specialists.</p>
dc.identifier.submissionpathemed_pp/72
dc.contributor.departmentCenter for Health Policy and Research
dc.contributor.departmentDepartment of Psychiatry
dc.contributor.departmentDepartment of Emergency Medicine


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