title: Development and testing of procedures for violence screening and suicide risk stratification on a psychiatric emergency service.
abstract: OBJECTIVE
  The objective was to examine the relationship between violence screening items, suicide risk stratification, and disposition in a psychiatric emergency service setting.
  
  
  METHODS
  A retrospective review of electronic health record data for 286 patient encounters was performed.
  
  
  RESULTS
  Four of the 6 violence risk screening items were significantly associated with both involuntary presentation to the psychiatric emergency service and high-risk stratification. These 4 items were also associated with psychiatric hospital disposition in bivariate analysis, however, only indirectly through their association with high-risk stratification, which in turn was directly associated with psychiatric hospital disposition.
  
  
  CONCLUSIONS
  Violence screening items inform disposition but only through the use of risk stratification, supporting the need for additional research into the predictive value of standardized suicide risk stratification definitions to inform clinical practice.
authors.affiliation: Department of Psychiatry, The University of Texas Southwestern Medical Center. Electronic address: Kimberly.Roaten@UTSouthwestern.edu.
authors.forename: Kimberly
authors.initials: K
authors.lastname: Roaten
authors.affiliation: Department of Psychiatry, The University of Texas Southwestern Medical Center.
authors.forename: Fuad
authors.initials: F
authors.lastname: Khan
authors.affiliation: Department of Psychiatry, The University of Texas Southwestern Medical Center.
authors.forename: Kevin
authors.initials: K
authors.lastname: Brown
authors.affiliation: The Altshuler Center for Education & Research, Metrocare Services, The Nancy and Ray L. Hunt Chair in Crisis Psychiatry and Professor of Psychiatry, The University of Texas Southwestern Medical Center.
authors.forename: Carol S
authors.initials: CS
authors.lastname: North
mesh_terms: D057286:Electronic Health Records / Q000706:statistics & numerical data; D004637:Emergency Services, Psychiatric / Q000379:methods* / Q000706:statistics & numerical data; D006801:Humans; D007406:Interview, Psychological / Q000379:methods*; D008403:Mass Screening / Q000379:methods / Q000706:statistics & numerical data; D015588:Observer Variation; D012189:Retrospective Studies; D018570:Risk Assessment / Q000379:methods; D064876:Safety-net Providers / Q000706:statistics & numerical data; D013405:Suicide / Q000523:psychology*; D014754:Violence / Q000523:psychology*