Suicide in America “Suicide is a national public

Transcript:Suicide in America “Suicide is a national public:
Suicide in America “Suicide is a national public health problem.” David Satcher, M.D. Surgeon General of the United States QPRT Agenda Introductions Scope of the problem Introduction to risk/protective factors Mental illness and suicide Suicide Risk Rating Exercise Lunch Avoiding suicide malpractice Introduction/use of the QPRT protocol Role plays and practice Managing risk over time Training goals Describe the scope of the problem Address social policy/impact on practice Relationship of mental illness and substance abuse to suicide Current status of suicide risk assessment Describe limitations of the clinical interview and how to improve suicide risk assessment and management decisions General approach for today… Address clinical core competencies to reduce medical errors and help ensure patient safety Emphasis is knowledge gain and skill acquisition verses interesting statistics Teach a tested suicide risk assessment documentation protocol Address strategies for suicide risk reduction in clinical practice From the Surgeon General “Suicide is our most preventable form of death.” Why now? National movement has begun… National Strategy for Suicide Prevention Institute of Medicine report (Reducing Suicide: A National Imperative) Public health is marketing “suicide is preventable” Public expectations that suicide is a preventable form of death are rising Why us? Clinical providers and their employers are charged with doing a better job (Goal 6). Families are being taught suicide is preventable, so “Why did my brother die after I brought him to your hospital, mental health center or substance abuse treatment program?” Lawsuits against us are on the rise (?) Goal 6 from the National Strategy: “Implement training for recognition of at-risk behavior and delivery of effective treatment” 1. Who is qualified to conduct a suicide risk assessment? 2. What are these qualifications? 3. When is the risk assessment done? How often? 4. Where are staff trained in recognition of at-risk behavior? 5. How is this risk assessment documented? JCAHO and Suicide 2007 National Patient Safety Goals # 15 The organization identifies patients at risk for suicide. (M) C 1: The risk assessment includes identification of specific factors and features that may increase or decrease risk for suicide. (M) C 2. The patient’s immediate safety needs and most appropriate setting for treatment are addressed. (M) C 3. The organization provides information such as a crisis hotline to individuals and their family members for crisis situations. How big is the problem? Global Violence-Related Deaths 1 million people die by suicide 10-20 million attempt Leading cause