Dataset Information

Knowledge, attitudes, and practices of emergency department providers in the care of suicidal patients.

ABSTRACT:

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).

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.

SUBMITTER: Betz ME

PROVIDER: S-EPMC4350671 | biostudies-literature | 2013 Oct

REPOSITORIES: biostudies-literature

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Publications

Knowledge, attitudes, and practices of emergency department providers in the care of suicidal patients.

Betz Marian E ME Sullivan Ashley F AF Manton Anne P AP Espinola Janice A JA Miller Ivan I Camargo Carlos A CA Boudreaux Edwin D ED

Depression and anxiety 20130220 10

<h4>Background</h4>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).<h4>Methods</h4>Six hundred thirty-one providers at eight EDs completed a voluntary, anonymous survey (79% response rate).<h4>Results</h4>The median participant age was 35 (interquartile range: 30-44) years and 57% of the participants were females. Half (48%) wer ...[more]

PMID: 23426881

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Dataset Information

Knowledge, attitudes, and practices of emergency department providers in the care of suicidal patients.

Background

Methods

Results

Conclusions

Publications

Knowledge, attitudes, and practices of emergency department providers in the care of suicidal patients.

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