Suicide Risk Screening in Pediatric Hospitals: Clinical Pathways to Address a Global Health Crisis

PaCC Workgroup

Research output: Contribution to journalShort survey

Abstract

Background: Youth suicide is on the rise worldwide. Most suicide decedents received healthcare services in the year before killing themselves. Standardized workflows for suicide risk screening in pediatric hospitals using validated tools can help with timely and appropriate intervention, while attending to The Joint Commission Sentinel Event Alert 56. Objective: Here we describe the first attempt to generate clinical pathways for patients presenting to pediatric emergency departments (EDs) and inpatient medical settings. Methods: The workgroup reviewed available evidence and generated a series of steps to be taken to feasibly screen medical patients presenting to hospitals. When evidence was limited, expert consensus was used. A standardized, iterative approach was utilized to create clinical pathways. Stakeholders reviewed initial drafts. Feedback was incorporated into the final pathway. Results: Clinical pathways were created for suicide risk screening in pediatric EDs and inpatient medical/surgical units. The pathway outlines a 3-tiered screening process utilizing the Ask Suicide-Screening Questions for initial screening, followed by a brief suicide safety assessment to determine if a full suicide risk assessment is warranted. This essential step helps conserve resources and decide upon appropriate interventions for each patient who screens positive. Detailed implementation guidelines along with scripts for provider training are included. Conclusion: Youth suicide is a significant public health problem. Clinical pathways can empower hospital systems by providing a guide for feasible and effective suicide risk-screening implementation by using validated tools to identify patients at risk and apply appropriate interventions for those who screen positive. Outcomes assessment is essential to inform future iterations.

Original languageEnglish (US)
Pages (from-to)1-9
Number of pages9
JournalPsychosomatics
Volume60
Issue number1
DOIs
StatePublished - Jan 1 2019

Fingerprint

Pediatric Hospitals
Critical Pathways
Suicide
Hospital Emergency Service
Inpatients
Pediatrics
Global Health
Screening
Pathway
Workflow
Consensus
Public Health
Joints
Outcome Assessment (Health Care)
Guidelines
Delivery of Health Care
Safety

Keywords

  • clinical pathway
  • consultation-liaison psychiatry
  • pediatrics
  • screening
  • suicide risk

ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Applied Psychology
  • Psychiatry and Mental health

Cite this

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title = "Suicide Risk Screening in Pediatric Hospitals: Clinical Pathways to Address a Global Health Crisis",
abstract = "Background: Youth suicide is on the rise worldwide. Most suicide decedents received healthcare services in the year before killing themselves. Standardized workflows for suicide risk screening in pediatric hospitals using validated tools can help with timely and appropriate intervention, while attending to The Joint Commission Sentinel Event Alert 56. Objective: Here we describe the first attempt to generate clinical pathways for patients presenting to pediatric emergency departments (EDs) and inpatient medical settings. Methods: The workgroup reviewed available evidence and generated a series of steps to be taken to feasibly screen medical patients presenting to hospitals. When evidence was limited, expert consensus was used. A standardized, iterative approach was utilized to create clinical pathways. Stakeholders reviewed initial drafts. Feedback was incorporated into the final pathway. Results: Clinical pathways were created for suicide risk screening in pediatric EDs and inpatient medical/surgical units. The pathway outlines a 3-tiered screening process utilizing the Ask Suicide-Screening Questions for initial screening, followed by a brief suicide safety assessment to determine if a full suicide risk assessment is warranted. This essential step helps conserve resources and decide upon appropriate interventions for each patient who screens positive. Detailed implementation guidelines along with scripts for provider training are included. Conclusion: Youth suicide is a significant public health problem. Clinical pathways can empower hospital systems by providing a guide for feasible and effective suicide risk-screening implementation by using validated tools to identify patients at risk and apply appropriate interventions for those who screen positive. Outcomes assessment is essential to inform future iterations.",
keywords = "clinical pathway, consultation-liaison psychiatry, pediatrics, screening, suicide risk",
author = "{PaCC Workgroup} and Khyati Brahmbhatt and Kurtz, {Brian P.} and Afzal, {Khalid I.} and Giles, {Lisa L.} and Kowal, {Elizabeth D.} and Johnson, {Kyle P.} and Elizabeth Lanzillo and Maryland Pao and Sigita Plioplys and Sigita Plioplys",
year = "2019",
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Suicide Risk Screening in Pediatric Hospitals : Clinical Pathways to Address a Global Health Crisis. / PaCC Workgroup.

In: Psychosomatics, Vol. 60, No. 1, 01.01.2019, p. 1-9.

Research output: Contribution to journalShort survey

TY - JOUR

T1 - Suicide Risk Screening in Pediatric Hospitals

T2 - Clinical Pathways to Address a Global Health Crisis

AU - PaCC Workgroup

AU - Brahmbhatt, Khyati

AU - Kurtz, Brian P.

AU - Afzal, Khalid I.

AU - Giles, Lisa L.

AU - Kowal, Elizabeth D.

AU - Johnson, Kyle P.

AU - Lanzillo, Elizabeth

AU - Pao, Maryland

AU - Plioplys, Sigita

AU - Plioplys, Sigita

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Background: Youth suicide is on the rise worldwide. Most suicide decedents received healthcare services in the year before killing themselves. Standardized workflows for suicide risk screening in pediatric hospitals using validated tools can help with timely and appropriate intervention, while attending to The Joint Commission Sentinel Event Alert 56. Objective: Here we describe the first attempt to generate clinical pathways for patients presenting to pediatric emergency departments (EDs) and inpatient medical settings. Methods: The workgroup reviewed available evidence and generated a series of steps to be taken to feasibly screen medical patients presenting to hospitals. When evidence was limited, expert consensus was used. A standardized, iterative approach was utilized to create clinical pathways. Stakeholders reviewed initial drafts. Feedback was incorporated into the final pathway. Results: Clinical pathways were created for suicide risk screening in pediatric EDs and inpatient medical/surgical units. The pathway outlines a 3-tiered screening process utilizing the Ask Suicide-Screening Questions for initial screening, followed by a brief suicide safety assessment to determine if a full suicide risk assessment is warranted. This essential step helps conserve resources and decide upon appropriate interventions for each patient who screens positive. Detailed implementation guidelines along with scripts for provider training are included. Conclusion: Youth suicide is a significant public health problem. Clinical pathways can empower hospital systems by providing a guide for feasible and effective suicide risk-screening implementation by using validated tools to identify patients at risk and apply appropriate interventions for those who screen positive. Outcomes assessment is essential to inform future iterations.

AB - Background: Youth suicide is on the rise worldwide. Most suicide decedents received healthcare services in the year before killing themselves. Standardized workflows for suicide risk screening in pediatric hospitals using validated tools can help with timely and appropriate intervention, while attending to The Joint Commission Sentinel Event Alert 56. Objective: Here we describe the first attempt to generate clinical pathways for patients presenting to pediatric emergency departments (EDs) and inpatient medical settings. Methods: The workgroup reviewed available evidence and generated a series of steps to be taken to feasibly screen medical patients presenting to hospitals. When evidence was limited, expert consensus was used. A standardized, iterative approach was utilized to create clinical pathways. Stakeholders reviewed initial drafts. Feedback was incorporated into the final pathway. Results: Clinical pathways were created for suicide risk screening in pediatric EDs and inpatient medical/surgical units. The pathway outlines a 3-tiered screening process utilizing the Ask Suicide-Screening Questions for initial screening, followed by a brief suicide safety assessment to determine if a full suicide risk assessment is warranted. This essential step helps conserve resources and decide upon appropriate interventions for each patient who screens positive. Detailed implementation guidelines along with scripts for provider training are included. Conclusion: Youth suicide is a significant public health problem. Clinical pathways can empower hospital systems by providing a guide for feasible and effective suicide risk-screening implementation by using validated tools to identify patients at risk and apply appropriate interventions for those who screen positive. Outcomes assessment is essential to inform future iterations.

KW - clinical pathway

KW - consultation-liaison psychiatry

KW - pediatrics

KW - screening

KW - suicide risk

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U2 - 10.1016/j.psym.2018.09.003

DO - 10.1016/j.psym.2018.09.003

M3 - Short survey

VL - 60

SP - 1

EP - 9

JO - Psychosomatics

JF - Psychosomatics

SN - 0033-3182

IS - 1

ER -