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

ABSTRACT: 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).Six hundred thirty-one providers at eight EDs completed a voluntary, anonymous survey (79% response rate).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).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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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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Knowledge, attitudes, and practices of emergency department providers in the care of suicidal patients.

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

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