Teaching and Evaluation of Suicidal Assessment, Five-Step Evaluation and Triage (SAFE-T) in the Emergency Department

Rico, Evangeline

doi:10.31979/etd.ecuy-p6a4

Cited by 2 publications

(2 citation statements)

References 22 publications

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“…The Suicide Assessment Five-step Evaluation and Triage (SAFE-T) tool ( 145 ) incorporates the American Psychiatric Association’s practice guidelines for suicide assessment. The first step is identifying suicide risk factors and note those that can be modified to reduce the risk.…”

Section: Prevention Of Inpatient Suicide In Psychiatric Settingsmentioning

confidence: 99%

Inpatient suicide in psychiatric settings: Evaluation of current prevention measures

2022

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The risk of suicide in psychiatric hospitals is 50 times higher than in the general population, despite patient safety being a priority for any hospital. However, to date, due to the complexity of assessing suicide risk, there has been no consensus on the suicide prevention measures that should be in place in hospitals. The aim of this work is: To provide an overview of the progress that has been made in the field of inpatient suicide prevention in recent years; discuss the problems that remain; and suggest potential future developments. As new clinical dimensions (notably anhedonia, psychological pain and hopelessness) develop, they should become new therapeutic targets. Team training (like the Gatekeeper Training Program) and the latest advances in suicide risk assessment (such as the Collaborative Assessment and Management of Suicidality) should be implemented in psychiatric wards. Suicide prevention plans (e.g., ASSIP, SAFE-T, etc.) represent easy-to-administer, low-cost interventions. The Mental Health Environment of Care Checklist has been proven effective to reduce suicide risk at hospitals. Furthermore, the types of psychotherapy recommended to reduce suicide risk are cognitive behavioral therapy (CBT) and dialectical behavioral therapy (DBT). There are several pharmacological treatments for suicide risk, such as lithium and clozapine, which have been shown to be effective in the long term, as well as ketamine and esketamine, which are more effective in the short term. Following some encouraging recent results, buprenorphine may also be proposed to patients with a suicide risk. Triple chronotherapy rapidly improves depressive symptoms over 9 weeks. Regarding brain stimulation techniques, rTMS has proven to be effective in alleviating multiple dimensions of suicidality.

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Section: Prevention Of Inpatient Suicide In Psychiatric Settingsmentioning

confidence: 99%

Inpatient suicide in psychiatric settings: Evaluation of current prevention measures

2022

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“…SAFE-T incorporates the American Psychiatric Association Practice Guidelines for suicide assessment ( 13 ). Teaching the SAFE-T to ED nurses has been shown to enhance suicide inquiry, and increase knowledge regarding identifying risk and protective factors and determining risk level and appropriate intervention ( 14 ).…”

Section: The Zs Model and Clinical Trainingmentioning

confidence: 99%

The Zero Suicide Model: Applying Evidence-Based Suicide Prevention Practices to Clinical Care

2018

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Suicide is reaching epidemic proportions, with over 44,000 deaths by suicide in the US, and 800,000 worldwide in 2015. This, despite research and development of evidence-based interventions that target suicidal behavior directly. Suicide prevention efforts need a comprehensive approach, and research must lead to effective implementation across public and mental health systems. A 10-year systematic review of evidence-based findings in suicide prevention summarized the areas necessary for translating research into practice. These include risk assessment, means restriction, evidence-based treatments, population screening combined with chain of care, monitoring, and follow-up. In this article, we review how suicide prevention research informs implementation in clinical settings where those most at risk present for care. Evidence-based and best practices address the fluctuating nature of suicide risk, which requires ongoing risk assessment, direct intervention and monitoring. In the US, the National Action Alliance for Suicide Prevention has put forth the Zero Suicide (ZS) Model, a framework to coordinate a multilevel approach to implementing evidence-based practices. We present the Assess, Intervene and Monitor for Suicide Prevention model (AIM-SP) as a guide for implementation of ZS evidence-based and best practices in clinical settings. Ten basic steps for clinical management model will be described and illustrated through case vignette. These steps are designed to be easily incorporated into standard clinical practice to enhance suicide risk assessment, brief interventions to increase safety and teach coping strategies and to improve ongoing contact and monitoring of high-risk individuals during transitions in care and high risk periods.

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Teaching and Evaluation of Suicidal Assessment, Five-Step Evaluation and Triage (SAFE-T) in the Emergency Department

Cited by 2 publications

References 22 publications

Inpatient suicide in psychiatric settings: Evaluation of current prevention measures

Inpatient suicide in psychiatric settings: Evaluation of current prevention measures

The Zero Suicide Model: Applying Evidence-Based Suicide Prevention Practices to Clinical Care

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