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Which Chart Elements Accurately Identify Emergency Department Visits for Suicidal Ideation or Behavior

dc.contributor.authorArias, Sarah A.
dc.contributor.authorBoudreaux, Edwin D
dc.contributor.authorChen, Elizabeth
dc.contributor.authorMiller, Ivan
dc.contributor.authorCamargo, Carlos A. Jr.
dc.contributor.authorJones, Richard N.
dc.contributor.authorUebelacker, Lisa
dc.date2022-08-11T08:08:25.000
dc.date.accessioned2022-08-23T15:54:32Z
dc.date.available2022-08-23T15:54:32Z
dc.date.issued2019-06-11
dc.date.submitted2020-09-17
dc.identifier.citation<p>Arias SA, Boudreaux ED, Chen E, Miller I, Camargo CA Jr, Jones RN, Uebelacker L. Which Chart Elements Accurately Identify Emergency Department Visits for Suicidal Ideation or Behavior? Arch Suicide Res. 2019 Jul-Sep;23(3):382-390. doi: 10.1080/13811118.2018.1472691. Epub 2019 Jun 11. PMID: 29791300; PMCID: PMC6320303. <a href="https://doi.org/10.1080/13811118.2018.1472691">Link to article on publisher's site</a></p>
dc.identifier.issn1381-1118 (Linking)
dc.identifier.doi10.1080/13811118.2018.1472691
dc.identifier.pmid29791300
dc.identifier.urihttp://hdl.handle.net/20.500.14038/29572
dc.description.abstractIn an emergency department (ED) sample, we investigated the concordance between identification of suicide-related visits through standardized comprehensive chart review versus a subset of 3 specific chart elements: ICD-9-CM codes, free-text presenting complaints, and free-text physician discharge diagnoses. The method for this study was review of medical records for adults ( > /=18 years) at 8 EDs across the United States. A total of 3,776 charts were reviewed. A combination of the 3 chart elements (ICD-9-CM, presenting complaints, and discharge diagnoses) provided the most robust data with 85% sensitivity, 96% specificity, 92% PPV, and 92% NPV. These findings highlight the use of key discrete fields in the medical record that can be extracted to facilitate identification of whether an ED visit was suicide-related.
dc.language.isoen_US
dc.relation<p><a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=29791300&dopt=Abstract">Link to Article in PubMed</a></p>
dc.relation.urlhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6320303/
dc.subjectsuicide
dc.subjectelectronic health records
dc.subjectchart review
dc.subjectemergency department
dc.subjectEmergency Medicine
dc.subjectHealth Information Technology
dc.subjectHealth Services Administration
dc.subjectPsychiatry
dc.subjectPsychiatry and Psychology
dc.titleWhich Chart Elements Accurately Identify Emergency Department Visits for Suicidal Ideation or Behavior
dc.typeJournal Article
dc.source.journaltitleArchives of suicide research : official journal of the International Academy for Suicide Research
dc.source.volume23
dc.source.issue3
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/faculty_pubs/1792
dc.identifier.contextkey19432914
html.description.abstract<p>In an emergency department (ED) sample, we investigated the concordance between identification of suicide-related visits through standardized comprehensive chart review versus a subset of 3 specific chart elements: ICD-9-CM codes, free-text presenting complaints, and free-text physician discharge diagnoses. The method for this study was review of medical records for adults ( > /=18 years) at 8 EDs across the United States. A total of 3,776 charts were reviewed. A combination of the 3 chart elements (ICD-9-CM, presenting complaints, and discharge diagnoses) provided the most robust data with 85% sensitivity, 96% specificity, 92% PPV, and 92% NPV. These findings highlight the use of key discrete fields in the medical record that can be extracted to facilitate identification of whether an ED visit was suicide-related.</p>
dc.identifier.submissionpathfaculty_pubs/1792
dc.contributor.departmentDepartment of Emergency Medicine
dc.source.pages382-390


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