title: Inpatient standards of care and the suicidal patient. Part II: An integration with clinical risk management.
abstract: The authors elaborate on the standards of care for the assessment, management, and treatment of hospitalized suicidal patients. The authors attempt to synthesize the concepts of the minimal standard of care with clinical risk management and clinical judgment. They point out the areas of overlap and where optimum care diverges from legal standards of care. Case examples are provided to illustrate major areas of concern. Alleged failures of omission and commission are discussed. Tables are provided that differentiate duties and responsibilities between and among clinicians, hospital staff, and hospital administration.
authors.affiliation: University of Chicago.
authors.forename: M M
authors.initials: MM
authors.lastname: Silverman
authors.forename: A L
authors.initials: AL
authors.lastname: Berman
authors.forename: B
authors.initials: B
authors.lastname: Bongar
authors.forename: R E
authors.initials: RE
authors.lastname: Litman
authors.forename: R W
authors.initials: RW
authors.lastname: Maris
mesh_terms: D000359:Aftercare; D003362:Cost-Benefit Analysis; D003937:Diagnosis, Differential; D004282:Documentation; D007297:Inpatients; D008318:Malpractice; D001523:Mental Disorders / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000523:psychology; D008605:Mental Health Services / Q000331:legislation & jurisprudence / Q000592:standards*; D016134:Organizational Policy; D010347:Patient Care Planning; D010348:Patient Care Team / Q000458:organization & administration; D011569:Psychiatric Status Rating Scales; D011613:Psychotherapy; D011619:Psychotropic Drugs / Q000008:administration & dosage / Q000494:pharmacology / Q000627:therapeutic use; D011785:Quality Assurance, Health Care / Q000331:legislation & jurisprudence / Q000592:standards*; D012307:Risk Factors; D012308:Risk Management / Q000458:organization & administration*; D012449:Safety; D013405:Suicide / Q000331:legislation & jurisprudence / Q000523:psychology; D000092864:Suicide Prevention
chemical_list: D011619:Psychotropic Drugs