title: Suicide Attempts After Emergency Room Visits: The Effect of Patient Safety Goals.
abstract: In 2007 the Joint Commission National Patient Safety Goals included a requirement addressing risks associated with patient suicidality. The rational for this requirement was that suicide has been the most frequently reported sentinel event since the inception of the Sentinel Event Policy in 1996. The Patient Safety Goals on suicide required hospitals implement actions to assess suicide risk, meet client's immediate safety needs and provide information such as a crisis hotline to individuals and family members for crisis situations. This study performed a secondary data analysis to assess the effect of the 2007 Joint Commission Patient Safety Goals on suicide attempts among patients following treatment at hospital emergency rooms among individuals enrolled in the Florida Medicaid program. A difference-in-difference approach compared changes in rates of suicide attempts for individuals with a primary mental health diagnosis and individuals with a physical health diagnosis after emergency room treatment. In the 6 months following treatment, suicide rates declined after implementation of the goals among patients treated for a primary mental health diagnosis, and increased among patients with a poisoning diagnosis, compared to individuals with a physical health diagnosis. The goals were associated with a reduction in suicide attempts after emergency room treatment.
authors: Department of Mental Health Law and Policy, Florida Mental Health Institute, University of South Florida, 13301 Bruce B Downs Blvd., Tampa, FL, 33612, USA. jrobst@usf.edu.
authors: John
authors: J
authors: Robst
mesh_terms: D000328:Adult; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D001523:Mental Disorders; D008875:Middle Aged; D061214:Patient Safety; D012189:Retrospective Studies; D013406:Suicide, Attempted
keywords: Patient safety; Suicide assessment; Suicide risk
references: Ann Intern Med. 2005 Feb 15;142(4):260-73
references: 15710959
references: PLoS One. 2012;7(9):e45157
references: 23024805
references: J Emerg Med. 2010 Apr;38(3):286-92
references: 18657928
references: Emerg Med J. 2010 Feb;27(2):93-6
references: 20156857
references: J Emerg Med. 2012 Nov;43(5):836-42
references: 23040403
references: Qual Life Res. 1994 Oct;3(5):365-71
references: 7841969
references: Acta Psychiatr Scand. 1997 Feb;95(2):94-9
references: 9065672
references: Br J Psychiatry. 2003 Jul;183:28-33
references: 12835240
references: Br J Psychiatry. 1998 Dec;173:462-74
references: 9926074
references: Scand J Public Health. 2013 Dec;41(8):832-8
references: 23907733
references: Psychiatr Serv. 2002 Sep;53(9):1171-2
references: 12221318
references: J Affect Disord. 2008 Oct;110(3):215-21
references: 18321592
references: Br J Psychiatry. 2005 Apr;186:352-3
references: 15802695