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

2018 ◽  
Vol 23 (1) ◽  
pp. 1-14 ◽  
Author(s):  
Sruthi Chunduri ◽  
Sabrina Browne ◽  
David E. Pollio ◽  
Barry A. Hong ◽  
Writtika Roy ◽  
...  
2016 ◽  
Vol 21 (3) ◽  
pp. 365-378 ◽  
Author(s):  
Writtika Roy ◽  
Kimberly Roaten ◽  
Dana Downs ◽  
Fuad Khan ◽  
David E. Pollio ◽  
...  

Crisis ◽  
2017 ◽  
Vol 38 (3) ◽  
pp. 186-194 ◽  
Author(s):  
Kim Gryglewicz ◽  
Jason I. Chen ◽  
Gabriela D. Romero ◽  
Marc S. Karver ◽  
Melissa Witmeier

Abstract. Background: Many mental health professionals (MHPs) encounter youth at risk for suicide but lack knowledge and confidence to assist these individuals. Unfortunately, training for MHPs on suicide risk assessment and management is often not adequately accessible. Aims: The aim of this study was to evaluate whether MHPs' knowledge, attitudes, perceived social norms, and perceived behavioral control in working with at-risk suicidal youth improve following an online training (QPRT: Question, Persuade, Refer, Treat). Method: QPRT was provided to 225 MHPs from three large urban areas in the United States. Suicide prevention literacy, attitudes, perceived social norms, and perceived behavioral control in assessing and managing suicide risk were assessed before and after training. Data were also collected on training engagement and completion. Results: Suicide prevention literacy in most competency domains and perceived behavioral control increased significantly after participation in QPRT. Suicide prevention attitudes and some knowledge domains did not significantly improve. MHPs reported high satisfaction with the training. Conclusion: The current study provides initial support for offering MHPs online suicide risk assessment and management training. Online training programs may be an engaging and feasible means for providing advanced suicide prevention skills to MHPs who may have numerous barriers to accessing face-to-face training.


Crisis ◽  
2018 ◽  
Vol 39 (1) ◽  
pp. 55-64 ◽  
Author(s):  
Jared F. Roush ◽  
Sarah L. Brown ◽  
Danielle R. Jahn ◽  
Sean M. Mitchell ◽  
Nathanael J. Taylor ◽  
...  

Abstract. Background: Approximately 20% of suicide decedents have had contact with a mental health professional within 1 month prior to their death, and the majority of mental health professionals have treated suicidal individuals. Despite limited evidence-based training, mental health professionals make important clinical decisions related to suicide risk assessment and management. Aims: The current study aimed to determine the frequency of suicide risk assessment and management practices and the association between fear of suicide-related outcomes or comfort working with suicidal individuals and adequacy of suicide risk management decisions among mental health professionals. Method: Mental health professionals completed self-report assessments of fear, comfort, and suicide risk assessment and management practices. Results: Approximately one third of mental health professionals did not ask every patient about current or previous suicidal thoughts or behaviors. Further, comfort, but not fear, was positively associated with greater odds of conducting evidence-based suicide risk assessments at first appointments and adequacy of suicide risk management practices with patients reporting suicide ideation and a recent suicide attempt. Limitations: The study utilized a cross-sectional design and self-report questionnaires. Conclusion: Although the majority of mental health professionals report using evidenced-based practices, there appears to be variability in utilization of evidence-based practices.


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