Implementing an Emergency Department Telephone Follow-Up Program for Suicidal Patients: Successes and Challenges

Catanach, Brittany; Betz, Marian E.; Tvrdy, Charissa; Skelding, Cheri; Brummett, Sarah; Allen, Michael

doi:10.1016/j.jcjq.2019.07.009

Cited by 5 publications

(3 citation statements)

References 17 publications

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“…16 It is well recognised that the task of reducing hospital readmissions remains challenging in many high-income countries. 17,18 Further research should focus on safe discharge, 19 follow-up care for patients [20][21][22] and effective communication with primary care physicians. 23 The identification of eight conditions that carry greater mortality risk with identical AR episodes in this study is consistent with previous studies.…”

Section: Discussionmentioning

confidence: 99%

Frequent identical admission–readmission episodes are associated with increased mortality

2021

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Frequent emergency readmissions may associate with health consequences. We examined the association between readmissions within 28 days of hospital discharge and mortality in 32,270 alive-discharge episodes (18-107 years). Data collected between 1 April 2017 and 31 March 2019 are presented as age-and sex-adjusted hazard ratios (HR) with 95% confidence interval (CI).Compared with no readmission, mortality risk over a 2-year period was increased with one non-identical admission-readmission (AR) episode: HR = 2.4 (2.2-2.7), two or more non-identical AR episodes: HR = 3.0 (2.7-3.4), one identical AR episode: HR = 4.7 (3.6-6.1) and two or more identical AR episodes: HR = 5.0 (3.8-6.7). Eight conditions associated with AR episodes had increased risk of mortality including congestive heart failure: HR = 2.

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Section: Discussionmentioning

confidence: 99%

Frequent identical admission–readmission episodes are associated with increased mortality

2021

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“…A recent study showed that telephone contact with patients within 48 h of discharge lowered early readmission rates compared with those who had no contact (9.2% versus 15.7%, p = 0.011) [18]. Further research is therefore needed, focussing on safe discharge [19] and follow-up care for patients [20][21][22] and effective communication with primary care physicians [23]. The uncoupling of mortality rates between frequency of readmissions narrowed in the oldest age group may be due to higher rates of mortality or palliation in the community among this group which prevent them from readmissions.…”

Section: Discussionmentioning

confidence: 99%

Early emergency readmission frequency as an indicator of short-, medium- and long-term mortality post-discharge from hospital

et al. 2020

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Frequent emergency readmissions, an indicator of quality of care, has been rising in England but the underlying reasons remain unclear. We examined the association of early readmissions with subsequent mortality in adults, taking into account the underlying presenting diagnoses and hospital length of stay (LOS). Data of alive-discharge episodes were prospectively collected between 01/04/2017 and 31/03/2019 in an National Health Service hospital, comprising 32,270 patients (46.1% men) aged 18–107 years (mean = 64.0, ± SD = 20.5 years). The associations of readmission frequency within 28 days of discharge and mortality within 30 days and 6 months of hospital discharge, and over a 2-year period were evaluated, adjusted for presenting diagnoses, LOS, age and sex during the first admission. Analysis of all patients 18–107 years (reference: no readmission) showed mortality within 30 days was increased for 1 readmission: event rate = 9.2%, odds ratio (OR) = 3.4 (95% confidence interval (CI) = 2.9–4.0), and ≥ 2 readmissions: event rate = 10.0%, OR = 2.6 (95%CI = 2.0–3.3), and within 6 months for 1 readmission: event rate = 19.6%, OR = 3.0 (95%CI = 2.7–3.4), and ≥ 2 readmissions: event rate = 27.4%, OR = 3.4 (95%CI = 2.9–4.0), and over a 2-year period for 1 readmission: event rate = 25.5%, hazard ratio = 2.2 (95%CI = 2.0–2.4), and ≥ 2 readmissions: event rate = 36.1%, hazard ratio = 2.5 (95%CI = 2.2–2.8). Within the age groups 18–49, 50–59, 60–69, 70–79 and ≥ 80 years, readmissions were also associated with increased risk of mortality within 3 months and 6 months of discharge, and over 2-year period. In conclusion, early hospital readmission predicts short-, medium- and long-term mortality post-discharge from hospital in adults aged 18–107 years, independent of underlying presenting conditions, LOS, age and sex. Further research focussing on safe discharge and follow-up patient care may help reduce preventable readmissions and post-discharge mortality.

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“…Based on the findings for mental health treatment, increasing the availability of follow‐up services may be critical, especially for individuals with previous mental health disruptions who may have received services. Previous research found that for patients who were discharged from emergency departments following suicide attempts or ideations, those who also received follow‐up telephone calls had fewer subsequent suicide attempts in the following year (Catanach et al., 2019). Thus, public health initiatives that include follow‐up services, such as phone calls to those individuals currently in or discharged from treatment, could have the potential to reduce suicide risk overall.…”

Section: Discussionmentioning

confidence: 99%

Examining predictors of suicide by firearm in young, middle, and late adulthood

Docherty,

Kubik,

Drawve

2023

Suicide & Life Threat Behav

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IntroductionSuicide remains a leading cause of death in the U.S., and firearms are one of the most lethal methods of suicide. This study examines personal and contextual factors that predict suicide with a firearm compared to other methods across stages of adulthood.MethodsData on adult suicide decedents from 2009 to 2019 were obtained from Colorado's National Violent Death Reporting System (NVDRS) data (N = 11,512). The dataset includes incident and person characteristics collected by law enforcement and coroners. Zip code level data were integrated from the American Community Survey.ResultsAge, sex, race, marital status, military service, substance use, suicide attempt history, mental health, and location characteristics (population density, as well as age, education, veteran status, and household status of population) predicted suicide by firearm. Risk was particularly high for males in older adulthood. We further explored age‐specific models (young, middle‐aged, and older adults) to determine salient risk factors for each group.ConclusionThis study highlights the need for comprehensive suicide prevention approaches that consider both individual and contextual risk factors, as well as unique risks in each stage of adulthood.

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Implementing an Emergency Department Telephone Follow-Up Program for Suicidal Patients: Successes and Challenges

Cited by 5 publications

References 17 publications

Frequent identical admission–readmission episodes are associated with increased mortality

Frequent identical admission–readmission episodes are associated with increased mortality

Early emergency readmission frequency as an indicator of short-, medium- and long-term mortality post-discharge from hospital

Examining predictors of suicide by firearm in young, middle, and late adulthood

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