title: The importance of code status discussions in the psychiatric hospital: results of a single site survey of psychiatrists.
abstract: OBJECTIVE
  Documentation of code status is a requirement with hospital admission, yet this discussion may present unique challenges with psychiatric inpatients. Currently, no standards exist on conducting these discussions with psychiatric inpatients. The authors surveyed psychiatry trainees and faculty regarding their perceptions and practice to gain further insight into the types of approaches used.
  
  
  METHODS
  The authors conducted an IRB-approved, Web-based survey of psychiatry faculty and trainees using a 25-item questionnaire of demographics and opinions about code status among psychiatric inpatients.
  
  
  RESULTS
  The response rate was 36.1 % (n = 30; 15 faculty and 15 trainees). Respondents felt that it was important to discuss code status with each admission. Faculty placed a higher emphasis on assessing patients with a recent suicide attempt (p = 0.024).
  
  
  CONCLUSIONS
  Psychiatric faculty and trainees endorsed the importance of assessing code status with each admission. The authors suggest that educational programs are needed on strategies to conduct code status discussions properly and effectively in psychiatric populations.
authors.affiliation: Mayo Clinic, Rochester, MN, USA.
authors.forename: Alastair J S
authors.initials: AJ
authors.lastname: McKean
authors.forename: Maria I
authors.initials: MI
authors.lastname: Lapid
authors.forename: Jennifer R
authors.initials: JR
authors.lastname: Geske
authors.forename: Simon
authors.initials: S
authors.lastname: Kung
mesh_terms: D001291:Attitude of Health Personnel; D039702:Current Procedural Terminology; D019538:Health Care Surveys; D006778:Hospitals, Psychiatric / Q000458:organization & administration; D006801:Humans; D038801:International Classification of Diseases; D007396:Internship and Residency / Q000379:methods; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology; D020380:Needs Assessment; D010343:Patient Admission / Q000592:standards*; D011570:Psychiatry / Q000193:education*; D013406:Suicide, Attempted; D011795:Surveys and Questionnaires; D014481:United States