Triaging suicidal patients: Sifting through the evidence

Clarke, Diana E.; Brown, Annemarie; Giles-Smith, Lori

doi:10.1016/j.ienj.2008.03.004

Cited by 5 publications

(3 citation statements)

References 79 publications

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“…Attitudes towards suicide, perceptions of suicide, clinical experiences, and context influence the assessment process (Brunero et al, 2008;Clarke, Brow, & Giles-Smith, 2008). The complexity of suicide assessment is further compounded by clinical time constraints, decreased time available to develop a therapeutic trusting relationship, limited use of clinical (vs. research) assessment instruments, clinician knowledge deficits, and uneasiness asking direct questions (Sun, Long, Bone, & Tsao, 2006).…”

Section: Introductionmentioning

confidence: 99%

Suicide Assessment by Psychiatric Nurses: A Phenomenographic Study

Aflague

Ferszt

2010

Issues in Mental Health Nursing

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Although suicide assessment has been researched, nurses haven't been included in studies nor has this been explored from a phenomenographic perspective. Suicide assessment by nurses was investigated using a phenomenographic design. Data were collected through observations, vignettes, and interviews. Phenomenographic analysis discovered four qualitative differences in suicide assessment among nurse participants: reliance on (1) examples of other suicide cases, (2) intuition, (3) others' assessments, and (4) prior experience. The categories were classified into a three dimensional theoretical structure of suicide assessment: (a) Knowledge, (b) Method, and (c) Reference. Variability in participants' assessments established a structure of suicide assessment that furthers understanding of how nurses assess suicide and provides implications for practice.

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Section: Introductionmentioning

confidence: 99%

Suicide Assessment by Psychiatric Nurses: A Phenomenographic Study

Aflague

Ferszt

2010

Issues in Mental Health Nursing

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“…The most important question would be to enquire about current suicidal ideation. [77] A number of easy to use questionnaires are available for screening patients with high suicide risk. [78] It is important that preventive efforts must start right at the first contact.…”

Section: Discussionmentioning

confidence: 99%

Suicide Prevention Strategies for General Hospital and Psychiatric Inpatients: A Narrative Review

Navin¹,

Kuppili

Menon³

et al. 2019

Indian Journal of Psychological Medicine

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Background:In-patient (IP) suicides contribute a small but significant proportion of overall suicides. Despite this, suicide prevention strategies focusing on the general hospital IP population remain relatively underresearched. This paper is intended to provide an overview of various proposed suicide prevention approaches in the general hospital, including psychiatric IP, settings, and their evidence base.Methodology:Electronic searches of MEDLINE through PubMed, ScienceDirect, and Google Scholar databases were performed to identify potentially relevant articles from inception till January 2019. The generated abstracts were systematically screened for their eligibility to be included in the review. Included articles were grouped under five broad themes: environmental modification, staff education, pharmacotherapy, psychotherapy, and brain stimulation. Data extraction was done using a structured proforma.Results:Environmental modifications and educating the health care professionals appear to be the most promising strategies to reduce suicide-related mortality among IPs. Among pharmacological methods, ketamine has shown initial promise in reducing suicidal ideations. Follow-up data are lacking for most of the described methods. Limited but positive evidence exists for cognitive therapies focusing on the immediate postadmission period and brain stimulation techniques, and it warrants further replication.Conclusion:There is a striking paucity of original research on IP suicide prevention. Given the ethical and methodological issues in carrying out studies with IP suicide as the primary outcome, there is a need to focus on intermediate suicide outcome measures, such as knowledge, attitude, and skills among staff handlers of suicidal patients.

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“…For the same reason, triage protocols should provide contingency plans if suicidal individuals refuse to present for further evaluation. If possible, they should be triaged in settings where more than one trained person is available to assist with safety considerations (Clarke, Brown, & Giles-Smith, 2008).…”

Section: Identifying Triaging and Assessing Suicide Riskmentioning

confidence: 99%

Assessment and management of high-risk suicidal states in postdeployment operation enduring freedom and operation Iraqi freedom military personnel.

Claassen¹,

Knox²

2011

Caring for Veterans With Deployment-Related Stress Disorders.

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Between 2000 and 2006, 53% of all suicides in the general U.S. population were committed with firearms, and 80% of all suicide decedents were men (Centers for Disease Control and Prevention [CDC], National Center for Injury Prevention and Control, 2009). Although the U.S. military is largely populated by men living under stressful conditions with ready access to guns, military suicide rates have traditionally been lower than corresponding civilian rates (Eaton, Messer, Garvey Wilson, & Hoge, 2006). However, 2008 U.S. Army rates surpassed corresponding civilian rates for the first time ever and were more than double those occurring before initiation of Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) in 2001 (Suicide Risk Management & Surveillance Office, 2008; see Figure 5.1). Suicide is currently the second leading cause of death in the Marine Corps (U.S. Marine Corps, 2009), second also among young, enlisted Army men (Inspector General, U.S. This chapter was coauthored by an employee of the United States government as part of official duty and is considered to be in the public domain. Any views expressed herein do not necessarily represent the views of the United States government, and the author's participation in the work is not meant to serve as an official endorsement.

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Triaging suicidal patients: Sifting through the evidence

Cited by 5 publications

References 79 publications

Suicide Assessment by Psychiatric Nurses: A Phenomenographic Study

Suicide Assessment by Psychiatric Nurses: A Phenomenographic Study

Suicide Prevention Strategies for General Hospital and Psychiatric Inpatients: A Narrative Review

Assessment and management of high-risk suicidal states in postdeployment operation enduring freedom and operation Iraqi freedom military personnel.

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