Suicide Risk Assessment and Management in the Psychiatry Emergency Service: Psychiatric Provider Experience and Perceptions

Sruthi Chunduri, Sabrina Browne, David E. Pollio, Barry A. Hong, Writtika Roy, Kimberly Roaten, Fuad Khan, Carol S North

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

The objective of this study was to explore suicide risk identification and flow of patients with differing suicide risk through the Psychiatric Emergency Service (PES) to their clinical dispositions. 3 focus groups (N = 15 psychiatric providers working in the PES of a large urban teaching hospital) discussing suicide risk assessment in the PES were conducted, followed by thematic analysis. A total of 7 themes were identified in 624 coded passages. In focus groups conducted to explore suicide risk assessment, discussions shifted to broader matters, e.g., frustrations with the system in which the providers worked. 4 main messages emerged: screening tools cannot replace clinical judgment; the existing electronic health record is not efficient and sufficiently informative; competing demands challenge PES psychiatrists; and post-discharge patient outcome data are needed. These concerns suggest directions for improving patient care.

Original languageEnglish (US)
Pages (from-to)1-14
Number of pages14
JournalArchives of Suicide Research
DOIs
StateAccepted/In press - Mar 2 2018

Keywords

  • focus groups
  • improvement of care
  • psychiatric emergency service
  • psychiatric providers
  • qualitative analysis
  • suicide risk assessment

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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