Utility of an Integrated Electronic Suicide Alert System in a Psychiatric Hospital

Alok Madan, Jane Mahoney, Jon G. Allen, Thomas Ellis, Susan Hardesty, John M. Oldham, James Chris Fowler

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Management of suicide-related behaviors in a hospital is challenging. This article (1) describes integration of an electronic suicide risk notification system to improve assessment of psychiatric inpatients, (2) details the manner in which these alerts complement standard of care, and (3) provides support of using aggregate data to inform administrative decision-making. Complementing routine clinical care and under the supervision of an assessment coordinator, adult inpatients at a specialty psychiatric hospital complete a computerized battery of outcome assessments throughout the course of their hospitalization. A critical-item response notification system for suicide-related behaviors was implemented within the larger, assessment architecture, sending an alert e-mail to unit staff if patients endorsed suicidal ideation on any 1 of 6 critical items. Analysis of aggregate data over a 19-month period reveal a linear trend of increasing rate of suicide alerts from October 2012 to April 2013 (Phase A) with a stabilization at the heightened level from July 2013 to April 2014 (Phase B), R = 0.697, P =.007. Findings suggest that more nuanced training in the management of suicide-related behavior may be necessary and that traditional approaches to staffing may need to accommodate patient acuity. The communication innovation of this system is in line with the Joint Commission's emphasis on designing and implementing patient-centered systems that enhance quality of care, including improved safety.

Original languageEnglish (US)
Pages (from-to)79-83
Number of pages5
JournalQuality Management in Health Care
Volume24
Issue number2
DOIs
StatePublished - Dec 1 2015

Keywords

  • Assessment
  • outcomes assessment
  • patient safety
  • suicide
  • technology

ASJC Scopus subject areas

  • Leadership and Management
  • Health(social science)
  • Health Policy
  • Care Planning

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